Adaptive Intervention Model for Hypertension Self-Management in Rural Areas: A Doctor-Patient Interaction Approach
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Standard Interactive Intervention for Hypertension Management, Intensified Interactive Intervention for Hypertension Management.
- Кому может быть актуально
- Состояния в реестре: Hypertension Self-management, Hypertension. Базовые параметры: 18 лет — 80 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Construction and Verification of Adaptive Intervention Model for Self-Management Behavior of Hypertensive Patients in Rural Areas:A Perspective of Doctor-Patient Interactions
Обзор
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.
Вмешательства
- Поведенческое 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- - Поведенческое 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.
Первичные конечные точки
- Hypertension self-management behavior [Срок оценки: From the start of the intervention to the 6-month and the end of the trial at 12 months.]
- Blood pressure [Срок оценки: From the start of the intervention to the 6-month and the end of the trial at 12 months.]
Критерии участия
Критерии включения
- 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.
Критерии исключения
- 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.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Последовательный дизайн
- Маскирование
- Открытое
- Основная цель
- Профилактика
Центры проведения
Китай · 1 центр
- West China Fourth Hospital and West China School of Public Health. Sichuan University — Чэнду
Публикации
- 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
Идентификаторы
NCT: NCT06869031 · Gwll2024130