Nurse-Led Motivational Interviewing for Blood Pressure Control

Официальное название

The Effect of Nurse-Led Individual and Family-Involved Motivational Interviewing on Blood Pressure Control in Patients With Hypertension: A Three-Arm Randomized Controlled Trial

Обзор

Hypertension is one of the most important risk factors for cardiovascular morbidity and mortality. Effective hypertension management requires medication adherence, lifestyle modification, regular blood pressure monitoring, and self-management behaviors. Motivational interviewing is a counseling approach that may support behavior change and improve hypertension management. This study aims to evaluate the effects of nurse-led individual motivational interviewing and family-involved motivational interviewing on blood pressure control in patients with hypertension. The study will be conducted as a single-center, three-arm, parallel-group, randomized controlled trial. A total of 180 patients with hypertension will be randomly assigned to one of three groups: usual care, individual motivational interviewing, or family-involved motivational interviewing. Participants in the intervention groups will receive a 6-week nurse-led motivational interviewing program. In the family-involved motivational interviewing group, a family member who supports hypertension management will also participate in the sessions. Data will be collected at baseline, 6 weeks, and 18 weeks. The primary outcome is systolic blood pressure. Secondary outcomes include diastolic blood pressure, hypertension knowledge level, treatment adherence, and hypertension self-efficacy.

Подробное описание

The study intervention is a non-invasive, education- and counseling-based behavioral nursing intervention. Participants in the control group will continue to receive routine hypertension care and will be given a standard hypertension information brochure. Participants in the individual motivational interviewing group will receive nurse-led individual motivational interviewing sessions. Participants in the family-involved motivational interviewing group will receive the same intervention, with the participation of a family member who supports the patient's hypertension management.

The intervention content includes hypertension awareness, individual risk factors, readiness for change, hypertension knowledge, misconceptions and complications, medication adherence, treatment barriers, salt reduction, nutrition behaviors, home blood pressure monitoring, physical activity, weight control, stress management, self-efficacy, problem solving, motivation maintenance, and individualized goal evaluation. Intervention fidelity will be monitored using a session checklist.

Вмешательства

• Поведенческое Individual Motivational Interviewing
  The intervention is a structured 6-week nurse-led individual motivational interviewing program. Sessions will focus on hypertension awareness, individual risk factors, readiness for change, hypertension knowledge, misconceptions and complications, medication adherence, treatment barriers, salt reduction, nutrition behaviors, home blood pressure monitoring, physical activity, weight control, stress management, self-efficacy, problem solving, motivation maintenance, and individualized goal evaluat
• Поведенческое Family-Involved Motivational Interviewing
  The intervention is a structured 6-week nurse-led motivational interviewing program delivered with the participation of a family member who supports the patient's hypertension management. The intervention content is the same as the individual motivational interviewing program. The family member will be included to support medication adherence, salt reduction, nutrition behaviors, home blood pressure monitoring, and achievement of weekly goals.
• Поведенческое Usual Hypertension Care With Information Brochure
  Participants will continue to receive routine hypertension care and will be given a standard hypertension information brochure. No structured motivational interviewing session will be provided.

Первичные конечные точки

• Systolic Blood Pressure [Срок оценки: Baseline, 6 weeks, and 18 weeks]

Вторичные конечные точки (4)

• Diastolic Blood Pressure [Срок оценки: Baseline, 6 weeks, and 18 weeks]
• Hypertension Knowledge Level Assessed by the Hypertension Knowledge-Level Scale [Срок оценки: Baseline, 6 weeks, and 18 weeks]
• Treatment Adherence Assessed by the Hill-Bone Hypertension Treatment Adherence Scale [Срок оценки: Baseline, 6 weeks, and 18 weeks]
• Hypertension Self-Efficacy Assessed by the Hypertension Self-Efficacy Scale [Срок оценки: Baseline, 6 weeks, and 18 weeks]

Критерии участия

Критерии включения

• Aged 18 years or older
• Diagnosed with hypertension for at least 6 months
• Using antihypertensive medication
• Able to read and understand Turkish
• Conscious and able to communicate
• Providing written informed consent
• Having at least one family member who can support hypertension management and participate in sessions when needed

Критерии исключения

• Advanced cognitive impairment
• Active psychiatric crisis
• History of a serious cardiovascular event within the last 3 months
• Terminal illness
• Serious physical condition that may prevent regular participation in intervention sessions
• Concurrent participation in another structured education program

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Simav Doc. Dr. Ismail Karakuyu State Hospital — Simav

Публикации

• Mehta SJ, Volpp KG, Troxel AB, Teel J, Reitz CR, Purcell A, Shen H, McNelis K, Snider CK, Asch DA. Remote Blood Pressure Monitoring With Social Support for Patients With Hypertension: A Randomized Clinical Trial. JAMA Netw Open. 2024 Jun 3;7(6):e2413515. doi: 10.1001/jamanetworkopen.2024.13515. PMID 38829618
• Khadoura KJ, Shakibazadeh E, Mansournia MA, Aljeesh Y, Fotouhi A. Effectiveness of motivational interviewing on medication adherence among Palestinian hypertensive patients: a clustered randomized controlled trial. Eur J Cardiovasc Nurs. 2021 Jun 29;20(5):411-420. doi: 10.1093/eurjcn/zvaa015. PMID 34009313
• Xu J, Gu X, Gu J, Zhao L, Li M, Hong C. Motivational interviewing intervention for the management of hypertension: a meta-analysis. Front Cardiovasc Med. 2025 Jan 20;11:1457039. doi: 10.3389/fcvm.2024.1457039. eCollection 2024. PMID 39902088

Идентификаторы

NCT: NCT07747025 · KSBU-HTN-RCT-2026-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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