Hypertension Circulatory System Hypertension (high blood pressure)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Practices: 1. At least 400 registered patients 2. At least two eligible practitioners (those who conduct medication adherence reviews, annual reviews or those collecting clinical outcomes by the targeted population as part of usual care) Patients: 1. Aged 18 years or older 2. Diagnosis of high blood pressure 3. Prescribed at least one antihypertensive medication for at least 3 months (as confirmed by practice records) 4. Poorly controlled hypertension, as indicated by clinical measures (i.e. blood pressure >140/90 mmHg for a period of 3 months before recruitment) 5. Have a good understanding of English 6. Have and are able to use a mobile phase 7. Capacity to provide informed consent Stakeholders: 1. For patient consultations, the same criteria as above are applied 2. For practitioner consultations, the same criteria as above are applied 3. Academics and healthcare commissioners are eligible if they have relevant experience and expertise (i.e. behaviour change interventions, commissioning of primary care services)
Exclusion criteria
Exclusion criteria: Patients: 1. Hearing impairment (hearing spectrum lower than 50Hz-20 kHz) 2. Speaking impairment 3. Diagnosis of dementia, aphasia or other cognitive difficulties which could affect study participation 4. Recent severe life-threatening event or are under treatment for another long-term condition (e.g. cancer) 5. In receipt of kidney dialysis 6. Participating in another study 7. Plan to move from the area during the next 4 months Stakeholders: 1. Difficulty reading or understanding English 2. Unable to provide informed consent 3. For patient consultations, the same criteria as above will be applied
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Acceptability of the VBI delivered by practitioners assessed using think-aloud protocols during the 90-minute interview between practitioners and researchers 2. Acceptability of the text or app prompts assessed using a 60-minute interview of patient participants, arranged for after the 28-day intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Barriers to the VBI delivered by practitioners assessed using think-aloud protocols during the 90-minute interview between practitioners and researchers 2. Facilitators of the VBI delivered by practitioners assessed using think-aloud protocols during the 90-minute interview between practitioners and researchers 3. Barriers to the text or app prompts assessed using a 60-minute interview of patient participants, arranged for after the 28-day intervention 4. Facilitators of text or app prompts assessed using a 60-minute interview of patient participants, arranged for after the 28-day intervention | — |
Countries
United Kingdom