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IRCT20230812059127N1 IRCT 2023-11-01 Bojnourd University of Medical Sciences Investigating the effect of self-care training on behavior change in blood pressure control Investigating the effect of self-care behavior training based on the 5A model on health self-care behaviors to control blood pressure in the elderly 2023-10-07 anticipated 90 Complete https://irct.ir/trial/72474 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance, Randomization description: 90 people who have been diagnosed with high blood pressure by a doctor and who meet the criteria for entering the study are selected easily from among those who refer to the hospital clinic of Babol University of Medical Sciences. After that, they will be randomly divided into 2 intervention and control groups. For this purpose, the cards with the test and control written on them are put in a box and each of the samples is asked to choose a card randomly, after that people with test cards in the test group and people who have a control card, are placed in the control group. N/A hypertension. Intervention 1: Control group: Referees are divided into two groups of 45 people, test and control. The first group will receive common treatments or the use of common drugs. Intervention 2: Intervention group: In addition to common treatments, the second group will also receive training on self-care behaviors based on the A5 model.The self-management program will be implemented for each patient in the test group in 5 stages during 12 weeks. In the first week of the research, the first, second and third stages will be implemented in the following order:First step: Examining the awareness, behaviors and beliefs of the patientStep 2: Counseling the patient about the health risks and benefits of behavior changeThe third step: agreement with the patient in the field of setting realistic goals(The first three stages will be done during a 2-hour session in one day)Step 4: Helping to develop a practical plan (with a family member)A 2-hour group training session will be held one week after individual guidance to increase the patient's awareness of their disease.Fifth step: follow upThen the performance of the patients will be followed for 12 weeks. In order to ensure the implementation of the practical plans by the patients in the first 2 weeks, phone calls will be made three times a week and after that weekly phone calls will be made with the patients to remind them to complete the practical plans. In addition, the progress of the patient will be followed up once every 4 weeks during a face-to-face meeting. In this meeting, the agreed program and the patient's self-report book will be reviewed so that essential changes can be made if needed.After the end of 12 weeks, the aforementioned questionnaires will be provided to the patients of both groups and they will be examined in terms of the studied variables. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Seyedeh Sadaf Bozorgnia Hosseini
Sharifi Blvd. 13 Sharifi
Babolsar Iran (Islamic Republic of) 4741745494 +98 11 3536 4129 s.bozorgnia.h@gmail.com Bojnourd University of Medical Sciences scientific Seyedeh Sadaf Bozorgnia Hosseini
Sharifi Blvd. 13 Sharifi
Babolsar Iran (Islamic Republic of) 4741745494 +98 11 3536 4129 s.bozorgnia.h@gmail.com Bojnourd University of Medical Sciences Iran (Islamic Republic of) Age over 60 years Diagnosis of hypertension for at least one year based on medical records Having hypertension diagnosed by a doctor Speak in persian With the possibility of access and follow-up by phone 60 years no limit Both Suffering from malignant diseases based on the medical history entered in the medical record Suffering from heart failure based on the medical history entered in the medical record Suffering from kidney failure based on the medical history recorded in the medical record Suffering from hyperthyroidism based on the medical history recorded in the medical record Suffering from depression and neurological diseases based on the medical history entered in the medical record I10 Essential (primary) hypertension Behavior Behavior Control group: Referees are divided into two groups of 45 people, test and control. The first group will receive common treatments or the use of common drugs. Intervention group: In addition to common treatments, the second group will also receive training on self-care behaviors based on the A5 model.The self-management program will be implemented for each patient in the test group in 5 stages during 12 weeks. In the first week of the research, the first, second and third stages will be implemented in the following order:First step: Examining the awareness, behaviors and beliefs of the patientStep 2: Counseling the patient about the health risks and benefits of behavior changeThe third step: agreement with the patient in the field of setting realistic goals(The first three stages will be done during a 2-hour session in one day)Step 4: Helping to develop a practical plan (with a family member)A 2-hour group training session will be held one week after individual guidance to increase the patient's awareness of their disease.Fifth step: follow upThen the performance of the patients will be followed for 12 weeks. In order to ensure the implementation of the practical plans by the patients in the first 2 weeks, phone calls will be made three times a week and after that weekly phone calls will be made with the patients to remind them to complete the practical plans. In addition, the progress of the patient will be followed up once every 4 weeks during a face-to-face meeting. In this meeting, the agreed program and the patient's self-report book will be reviewed so that essential changes can be made if needed.After the end of 12 weeks, the aforementioned questionnaires will be provided to the patients of both groups and they will be examined in terms of the studied variables. Behavior change. Timepoint: The Hypertension-Self-care Activity Level Effects questionnaire will be completed once at the beginning of the research and again after 12 weeks for both groups (test and control). Method of measurement: Hypertension-Self-care Activity Level Effects questionnaire. Hypertension. Timepoint: The systolic and diastolic blood pressure of the client is measured and recorded by the research assistant in two stages, the first week and the twelfth week respectively. Method of measurement: Mercury sphygmomanometer. Bojnourd University of Medical Sciences Approved 2023-08-12 Ethics Committee of North Khorasan University of Medical Sciences Dolat Blvd., Central Building of North Khorasan University of Medical Sciences, Bojnourd Bojnourd North Khorasan Iran (Islamic Republic of)