Effectiveness of Female Community Health Volunteers Training on Hypertension Knowledge and Blood Pressure Measurement Skills in Nepal
NCT Number: NCT06529289
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Female Community Health Volunteers
Interventions: OTHER: Training
Sponsor: Kathmandu University School of Medical Sciences
Sex: FEMALE
Age: ADULT, OLDER_ADULT
Enrollment: 131
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: OTHER
Start Date: 2023-04-20
Completion Date: 2024-06-01
Locations: Prasansha Poudel, Dhulikhel, Nepal

Summary:
The investigators aimed to investigate the effectiveness of training FCHVs in hypertension knowledge and blood pressure measuring skills and explore their perceptions of challenges and opportunities to deliver hypertension counseling and monitor Blood pressure in the community. The investigators conducted a quasi-experimental study design among 131 FCHVs from Namobuddha and Mandandeupur municipalities. The investigators quantitatively measured the baseline and end-line hypertension knowledge and BP measurement skills after providing a one-day training on hypertension knowledge and BP measurement. Furthermore, the investigators conducted three focus group discussions with FCHVs to explore the challenges and opportunities of FCHVs in community-based hypertension management.

Primary Outcome Measures: Hypertension Knowledge, We measured the FCHVs Hypertension in terms of knowledge score The Hypertension Knowledge Level Scale (HK-LS) assessed respondents' knowledge in defining hypertension, lifestyle, medical treatment, drug compliance, diet, and complications of hypertension. Each item was a complete sentence that was either correct or incorrect. Each item was prepared as part of a standard answer (correct, incorrect, or do not know). The scale included 22 items divided into six subdimensions (annex - IV). Each correct answer is worth 1 point. The maximum score is 22 for the entire scale. The minimum score is zero for the whole scale, and a score of higher means better knowledge for all sub-dimensions., Baseline and endline data collected within a single day. 1 day
Secondary Outcome Measures: Blood Pressure measurement skills, Blood pressure skills were observed in three pre- and post-observation segments using an observational checklist. At first, pre-observation was performed, and training to measure blood pressure was provided to FCHVs; after that, post-observation was performed. There were pre-measurement inquiries and instructions for five items, measurement instructions for items, and a post-measurement record of 1 item. We ticked "yes" or "no" if the FCHV performed the activity listed in the checklist. Each 'yes' item gets 1 point, and the total score ranges from 0 to 17, with higher scores indicating a higher skill level. We defined blood pressure measurement capacity as an indicator of the FCHVs could perform these four actions: Placement of measuring arm at the level of heart, Proper fastening of the cuff, Measuring blood pressure three times at 1 (or more) minute(s) intervals, Recording of all readings)., Baseline and endline data collected within a single day. 1 day