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IRCT2016011622984N1 IRCT 2016-01-16 Vice Chancellor for research of guilan University of Medical Sciences Effects of intervention based on the theory of planned behavior on improving self-care behavior in hypertension patients. Full blood pressure patients self-care A clinical trial study on intervention based on the theory of planned behavior on improving self-care behavior of patients with hypertension in two intervention and control groups with blood pressure control. 2014-05-22 anticipated 75 Complete https://irct.ir/trial/19720 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: Choose a health center in the center of the quota by random selection of patients in each health center is a table of random numbers. 2-3 hypertention. Intervention 1: " Intervention group: three educational sessions will be held separately in three different topics,and teaching aids and CD s and pamphlets related to the same session will be used. The overall aim of the first session: To increase patients' awareness of hypertension and familiarity with examining the current situation in their behaviors associated with blood pressure control Session period: 45 minutes Educator: researcher The overall aim of the second session: The patients' familiarity with the outcomes of their lifestyle modification as the main solution to promote self-care behaviors with an emphasis on the structure of the perceived behavioral control in high blood pressure control The overall aim of the third session; Familiarity with diet plan used in patients with hypertension and to determine and change their attitude toward the use of this diet plan in order to promote appropriate nutritional behavior. The main aim of the study is that a program is designed to promote and expand self-care behaviors in controlling blood pressure as the primary outcome variable. Educational content of sessions includes general information on high blood pressure (definition, symptoms, complications, prevention and treatment) and an emphasis on self-care behaviors in controlling high blood pressure, such as physical activity, proper nutrition and the use of medication. . Educational materials including pamphlets and posters and educational CD will be used in each session. Educational methods used in the sessions will be as a combination of lecture, question and answer, group discussion and brainstorming.". Intervention 2: "control group: In the control group,no educational intervention performed by the researcher. The control group did not receive any intervention by the researcher and the 2.5 month training package that was given to the intervention group was the control group ". Investigating the effect of intervention based on preplanned behavior theory on enhancing self-care behavior of patients with hypertension (high blood pressure) visiting rural health-care systems of Rasht in 2014<br /> 1- Fardin Mehrabian, 2- Rabiollah Farmanbar, 3- Marjan Mahdavi Roshan, 4- Saeid Omidi, 5- Roqayeh Aghebati<br /> Abstract<br /> High blood pressure (BP) is one of the most important threats to the human health, especially in developing countries. According to reports of the World Health Organization (WHO) high BP is the cause of one of each eight cases of mortality and is considered to be the third fatal factor in the world. Therefore, controlling high BP through self-care behaviors is of considerable importance in minimizing the risk of consequences caused by hypertension. Thus, the present paper aims to investigate the effect of intervention based on preplanned behavior theory on enhancing self-care behavior of patients with hypertension. <br /> Method<br /> This intervention study is performed on patients visiting health-care centers number 13 and 14 in Rasht in two intervention and control groups. Individuals are selected through quota sampling from three health-care centers and random sampling from each. Research tool is a questionnaire containing 40 questions validity of which was determined through Panel Data and its internal reliability was obtained to be α = 0.71. Obtained data was analyzed using SPSS software and descriptive and inferential in two steps before and 2.5 months after educational interventions. <br /> Results<br /> Women and men composed 76% and 24% of the total population, respectively, with average age of 56.08 years and standard deviation of 6.11. Multivariable regression analysis revealed that controlling the perceived behavior and attitude predict behavioral intention in controlling BP among visited patients (p < 0.003, R2 = 0.21), so that an increase in control of perceived behavior and then the attitude, enhance behavioral intention in self-care behavior. Hence, considering predictive constructs and educational interventions, results indicate a significant increase in constructs of preplanned behavior theory (respecting p < 0.001) and a considerable enhancement in self-care behavior in the field of physical activity and controlled feeding. <br /> Conclusion<br /> Based on research findings and studying patients' present status, it is necessary to have more training on enhancing behaviors concerning blood pressure control in this group of patients in order to observe control and reduction of high blood pressure through performing required interventions based on models of health training and enhancement. <br /> Keywords: Hypertension; preplanned behavior theory; educational intervention. <br /> 1- Associate professor at department of health training and enhancement, faculty of health, Guilan Medical University, Rasht, Iran.