Effect of Motivational Interviews on Cardiovascular Disease Risks and Healthy Lifestyle Behavior Changes
Condition: Essential Hypertension; Motivational Interview; Cardiovascular Disease Risk; Healthy Lifestyle Behavior
MeSH terms: Hypertension; Cardiovascular Diseases; Essential Hypertension
Study type: Interventional

Summary: 
      The primary aim of this study is to determine the effects of education and motivational
      interviews structured according to the health belief model on cardiovascular disease risks
      and healthy lifestyle behavior changes in patients with an essential hypertension diagnosis.
      The secondary aim of the study is to determine the effects of the variables that mediate the
      probability of performing primary prevention measures according to the health belief model of
      patients with a diagnosis of essential hypertension. The study was planned in a
      single-center, single-blind, one-to-one, parallel-group, randomized controlled trial design
      with a 6-month follow-up period. The research will be carried out at Işıklar Family Health
      Center located in Eskişehir city center in Turkey. The study population of this research
      consists of 659 patients with a diagnosis of essential hypertension, aged between 30-59
      years, registered in Işıklar Family Health Center. The number of samples required for the
      study was determined by the power analysis made in the GPower 3.1 package program. Assuming
      that there may be losses during the follow-up and considering the possibility of
      nonparametric testing, a total of 80 individuals, 40 in each group, with an increase of 20%,
      will form the research group. The research data collection process will be carried out in 4
      stages. First of all, the data required to query the inclusion criteria and exclusion
      criteria for participant admission to the study will be evaluated using the "Data form for
      participant admission". For the other stages of the research data collection process;
      "Pre-test (Beginning at 0 months)", "Intermediate follow-up test (Follow-up at 3 months)" and
      "Posttest (6 months)" will be administered to the participants in the study and control
      groups by the researcher. In this study, "Cardiovascular Disease Risk Awareness Assessment
      Scale", "Cardiovascular Diseases Risk Factors Knowledge Level", "Framingham Cardiovascular
      Risk Score", "Healthy Lifestyle Behaviors Scale-II", "Hypertension Self-Care Profile", "Hill-
      Bone Hypertension Treatment Adherence Scale", "Physical Activity Questionnaire for Primary
      Care" and "SF-12 Quality of Life Scale" will be used as data collection tools. In addition to
      their routine care, the control group will be given a health education structured according
      to the health belief model and a training booklet on healthy lifestyle behavior changes at
      the end of the training.
    

Detailed description: 
      Hypertension plays an important role in the early death of 1 in 4 men and 1 in 5 women (more
      than one billion people) diagnosed with hypertension worldwide. Hypertension, the prevalence
      which can vary from country to country, is around 30-45% of the general population, and this
      rate is observed to increase with age, which will continue to be an important public health
      problem today and in the future. Worldwide, only one out of every 5 adults (about 21%) has
      hypertension under control. It is seen that the risk of cardiovascular morbidity and
      mortality is higher in patients whose blood pressure cannot be controlled. It is important to
      control hypertension in order to prevent cardiovascular diseases (CVD), also patients should
      comply with their treatment and health recommendations.

      Motivational interviewing is a client-centered communication technique that reveals the
      behavior change and desire for change by helping the person to understand the problem or
      problems arising from himself, to discover the problem, to discover and solve the
      ambivalence.In this study, it is thought that motivational interviews structured according to
      the health belief model can be effective on cardiovascular disease risks and healthy
      lifestyle behavior changes in patients with an essential hypertension diagnosis.
    

Intervention name(s): 6-session motivational interviews; Health education structured according to the health belief model; Training booklet prepared by the researchers on healthy lifestyle behavior changes; 6 month follow-up
Intervention type(s): Behavioral; Other; Other; Other
Intervention description(s): A total of 6 motivational interviews will be held once a month. Motivational interviews will be conducted individually.; After the participants enrolled in the study, the patients in the study group will be given a health education structured according to the health belief model at the first interview.; After the participants enrolled in the study and take health education, a training booklet prepared by the researchers on healthy lifestyle behavior changes will be given to the participants.; Follow-ups will be made 3 times in total, on the basis of pre-test, intermediate follow-up test (3 months), and post-test (6 months).
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Prevention