Effect of a Daily Life Activity-Based Awareness Training Program on Hypertensive Individuals
NCT Number: NCT06547879
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Hypertension|Cardiovascular Diseases|Self Efficacy|Treatment Adherence and Compliance|Health Behavior
Interventions: BEHAVIORAL: Hypertension Self Management Program
Sponsor: Hacettepe University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 70
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: SUPPORTIVE_CARE
Start Date: 2023-03-15
Completion Date: 2024-07-05
Locations: Ornek Mahallesi, 2061. Caddesi 4/1 Blok No:37, Altındağ, Ankara, 06080, Turkey

Summary:
This randomized controlled study evaluated an education program based on the Roper, Logan, and Tierney model of daily living activities, supported by mindfulness, for hypertensive individuals. The intervention group received eight weeks of online sessions, while the control group received routine care. Results showed significant improvements in systolic and diastolic blood pressure, self-care, treatment adherence, and healthy lifestyle behaviors in the intervention group compared to controls (p\<0.05). Findings suggest that mindfulness-supported education enhances hypertension management. Further studies with larger samples and long-term follow-up are recommended.

Primary Outcome Measures: Hypertension Self-Care Profile, The Hypertension Self-Care Profile Scale has three subscales: behavior, motivation and self-efficacy. In this scale, each sub-dimension is evaluated separately and a total of minimum 20 and maximum 80 points can be obtained from the scale. Higher scores indicate better self-care., At week 0, week 8 and week 12|Hill-Bone Hypertension Treatment Compliance Scale, The scale consists of three sub-dimensions (interview, medical and nutrition) and a total of 14 questions. The total score that can be obtained from the scale varies between 14 and 56; A score of 14 indicates full compliance, while higher scores indicate treatment non-compliance., At week 0, week 8 and week 12|Healthy Lifestyle Behaviors Scale II, It aims to evaluate individuals' behaviors towards healthy lifestyles. There are 52 items in total in the scale, and all of the items consist of positive expressions. The minimum score that can be obtained from the scale is 52 and the maximum score is 208., At week 0, week 8 and week 12|Conscious awareness, It evaluates individual differences in individuals' states of consciousness and measures their tendency to be aware of and pay attention to momentary experiences in daily life. The total score that can be obtained varies between 15 and 90. A high score indicates a high level of conscious awareness., At week 0, week 8 and week 12
Secondary Outcome Measures: Systolic and diastolic blood pressure, Blood pressure measurement by the researcher with a digital device., At week 0, week 8 and week 12|Metabolic Control Variables, A total of 15 items regarding fasting blood sugar, HbA1c, urea, creatinine, uric acid, glomerular filtration rate, serum sodium and potassium values, lipid panel, hemogram, height, weight and BMI values., At week 0 and week 8|Hypertension Information Assessment, Individuals' HT knowledge status before and after the intervention was evaluated and the data were classified as "correct" and "incorrect" and calculated as number-percentage., At week 0 and week 8