Cardiovascular Disease, Hypertension
Conditions
Brief summary
A number of strategies have been evaluated to improve the prevention and control of the main cardiovascular (CVD) risk factors. Nursing telephonic and tele-counseling individualized lifestyle educational programs were found to improve blood pressure (BP) control and adherence to healthy lifestyle. This study aims at evaluating for the first time the efficacy of a nurse-led reminder program through email (NRP-e) to improve CVD risk factors among hypertensive adults. Participants will receive usual care and a guideline-based educational program on BP control and healthy lifestyle habits. Subjects in the NRP-e group will also receive weekly email alerts and phone calls from a nurse care manager for 6 months. Emails contain a reminder program on the compliance with a healthy lifestyle based upon current guidelines for CVD prevention. Follow-up visits will be scheduled at 1, 3 and 6 months after enrollment; randomization will be made centrally and blood samples will be evaluated into a single, accredited laboratory.
Interventions
BEHAVIORALNurse-led reminder through email.
Both groups will receive an educational program and usual care. The educational program will consist of 1-hour sessions, during which the NCM emphasize the importance of blood pressure control and correct measurement, give advice for a correct blood pressure self-measurement; report non-pharmacological strategies for a healthy lifestyle, and instruction on how to fill the daily self-assessment form. Educational program and usual cardiovascular prevention. The educational program will consist of 1-hour sessions, during which the NCM emphasize the importance of blood pressure control and correct measurement, give advice for a correct blood pressure self-measurement; report non-pharmacological strategies for a healthy lifestyle, and instruction on how to fill the daily self-assessment form.
Sponsors
Università degli Studi 'G. d'Annunzio' Chieti e Pescara
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* to be eligible, all subjects had to be hypertensive (on active treatment for hypertension, or systolic blood pressure ≥ 140 mmHg; or * diastolic blood pressure ≥ 90 mmHg). * speaking and reading Italian, * having a active phone number and an email address, and * providing a signed informed consent.
Exclusion criteria
* mental illness; * nursing home institutionalization; * pregnancy; * previous cardiovascular major events, non-modifiable cardiovascular risk-factors (i.e. diabetes).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main outcome of the study was the mean difference between groups in the average reduction in systolic and diastolic blood pressure between baseline and the end of follow-up | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Mean difference between groups in the average reduction in LDL cholesterol between baseline and the end of follow-up | 6 months |
| Mean difference between groups in the average reduction in physical activity between baseline and the end of follow-up | 6 months |
| Mean difference between groups in the average reduction in BMI between baseline and the end of follow-up | 6 months |
Countries
Italy
Outcome results
None listed