Cardio Vascular Disease, Educational Intervention, Hypertension, Self Care, Video Streaming
Conditions
Keywords
high blood pressure, self-care, hypertension, I-changed model, marginalized population, educational intervention
Brief summary
This study utilizes the I-Change Model to empower individuals in literacy-limited settings, where the majority of the population is illiterate. By leveraging multimedia tools-such as an educational video and a pictorial infographic-we aim to promote self-care practices among individuals suffering from hypertension. Through these tailored interventions, we seek to enhance awareness, improve hypertension management, and encourage behavioral change, even in low-literacy communities
Detailed description
This study is grounded in the I-Change Model, a behavioral change framework that emphasizes awareness, motivation, and ability as key drivers for adopting healthier lifestyles. Recognizing the barriers posed by low literacy in many underserved communities, particularly in urban slums, we aim to implement context-sensitive interventions that empower individuals with hypertension to take charge of their health. In these settings, traditional written health education materials often fail to reach or resonate with the population due to widespread illiteracy and limited health literacy. To address this gap, our study introduces two key multimedia tools: an educational video, designed with simple language and culturally relevant visuals to demonstrate self-care techniques; and a pictorial infographic that visually conveys essential information about hypertension management, medication adherence, dietary habits, and physical activity. By combining these tools with physician consultations, we hope to strengthen patient understanding, increase engagement with self-care practices, and ultimately improve blood pressure control. This multimedia-based, patient-centered approach offers a scalable and cost-effective strategy for promoting behavioral change in marginalized, low-literacy populations.
Interventions
OTHERBehavior Change through Education intervention
The I-Change Model We used behavior alteration theory to identify areas of thinking or conduct that might potentially lead to issues in the process of collecting or consuming medicine. Subsequently, we proceeded to create and improve the substance of the message, and we aligned the messages with a standardized classification of evidence-based strategies for modifying behavior. Unclear or confusing information in infographics and television videos was revised, while information that was deemed unhelpful or insignificant by both patients and clinicians was eliminated. Patients' feedback was used to create fresh material for television videos and infographics. 1. Encourage patients about routine clinic appointments 2. Provide relevant health-related information. 3. Help participants plan and organize various treatment adherence behaviors including medication collection and taking, diet, and exercise 4. Support positive adherence-related behaviors
Sponsors
Aga Khan University
SINA Health Education and Welfare Trust
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
In the proposed intervention, masking and blinding are essential components to minimize bias and ensure the integrity of the study results. The biostatistician involved in data analysis will be blinded to group assignments, meaning they will not have knowledge of which participants received the video messaging and visual infographics intervention versus those in the control group. This approach prevents any unconscious influence on the statistical analysis, maintaining objectivity in interpreting the outcomes. Additionally, the outcome assessors, who will measure the participants' blood pressure and other health indicators, will also be masked to the group allocations. They will conduct assessments without knowledge of whether the participant is in the intervention or control group, further reducing the risk of bias in the measurement process.
Eligibility
Sex/Gender
ALL
Age
21 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Participants will be hypertension patients with an active primary healthcare clinic registration from eight chosen clinics situated in Karachi, Pakistan's slums. * Anyone between the ages of 21 and 70 who has been diagnosed with hypertension at one of SINA's participating clinics in the last 30 days is eligible to participate. * Participants will be required to take medicine to control their blood pressure, * sign an informed consent form, * attend primary healthcare clinic on a regular basis, and * have proficiency in five local languages: Urdu, Sindhi, Balochi, Pashto, or Punjabi.
Exclusion criteria
* a patient's pregnancy or lactation status, a history of cancer that may necessitate medication changes, * a blood pressure reading greater than 220/120 mmHg, * a disability that prevents the patient from reading, writing, communicating, or watching television, and participation in any other study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Systolic and/or Diastolic Blood Pressure | 3, 6, 9 months post intervention | Change in Systolic and/or Diastolic Blood Pressure from baseline to follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to antihypertensive medication | at 3, 6, 9 months post intervention | The Hill bone-scale, comprising 14 items, assesses medication self-efficacy in managing Hypertension (chronic diseases) and appears suitable for individuals with limited literacy skills |
| Dietary modifications (e.g., reduced salt intake) | at 3, 6, 9 months post intervention | Dietary modifications (e.g., reduced salt intake) |
| Number of clinic visits or follow-up consultations | 3, 6, 9 months post intervention | Number of clinic visits or follow-up consultations |
| Change in hypertension knowledge score | at 3, 6, 9 months post intervention | From baseline to post intervention, knowledge about self-care among interventional arms |
| Smoking control (number of cigarettes per day) | 3, 6, 9 months post intervention | Smoking control starting from reduction in number of cigarettes per day to complete cessation |
| Physical activity | 3, 6, 9 months intervention | time in minutes which shows physically active in a day (in term of walking, yoga, exercise) |
| BMI management in Kg/m2 | 3,6,9 months post intervention | weight control according to height in kg/m2 |
Contacts
Primary ContactHina Sharif, PharmD,MSPH
Backup ContactSana S Sheikh, MSc. MPH
Outcome results
None listed