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IRCT20210110049983N1 IRCT 2021-03-01 Mashhad University of Medical Sciences The effect of self-management program based on 5A model on self-care and quality of life in high blood pressure elderly patients The effect of self-management program based on 5A model on self-care and quality of life in hypertensive elderly patients 2021-04-04 anticipated 60 Complete https://irct.ir/trial/53617 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, as the first step are listed the medical records of all elderly patients with hypertension referred to the cardiac clinic of Mashhad Army Hospital. Then, elderly with inclusion criteria are selected and assigned in a simple random method to the two groups of control and intervention using a table of random numbers. N/A Hypertension. Intervention 1: In the intervention group, a self-management program based on the 5A model will be implemented. This model includes 5 stages of evaluation, counseling, agreement, assistance and follow-up. four face-to-face and virtual sessions with a duration of 1-2 hours will be provided for the elderly and one of his family members, in order to implement training and planning in the field of self-management. The first session will be held in person for one to two hours to implement the first and second stages (evaluation and consultation), which will be held in groups of up to 7 people. Actions in this session include measuring blood pressure and BMI, Introducing the study, assessing the views and concerns of the elderly about hypertension, symptoms, complications and its impact on health and quality of life, as well as introducing the disease and its management methods. In a few days, the second session will be held virtually through WhatsApp for one hour to implement the third stage (agreement) individually for each elderly person and one of the family members. After agreeing on the goals, a specific self-management program will be provided to them and a checklist of individual actions will be sent to the patient, emphasizing the importance of taking notes and reporting actions and blood pressure to the patient and his companion. The third session will be a week later and for 2 hours, to perform the fourth stage (help) in the form of WhatsApp groups of 7 people, with the aim of simplifying the process of self-care and reminding the trainings and controlling the client checklist. The fifth stage (follow-up) is post-agreement follow-up, which is supported by the researcher twice a week, then once a week, bi-weekly, bi-weekly and monthly until the end of week 8 after the intervention by telephone to motivate, support And ambiguities. The final session will be held for 1 hour at the end of week 8 after the start of the intervention in groups of 7 people to complete the test post forms and checklists control. Intervention 2: Control group: In the control group, routine actions include face-to-face training sessions during the doctor's visit and providing an educational pamphlet on hypertension management. Yes - There is a plan to make this available What will be shared: Demographic and contextual characteristics of study participants When: After September 1400 To whom: all Conditions: Email the responsible author or access databases Where to obtain: Email the responsible author or access databases How to obtain: By email for about a week Comments:
public Mahmoud Bakhshi
Nursing AND Midwifery School, Doctra Crossroad, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 bakhshim@mums.ac.ir Mashhad University of Medical Sciences scientific Mahmoud Bakhshi
Doctra Crossroad, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 bakhshim@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) 60 years of age and older A definitive diagnosis of hypertension by specialist Informed consent to participate in the study Ability to speak Persian Be literate get a score 7 or higher using the AMT tool Ability to communicate through WhatsApp social network Ability to perform daily activity livings and get a score of 13 or higher using the Bartel ADL tool 60 years no limit Both Cognitive impairment such as Alzheimer's, dementia, delirium (severe confusion) Major depressive disorder or psychological disorders Clear speech disorder Clear and uncorrected vision or hearing problems Acute physical problems such as uncontrolled diabetes, heart attack or stroke and lung infection I10 Essential (primary) hypertension Lifestyle Lifestyle In the intervention group, a self-management program based on the 5A model will be implemented. This model includes 5 stages of evaluation, counseling, agreement, assistance and follow-up. four face-to-face and virtual sessions with a duration of 1-2 hours will be provided for the elderly and one of his family members, in order to implement training and planning in the field of self-management. The first session will be held in person for one to two hours to implement the first and second stages (evaluation and consultation), which will be held in groups of up to 7 people. Actions in this session include measuring blood pressure and BMI, Introducing the study, assessing the views and concerns of the elderly about hypertension, symptoms, complications and its impact on health and quality of life, as well as introducing the disease and its management methods. In a few days, the second session will be held virtually through WhatsApp for one hour to implement the third stage (agreement) individually for each elderly person and one of the family members. After agreeing on the goals, a specific self-management program will be provided to them and a checklist of individual actions will be sent to the patient, emphasizing the importance of taking notes and reporting actions and blood pressure to the patient and his companion. The third session will be a week later and for 2 hours, to perform the fourth stage (help) in the form of WhatsApp groups of 7 people, with the aim of simplifying the process of self-care and reminding the trainings and controlling the client checklist. The fifth stage (follow-up) is post-agreement follow-up, which is supported by the researcher twice a week, then once a week, bi-weekly, bi-weekly and monthly until the end of week 8 after the intervention by telephone to motivate, support And ambiguities. The final session will be held for 1 hour at the end of week 8 after the start of the intervention in groups of 7 people to complete the test post forms and checklists control. Control group: In the control group, routine actions include face-to-face training sessions during the doctor's visit and providing an educational pamphlet on hypertension management. Self-care. Timepoint: Beginning and end of the study at the end of week 8. Method of measurement: Han Self-Care Questionnaire. Quality of life. Timepoint: Beginning and end of the study at the end of week 8. Method of measurement: SF-36 Questionnaire. Mashhad University of Medical Sciences Approved 2021-01-10 Iran National Committee for ethics in Biomedical Research Ethics Committee of Mashhad University of Medical Sciences, Qureshi Building, Daneshgah St., Mashhad, Iran mashhad Razavi Khorasan Iran (Islamic Republic of)