Hypertension
Conditions
Keywords
BATHE Technique, Treatment Adherence, Primary Health Care, Physician-Patient Relations
Brief summary
This study evaluates the effect of the BATHE therapeutic interview technique on treatment adherence and blood pressure control in primary care hypertension patients. Hypertension patients aged 18-80 years were randomly assigned to an intervention or control group. The intervention group received the structured BATHE communication technique during clinical visits, while the control group received standard primary care counseling on drug adherence and lifestyle changes. Patients were followed for 6 months (visits at baseline, 3 months, and 6 months). Primary outcomes assessed include treatment adherence scores, drug compliance, and blood pressure levels.
Detailed description
Study Design: A single-blind, randomized controlled intervention trial conducted in a primary care setting. Intervention & Control: All visits were conducted by a single physician. Intervention Group: Received 5-7 minute BATHE technique consultations (Background, Affect, Troubling, Handling, Empathy) along with routine lifestyle and medication advice. Control Group: Received routine primary care advice on medication adherence and lifestyle changes. Follow-up & Measurements: Visits occurred at baseline (face-to-face), 3 months (online video), and 6 months (face-to-face). Blood pressure, BMI, and waist circumference were measured at baseline and 6 months. Treatment adherence and medication compliance scales were administered at baseline and 6 months.
Interventions
BEHAVIORALBATHE Therapeutic Interview Technique
A brief psychotherapeutic consultation tool consisting of 5 steps: Background, Affect, Troubling, Handling, and Empathy, applied during clinical visits to enhance treatment adherence and patient self-efficacy.
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Diagnosed with hypertension for at least 6 months Aged between 18 and 80 years Registered at the family health center where the study was conducted Voluntary participation with signed informed consent Ability to use online video communication channels (e.g., WhatsApp or another video interview channel)
Exclusion criteria
Presence of communication barriers Active psychiatric disease or current use of psychiatric medication Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Treatment Adherence Scores | Baseline and 6th month | Assessed using the Scale for Evaluating the Success of Treatment Compliance and Lifestyle Change in Hypertensive Individuals (18 items, total score ranging from 18 to 90, with scores \>= 68 indicating high treatment adherence). |
Countries
Turkey (Türkiye)
Outcome results
None listed