]>
IRCT20160503027736N6 IRCT 2022-10-04 Rafsanjan University of Medical Sciences Comparative study of using drug reminder cards with telephone follow-up on drug adherence of the elderly with hypertension Comparative study of using drug reminder cards with telephone follow-up on drug adherence of the elderly with hypertension 2022-07-03 anticipated 120 Complete https://irct.ir/trial/64329 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Stratified randomization by minimization method: in this method, initially, the patients will categorize based on key variables, include gender and scores of Morisky medication adherence scale-8. Afterwards, from the patients who will meet the inclusion criteria, the first participant will place in the intervention or control group by coin flip, and other participants will allocate to the study group with lower total of variables. The following table is used as a randomization tool: Variables Category : Intervention group (pill card) * Intervention group (phone call)*Control group morrisky medication adherence scale-8(MMAS-8) score A score of 0 to 6 is adherence Score 8 to 6 Moderate adherence A score 8 high adherence sex: female male. N/A Drug adherence in the elderly with high blood pressure. Intervention 1: Intervention group: Medication reminder card، Weekly drug reminder cards are designed by the researcher and given to the patient according to the review of the available texts and booklets and based on the drugs used by the patient. Considering that the intervention lasts for 3 months, 12 cards are designed for each person over time and according to the changes in the drugs used. The information on these cards includes the name of the drug, a clear color picture of the pill, the number of pills per dose, the reason for using it with a color picture (for example, the picture of a sphygmomanometer for antihypertensive medicine), the time/time of using the medicine using the picture or The pictograph will be the time of day and night (morning, noon, night, bedtime). Two copies of each reminder card are given to the patient and it is recommended to place each one in the most visible places. (For example, on the refrigerator door, inside the bedroom or on the prayer mat...). Intervention 2: Intervention group: Telephone call group.The researcher keeps track of how the drugs are taken through phone calls. In this way, the nurse calls all the people at the pre-arranged time and reminds them of the name of the medicine, the dose of the medicine, the time of taking the medicine and the considerations when taking the medicine. The duration of the conversation is considered to be 5 to 10 minutes on average for each person, which varies based on the needs and educational questions of the patients. The phone call time will be set between 8:00 am and 8:00 pm with the agreement of the patients. The call schedule is provided to the patient in writing. The number of phone calls to follow up adherence to medication will be 2 times a week in the first month and once a week during the second and third months. If the first call is missed, the second call will be made on the same day. If the second call is also missed, the last call will be made the next day. Telephone follow-up is done for 3 months based on studies (33, 34). Telephone conversations will be recorded in the set form. Intervention 3: Control group: In the control group, routine blood pressure treatment activities and care will be performed according to the routine of comprehensive health service centers. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Fariba Mazhari
Faculty of Nursing and Midwifery, Nurse St., Gomohri-e-Islami Blvd
Rafsanjan Iran (Islamic Republic of) 7718796755 +98 34 3425 5900 f.mazhari@rums.ac.ir Rafsanjan University of Medical Sciences scientific Shahin Heydari
Pardis Complex, Alley No. 5, Muftah Blvd
Rafsanjan Central African Republic 7718796755 +98 913 290 7256 sh.heidari@rums.ac.ir Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Seniors 60 to 75 years old suffering from high blood pressure according to the doctor's opinion taking antihypertensive drugs being able to read and write not suffering from Alzheimer's and other types of dementia physical ability (movement-vision-hearing) to take medicines independently Not using other types of drug reminders 60 years 75 years Both being admitted to the hospital Change of mental state and alertness of a person due to a disease such as CVA Unwillingness to continue participating in the study Failure to answer the phone more than twice Failure to attend the health center once a month I10 Essential (primary) hypertension Behavior Behavior Other Intervention group: Medication reminder card، Weekly drug reminder cards are designed by the researcher and given to the patient according to the review of the available texts and booklets and based on the drugs used by the patient. Considering that the intervention lasts for 3 months, 12 cards are designed for each person over time and according to the changes in the drugs used. The information on these cards includes the name of the drug, a clear color picture of the pill, the number of pills per dose, the reason for using it with a color picture (for example, the picture of a sphygmomanometer for antihypertensive medicine), the time/time of using the medicine using the picture or The pictograph will be the time of day and night (morning, noon, night, bedtime). Two copies of each reminder card are given to the patient and it is recommended to place each one in the most visible places. (For example, on the refrigerator door, inside the bedroom or on the prayer mat...) Intervention group: Telephone call group.The researcher keeps track of how the drugs are taken through phone calls. In this way, the nurse calls all the people at the pre-arranged time and reminds them of the name of the medicine, the dose of the medicine, the time of taking the medicine and the considerations when taking the medicine. The duration of the conversation is considered to be 5 to 10 minutes on average for each person, which varies based on the needs and educational questions of the patients. The phone call time will be set between 8:00 am and 8:00 pm with the agreement of the patients. The call schedule is provided to the patient in writing. The number of phone calls to follow up adherence to medication will be 2 times a week in the first month and once a week during the second and third months. If the first call is missed, the second call will be made on the same day. If the second call is also missed, the last call will be made the next day. Telephone follow-up is done for 3 months based on studies (33, 34). Telephone conversations will be recorded in the set form. Control group: In the control group, routine blood pressure treatment activities and care will be performed according to the routine of comprehensive health service centers. Drug adherence in the elderly with high blood pressure. Timepoint: At the beginning of sample collection, one, two, three months after the start of the intervention. Method of measurement: Morisky medication adherence questionnaire, demographic information questionnaire, pill counting form. Rafsanjan University of Medical Sciences Approved 2022-06-22 Research Ethics Committee of Rafsanjan University of Medical Sciences Nurse Street, College of Nursing and Midwifery Rafsanjan Kerman Iran (Islamic Republic of)