Hypertension Treatment Adherence Improving Trial
Hypertension Treatment Adherence Improving Trial
Persistent adherence to lifestyle modifications and blood pressure lowering medications were
 the best way to control blood pressure. But low adherence was noted in reviews and studies
 resulting those taking blood pressure lowering medications could not achieve a controlled
 blood pressure. In this study, a theory-guided educational program will be developed with an
 aim to improve the blood pressure, self-efficacy and adherence behaviors among those
 diagnosed with high blood pressure in the community. 148 participants will be recruited and
 divided into control group and intervention group randomly in a ratio of 1:1. The
 intervention group will receive the theory-guided educational program, while the control
 group will receive the usual care. The study will last for 12 weeks. Data will be collected
 at baseline, week 8 and week 12. SPSS and generalized estimating equations model will be
 employed for data analysis. The results will inform an effective way to conduct health
 promotion in community. The improved adherence to lifestyle modifications and medications
 will be beneficial to the clients' health.
Persistent adherence to lifestyle modifications and anti-hypertensive medications were
 emphasized in hypertension guidelines to control blood pressure effectively. But low
 adherence to lifestyle modifications and medication were noted in reviews and studies. Low
 adherence would lead to those received hypertension treatment did not achieve a controlled
 blood pressure. In this study, an educational program guided by the Health Promotion Model
 will be conducted to examine the effect on blood pressure, self-efficacy and treatment
 adherence among hypertensive patients in the community. A 2-arm parallel randomized control
 trial will be conducted. 148 participants will be recruited and divided into control and
 intervention group in a ration of 1:1. The intervention group will receive the theory-guided
 educational program, while the control group will receive the usual care. The study will last
 for 12 weeks. Data will be collected at baseline, week 8 and week 12. SPSS and generalized
 estimating equations model will be employed for data analysis. The results will inform
 community healthcare professionals about the effective way for health promotion, to enhance
 the adherence to lifestyle modifications and medications among hypertensive clients resulting
 sustainable benefits to the clients' health.
Inclusion Criteria:

 -  Own a mobile phone and able to use

 -  Able to communicate with Cantonese and read Chinese

 -  Diagnosed with hypertension and taking at least one anti-hypertensive medication

 -  SBP = 131~159 mmHg or DBP = 81~99 mmHg

 Exclusion Criteria:

 -  Renal hypertension

 -  Mini-Cog < 3