<br /> 2- Associate professor at department of health training and enhancement, faculty of health, Guilan Medical University, Rasht, Iran.<br /> 3- Assistant professor in nutrition science .Guilan interventional cardiovascular research center , heshmat hospital ,Guilan University of Medical Sciences, Rasht, Iran.<br /> 4- Instructor at department of health training and enhancement, faculty of health, Guilan Medical University, Rasht, Iran.<br /> 5- Graduate of Master's Degree in health Education and health promotion, faculty of health, Guilan Medical University, Rasht, Iran.09116163403<br />
public Roghaye Aghebati
Rasht. namjoo street
Rasht Iran (Islamic Republic of) 41498-35951 +98 13 3354 8578 r.aghebati44097@yahoo.com Guilan University of Medical Sciences scientific Roghaye Aghebati
Rasht, namjo street
Rasht Iran (Islamic Republic of) 41498-35951 +98 13 3354 8578 raghebati44097@yahoo.com Guilan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: People with high blood pressure; People living near health centers of rural areas and having a medical record in the health house; History of hypertension during one year ago; Age above 45 years old and below 65 years old; Patient's participation in research with his (her) satisfaction. Exclusion criteria: Patient's withdrawal from the study whenever s(he) wants, if (s)he does not want to continue; A life-threatening event or death during conducting intervention programs for patients; 45 years 65 years Both I10-115 Essential (primary) hypertension Incl.: High blood pressure Hypertension (arterial)(benign)(essential)(malignant)(primary)(systemic) Excl.: involving vessels of: brain (I60-I69) eye (H35.0) - Lifestyle Lifestyle " Intervention group: three educational sessions will be held separately in three different topics,and teaching aids and CD s and pamphlets related to the same session will be used. The overall aim of the first session: To increase patients' awareness of hypertension and familiarity with examining the current situation in their behaviors associated with blood pressure control Session period: 45 minutes Educator: researcher The overall aim of the second session: The patients' familiarity with the outcomes of their lifestyle modification as the main solution to promote self-care behaviors with an emphasis on the structure of the perceived behavioral control in high blood pressure control The overall aim of the third session; Familiarity with diet plan used in patients with hypertension and to determine and change their attitude toward the use of this diet plan in order to promote appropriate nutritional behavior. The main aim of the study is that a program is designed to promote and expand self-care behaviors in controlling blood pressure as the primary outcome variable. Educational content of sessions includes general information on high blood pressure (definition, symptoms, complications, prevention and treatment) and an emphasis on self-care behaviors in controlling high blood pressure, such as physical activity, proper nutrition and the use of medication. . Educational materials including pamphlets and posters and educational CD will be used in each session. Educational methods used in the sessions will be as a combination of lecture, question and answer, group discussion and brainstorming." "control group: In the control group,no educational intervention performed by the researcher. The control group did not receive any intervention by the researcher and the 2.5 month training package that was given to the intervention group was the control group " Hypertention. Timepoint: before and 2.5 months after the educational intervention. Method of measurement: Manual gearboxes. Average structures perceived behavioral theory. Timepoint: Before and 2.5 month after intervention. Method of measurement: The questionnaire was created by the researcher. Average physical activity. Timepoint: Before and 2.5 month after intervention. Method of measurement: GPAC Questionnaire. Average use a drug. Timepoint: Before and 2.5 month after intervention. Method of measurement: The questionnaire was created by the researcher. Average food intake and the DASH diet group. Timepoint: Before and 2.5 month after intervention. Method of measurement: FFO Questionnaire. Vice Chancellor for research of guilan University of Medical Sciences Approved 2014-08-19 Ethics committee of Guilan University of Medical Sciences Rasht, in front of stadium Azodi Rasht Iran (Islamic Republic of)