Clinical trial NCT05038774: Educational Intervention for Hypertension Management
Official title: Impact of Educational Intervention on Hypertension Management by Primary Care Physician (Pump)
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Hypertension
Keywords: Educational Intervention
Hypertension Management
Primary Care Physician
Lead sponsor: University of Karachi
Sponsor class: OTHER
Collaborators: name: Advanced Education & Research Center
First posted: 2021-09-09
Enrollment: 126
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: An interventional study is designed and a structured educational session will be conducted regarding the management of Blood pressure for the general physicians of Karachi, Lahore, Peshawar, Islamabad, Multan and Quetta. The purpose of designing this study is to observe the effect of hypertension educational intervention for general physicians to improve patient outcomes indirectly. Results of this study may provide a basis for developing a hypertension educational program targeted at general physicians.

Detailed description: Study Procedure

1. Screening of General physicians as per inclusion criteria and recruitment of GPs by clinical research associate after obtaining informed consent form.
2. GPs will be asked to fill hypertension awareness questionnaire at baseline
3. Both group of GPs with the help of clinical research associate will recruit 5 patients from study site.
4. After obtaining informed consent, Patient will be asked to fill hypertension awareness questionnaire at baseline or recruitment day and share pictures of 12-hour blood pressure measurement (from digital BP apparatus) with clinical research associate.
5. Randomization of GPs will be than in to 2 Groups.
6. After randomization, Group 1 GPs will receive (1 day) face to face education and Group 2 GPs will receive print version of education material.
7. After GPs education intervention, patients will be invited for regular checkup at GPs clinic.
8. Patient will be again asked to fill hypertension awareness questionnaire after 3 months and share pictures of 12-hour blood pressure measurement (from digital BP apparatus) with clinical research associate. (1st, 2nd \& 3rd Month).
9. GPs will be asked to fill hypertension awareness questionnaire again after 3 months (Post intervention)

Eligibility criteria: Inclusion Criteria:

* GPs who have at least three years of practice experience in the broad disciplines of primary care using the Numerical Pain Rating (NPR) scale over the past week ≥ 2 on a 0-10 numerical pain scale.
* Patients between 18-60 years.
* Patients with uncontrolled blood pressure according to Pakistan hypertension league guidelines
* Patients with or without angiographically proven coronary, peripheral or cerebral vascular disease.
* Patients must be able to give informed consent and be able to read and comprehend in the Urdu (National Language)
* Patients must have a digital BP apparatus at home.
* Patients must have a phone with camera and internet.

Exclusion Criteria:

* GPs who had attended a planned Hypertension educational program during the last 6 months.
* Patients with a recognized psychiatric disorder as per the Diagnostic and Statistical Manual of Mental Disorders

Primary outcomes:
measure: Blood Pressure
timeFrame: 3 Months
Secondary outcomes:
measure: Knowledge of GPs about Hypertension Management
timeFrame: 3 Months
measure: Knowledge of Patients about Hypertension Management
timeFrame: 3 Months
Other outcomes:
Locations:
city: Karachi
country: Pakistan
facility: Karachi institute of heart disease
state: Sindh
Study officials:
References:
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citation: Tu K, Chen Z, Lipscombe LL; Canadian Hypertension Education Program Outcomes Research Taskforce. Prevalence and incidence of hypertension from 1995 to 2005: a population-based study. CMAJ. 2008 May 20;178(11):1429-35. doi: 10.1503/cmaj.071283.
citation: Marques-Vidal P, Tuomilehto J. Hypertension awareness, treatment and control in the community: is the 'rule of halves' still valid? J Hum Hypertens. 1997 Apr;11(4):213-20. doi: 10.1038/sj.jhh.1000426.
citation: Primatesta P, Brookes M, Poulter NR. Improved hypertension management and control: results from the health survey for England 1998. Hypertension. 2001 Oct;38(4):827-32.