None listed
Conditions
Brief summary
This feasibility study aims to assess the effectiveness of mobile phone text message intervention in improving treatment adherence and lifestyle modification for blood pressure control among hypertensive patients. A two-arm randomized controlled trial design would be used to assess the impact of intervention among hypertensive patients of Nepal.
Interventions
TEXT4BP: Three-month intervention consisting of mobile phone text messages send thrice a week from provider to patient (unidirectional) in the Nepali language. Messages were developed following formative research, using the COM-B Model to identify barriers and facilitators of treatment and blood pressure control among hypertensive patients seeking treatment at a hospital in Kathmandu Nepal. The content of the text message intervention is developed to align with selected behaviour change techniqu
TEXT4BP: Three-month intervention consisting of mobile phone text messages send thrice a week from provider to patient (unidirectional) in the Nepali language. Messages were developed following formative research, using the COM-B Model to identify barriers and facilitators of treatment and blood pressure control among hypertensive patients seeking treatment at a hospital in Kathmandu Nepal. The content of the text message intervention is developed to align with selected behaviour change techniques (BCTs) information and targets information on hypertension and its complications, taking medication, diet (low sodium, low fat) and physical activity (exercise), quitting/reduction of smoking and alcohol. Hypertensive patients in the intervention arm would receive the text messages in the specified frequency and time using a Bulk SMS provider. Unidirectional text messages will be sent thrice a week for three months so there will be a total of 36-40 text messages. The average length of the text message would be 160 characters. There will be some personalisation of text messages based on smoking and alcoholism status. For example, only smokers will receive messages regarding Cessation/ reduction of smoking. The intervention uses text messages as most participants may only access the text. The messages were developed to address behaviour change techniques (BCT) identified in the formative research. We will collect data on text messages delivered and viewed through the SMS provider platform. The text messages include advice on aspects of behaviour change, for example, physical activity levels based on accepted norms. We will collect data on these behaviours at baseline and end of the study.
Sponsors
Buna Bhandari Bhattarai
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to 69 Years
Healthy volunteers
No
Inclusion criteria
1. Participants between the ages of 18-69 years of age. 2. Patients diagnosed with hypertension and have been stabilized with a medication regime based on Joint National Committee VII criteria 3. Participants who or whose family have a mobile phone and able to read a text message (SMS) by themselves or with the help of family members. 4. Participants who are likely to be in the study area during the period of intervention.
Exclusion criteria
Participants will be excluded who i) Have a severe mental illness or cognitive impairment or any physical disability. ii) Have severe illness needed immediate care. iii) Are pregnant or post-partum. iv) Are residing in hospitals, prisons, nursing homes, and other institutions
Outcome results
None listed