Mobile Application to Improve Nutritional Counseling Provided by Primary Care Physicians for Hypertension.

Study Overview
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Brief Summary
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The purpose of this study is to investigate whether the use of a mobile app could improve knowledge and practice in nutrition counseling performed by primary care physicians in Brazil.

Detailed Description
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To optimize the nutritional care in the context of the limitations of available time and knowledge in medical practice, the present study proposes to develop a tool of nutritional guidelines for hypertension, easily accessible, based on evidence, and then evaluate its use among primary care physicians registered in a center telehealth. The use of the mobile application tool will aim to improve the nutritional counseling, helping with prevention of other chronic diseases in primary care context.

Official Title
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Nutritional Recommendations for Hypertension: Development of Mobile Application for Improve Knowledge in Lifestyle Modification for Primary Care Physicians

Conditions
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Hypertension

Intervention / Treatment
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* Other: telehealth
* Other: nutritional counseling
* Device: smartphone (mobile app)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: primary care physicians registered in TelessaúdeRS (Center for Telehealth) primary care physicians who use smartphone or tablet Exclusion Criteria: not to work in primary care
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Smartphone (mobile app) & telehealth<br>Participants will install and use a mobile application designed to provide nutritional recommendations for hypertensive patients. These recommendations will be based on the DASH diet guidelines appropriate to patient profile: consumption of whole grains, fruits, vegetables, milk or low fat dairy products, lean meats, poultry and fish, nuts, seeds and legumes, amount of fats, oils and sweets, as well as guidelines for salt intake and alcohol. The call service will be offered by the Center for Telehealth Rio Grande do Sul to answer clinic questions with qualified staff and in real time. All physicians who work in Primary Health Care in Brazil can use this call center when they have questions about diagnosis and management of their patients. | Other: telehealth<br>* Use the call service offered by the Center for Telehealth Rio Grande do Sul to answer clinic questions with qualified staff and in real time. All physicians who work in Primary Health Care in Brazil can call when they have questions about diagnosis and management of their patients.<br>Other: nutritional counseling<br>* Performing routine nutritional counseling in their clinical practice<br>Device: smartphone (mobile app)<br>* Mobile app, designed to provide nutritional recommendations for hypertensive patients, will be use. The recommendations will be based on the DASH diet guidelines appropriate to the patient profile: consumption of whole grains, fruits, vegetables, milk or low fat dairy products, lean meats, poultry and fish, nuts, seeds and legumes, amount of fats, oils and sweets, as well as guidelines for salt intake and alcohol.<br>|
| Placebo Comparator: nutritional counseling & telehealth<br>Physicians who are enrolled for this group will continue performing routine nutritional counseling in their clinical practice. The call service will be offered by the Center for Telehealth Rio Grande do Sul to answer clinic questions with qualified staff and in real time. All physicians who work in Primary Health Care in Brazil can use this call service when they have questions about diagnosis and management of their patients. | Other: telehealth<br>* Use the call service offered by the Center for Telehealth Rio Grande do Sul to answer clinic questions with qualified staff and in real time. All physicians who work in Primary Health Care in Brazil can call when they have questions about diagnosis and management of their patients.<br>Other: nutritional counseling<br>* Performing routine nutritional counseling in their clinical practice<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in score of knowledge and ability related to nutritional care. | For each correct answer, participant will get one point on the knowledge test and for each incorrect answer will get 0. Thus, possible scores will range from 69 to 0. Data based on questions about the abilities will be summarized in a qualitative ranking. | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nutritional Knowledge, Nutritional Counseling