Hypertension
Conditions
Keywords
Telenursing, Health Belief Model, Self-Efficacy, Quality of Life, Blood Pressure, Nursing
Brief summary
This randomized controlled trial evaluated the effects of a Health Belief Model-based telenursing intervention on self-efficacy, quality of life, blood pressure, body mass index, and health behaviors in individuals with hypertension. A total of 78 participants were randomly assigned to the intervention group (n=39) or control group (n=39). Participants in the intervention group received a 12-week telenursing intervention based on the Health Belief Model, including face-to-face education, training on home blood pressure monitoring, educational materials, weekly text messages, and telephone follow-up at weeks 2, 4, 8, and 12. The control group received usual care. Outcomes were assessed at baseline, 3 months, and 6 months.
Interventions
BEHAVIORALHealth Belief Model-Based Telenursing Intervention
The intervention consisted of Health Belief Model-based education and a 12-week telenursing follow-up program. Participants received four telephone follow-up calls at weeks 2, 4, 8, and 12, each lasting approximately 10-15 minutes. Weekly text messages were sent for 12 weeks to remind participants about blood pressure monitoring and to provide information about hypertension management. Participants could also contact the researcher when they needed additional support.
Sponsors
Marmara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants were not informed whether they were assigned to the intervention or control group.
Eligibility
Sex/Gender
ALL
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged 30-65 years * Diagnosed with hypertension by a physician * No cognitive or hearing impairments that could hinder communication * Literate * Using a mobile phone * Willing to participate in the study
Exclusion criteria
* Did not respond to scheduled telephone calls for at least two consecutive weeks * Transferred registration to another Family Health Center * Voluntarily withdrew from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypertension Self-Efficacy | Baseline, 3 months, and 6 months | Hypertension self-efficacy was assessed using the Hypertension Self-Efficacy Scale (HSES). The scale consists of 20 items, with higher scores indicating higher hypertension self-efficacy. |
| Health-Related Quality of Life | Baseline, 3 months, and 6 months | Health-related quality of life was assessed using the 12-Item Short Form Health Survey (SF-12), which provides Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Higher scores indicate better health-related quality of life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic Blood Pressure | Baseline, 3 months, and 6 months | Systolic blood pressure was measured in mmHg. Blood pressure measurements were obtained to evaluate changes in systolic blood pressure during the study. |
| Diastolic Blood Pressure | Baseline, 3 months, and 6 months | Diastolic blood pressure was measured in mmHg. Blood pressure measurements were obtained to evaluate changes in diastolic blood pressure during the study. |
| Body Mass Index | Baseline, 3 months, and 6 months | Body mass index (BMI) was calculated as body weight in kilograms divided by height in meters squared (kg/m²). |
Countries
Turkey (Türkiye)
Outcome results
None listed