Feasibility of a Program on a Nurse-led Telephone 6-month-follow-up for Uncontrolled Hypertensive Women

Study Overview
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Brief Summary
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This study evaluate the feasibility of a 6-month personalized support program for hypertensive and non-observant women, led by nurses by telephone follow-up.

Detailed Description
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The program includes 2 themes: Realizing my blood pressure self-measurement according to the recommendations Optimizing my compliance: understand the antihypertensive treatment, identify the brakes and the levers when taking medication, organize the treatment taking Visits : Inclusion visit : Collection of consent by the nurse Verification of inclusion and non-inclusion criteria : measurement of compliance with a scale for each antihypertensive treatment and BP measurement Data collection and goal setting Urine collection for dosing anti-hypertension drugs Delivery of the schedule of telephone visits that were determined with the patient Implementation of personalized support with the following steps : Data collection : evaluate knowledge and its potential as a patient, identify his needs Determination of objectives : define the objectives of the program in each theme with the patient according to the collection of data Implementation of personalized support 7 telephone interviews of 20 to 30 minutes use of specific teaching tools and materials by thematic assessment of achievements, validation of objectives Evaluation of the accompaniment: - assessment at the final visit Final visit at 6-month : Same as the inclusion visit with assessment of the support and questionnaire to assess the patient satisfaction level.

Official Title
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Feasibility of a Program on a Nurse-led Telephone 6-month-follow-up for Uncontrolled Hypertensive Women: a Patient-tailored Intervention

Conditions
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Arterial Hypertension, Medication Nonadherence

Intervention / Treatment
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* Other: Program on a nurse-led telephone 6-month-follow-up for uncontrolled hypertensive women: a patient-tailored intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Woman ≥ 18 to 79 years old, Hypertensive and treated with antihypertensive drug(s) Unsatisfactory compliance for at least one of her antihypertensive treatment with a score below 80% at the medication adherence scale Uncontrolled Blood Pressure (BP) : systolic BP equals to ou greater than140 and / or diastolic BP equals to ou greater than 90 mmHg at inclusion visit Inform consent signed Affiliation to a French social security scheme or beneficiary of such a scheme Exclusion Criteria: Patient with a history of cardio or cerebrovascular disease in the last 6 months (Stroke or Transient Ischemic Attack, myocardial infarction, heart failure) Patient with kidney failure requiring dialysis Patient with cognitive pathology: dementia, ... etc. Patient with type I diabetes Unreachable patient by phone or foreseeable inability or unwillingness to comply with study follow-up Patient who does not understand and does not speak French

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 79 Years

Sexes Eligible for Study
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Female

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: Other
Intervention Model: Single Group Assignment
Interventional Model Description: Prospective, monocentric, open, pilot study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Women with uncontrolled hypertension<br>Women with uncontrolled hypertension and unsatisfactory medication adherence | Other: Program on a nurse-led telephone 6-month-follow-up for uncontrolled hypertensive women: a patient-tailored intervention<br>* Implementation of personalized support: The accompaniment includes 7 telephone interviews for 6 months (understanding the antihypertensive treatment, identifying the brakes and the levers when taking medication, organizing the treatment taking, making the home blood pressure)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of women who completed all telephone follow-ups and came to the final visit at 6 months. | The goal of recruitment in 6 months will be 20 women and the goal of the program finalization will be of at least 80% of patients (16 patients). | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurse-led management, Home blood pressure, Nurse-led telephone follow-up