Adaptive Intervention Model for Hypertension Self-Management in Rural Areas: A Doctor-Patient Interaction Approach
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Standard Interactive Intervention for Hypertension Management, Intensified Interactive Intervention for Hypertension Management.
- Who it may be relevant to
- Registry conditions: Hypertension Self-management, Hypertension. Basic parameters: 18 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Construction and Verification of Adaptive Intervention Model for Self-Management Behavior of Hypertensive Patients in Rural Areas：A Perspective of Doctor-Patient Interactions
Overview
The aim of this project is to develop and validate an adaptive intervention model to improve self-management behavior in rural hypertensive patients. The primary question it seeks to answer is: Can a tailored, interaction-based intervention model, guided by key doctor-patient interaction elements, effectively enhance self-management behavior among rural hypertensive patients and improve long-term blood pressure control? Researchers will evaluate the impact of different intervention strategies on self-management behavior and identify the most effective combination to establish a sustainable intervention model for rural hypertension management.
Interventions
- Behavioral Standard Interactive Intervention for Hypertension Management
The standard interactive intervention is a doctor-patient interaction intervention conducted by follow-up physicians using an intelligent outbound call system as part of follow-up management. It is implemented once a month and is designed based on the Health Behavior Interaction Model, covering four key aspects: health information (e.g., potential risks of poor self-management behavior), professional skills(e.g., blood pressure measurement, medication guidance), emotional support , and decision- - Behavioral Intensified Interactive Intervention for Hypertension Management
The enhanced interactive intervention builds upon the standard interactive intervention by increasing the frequency of interactions. In addition to the monthly intervention, patients receive an additional brief interactive intervention every two weeks via the intelligent outbound call system, reminding them to adhere to self-management behaviors for hypertension control.
Primary outcome measures
- Hypertension self-management behavior [Time frame: From the start of the intervention to the 6-month and the end of the trial at 12 months.]
- Blood pressure [Time frame: From the start of the intervention to the 6-month and the end of the trial at 12 months.]
Eligibility criteria
Inclusion criteria
- Diagnosed hypertension patients who are permanent residents in rural areas.
- No plans for long-term relocation within the next year.
- Willing to participate in this study.
- No cognitive impairment.
- No other diseases that significantly affect self-management behavior, such as malignant tumors.
Exclusion criteria
- Age over 80 years.
- Having conditions such as stroke, paralysis, or mental disorders that prevent the completion of self-management behaviors.
- Severe hearing impairment or speech disorders that prevent participation in interviews.
- Likely to relocate or be away from the local area for an extended period within one year.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
China · 1 center
- West China Fourth Hospital and West China School of Public Health. Sichuan University — Chengdu
Publications
- Xian X, Zhao T, Du S, Zhang H, Chen Y, Zhou H, Wu Y. Adaptive intervention to improve self-management behaviours among hypertensive patients in rural primary care settings: protocol for a Sequential Multiple Assignment Randomised Trial (SMART). BMJ Open. 2026 Mar 18;16(3):e109445. doi: 10.1136/bmjopen-2025-109445. PMID 41857823
Identifiers
NCT: NCT06869031 · Gwll2024130