Arterial Hypertension, Medication Nonadherence
Conditions
Keywords
Nurse-led management, Home blood pressure, Nurse-led telephone follow-up
Brief summary
This study evaluate the feasibility of a 6-month personalized support program for hypertensive and non-observant women, led by nurses by telephone follow-up.
Detailed description
The program includes 2 themes: 1. "Realizing my blood pressure self-measurement" according to the recommendations 2. "Optimizing my compliance": understand the antihypertensive treatment, identify the brakes and the levers when taking medication, organize the treatment taking Visits : 1. Inclusion visit : * Collection of consent by the nurse * Verification of inclusion and non-inclusion criteria : measurement of compliance with a scale for each antihypertensive treatment and BP measurement * Data collection and goal setting * Urine collection for dosing anti-hypertension drugs * Delivery of the schedule of telephone visits that were determined with the patient 2. Implementation of personalized support with the following steps : * Data collection : evaluate knowledge and its potential as a patient, identify his needs * Determination of objectives : define the objectives of the program in each theme with the patient according to the collection of data Implementation of personalized support * 7 telephone interviews of 20 to 30 minutes use of specific teaching tools and materials by thematic assessment of achievements, validation of objectives Evaluation of the accompaniment: \- assessment at the final visit 3. Final visit at 6-month : Same as the inclusion visit with assessment of the support and questionnaire to assess the patient satisfaction level.
Interventions
OTHERProgram on a nurse-led telephone 6-month-follow-up for uncontrolled hypertensive women: a patient-tailored intervention
Implementation of personalized support: The accompaniment includes 7 telephone interviews for 6 months (understanding the antihypertensive treatment, identifying the brakes and the levers when taking medication, organizing the treatment taking, making the home blood pressure)
Sponsors
Mme Edith DAUCHY
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Prospective, monocentric, open, pilot study
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
* Woman ≥ 18 to 79 years old, * Hypertensive and treated with antihypertensive drug(s) * Unsatisfactory compliance for at least one of her antihypertensive treatment with a score below 80% at the medication adherence scale * Uncontrolled Blood Pressure (BP) : systolic BP equals to or greater than140 and / or diastolic BP equals to or greater than 90 mmHg at inclusion visit * Informed consent signed * Affiliation to a French social security scheme or beneficiary of such a scheme
Exclusion criteria
* Patient with a history of cardio or cerebrovascular disease in the last 6 months (Stroke or Transient Ischemic Attack, myocardial infarction, heart failure) * Patient with kidney failure requiring dialysis * Patient with cognitive pathology: dementia, ... etc. * Patient with type I diabetes * Unreachable patient by phone or foreseeable inability or unwillingness to comply with study follow-up * Patient who does not understand and does not speak French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of women who completed all telephone follow-ups and came to the final visit at 6 months. | 6 months | The goal of recruitment in 6 months will be 20 women and the goal of the program finalization will be of at least 80% of patients (16 patients). |
Countries
France
Contacts
PRINCIPAL_INVESTIGATOREdith DAUCHY, RN
CHRU Nancy
Outcome results
None listed