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Implementation Intentions strategy to reduce salt intake among Hypertensive people in Primary Care Clincs

Implementation Intentions strategy as a nursing intervention to reduce salt intake among hypertensive patients in primary care practice: evaluation of the effectiveness in real practice

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-4wg3g3
Enrollment
Unknown
Registered
2018-04-03
Start date
2016-08-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Feeding Behavior, Sodium Chloride, Dietary, Hypertension

Interventions

Intervention group: 80 hypertensive patients will have self-reported salt intake measures, in baseline and in 2-month follow up, implemented by the nurse inside the nursing consultation in primary hea
Behavioural
F01.145.113.547

Sponsors

Faculdade de Enfermagem, Universidade Estadual de Campinas
Lead Sponsor
CAPES, Programa de Doutorado Sanduíche no Exterior
Collaborator

Eligibility

Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: The inclusion criteria for nurses were: be a registered nurse, emplyer of the municipality; nurses who have been working in the PHCs for at least 6 months. The inclusion criteria for patients were: aged 18 years or over; medical diagnosis of hypertension described in their medical records. The inclusion criteria for social referents were: couples, daughters or sons, parents or pther person responsible for meals preparation for the patient; aged 18 years or over; with availability of attending the health service as patients companion in all phases of the research.

Exclusion criteria

Exclusion criteria: Nurses in long licence of work (more than four months) were excluded. Patients were excluded if they had no verbal conditions of communication; they had mental disorders described in the medical records; there was no possibility of the social referent follow the patient in the nursing consultations.

Design outcomes

Primary

MeasureTime frame
The expected primary outcomes were: 1. The acceptability of the intervention among health clinics, nurses and patients over 50%, was evaluated according to initial interest rate, enrollment rate and retention rate among PHCs, nurses and patients, and a qualitative assessment of patients’ experience obtained by the debriefing, expecteting that patients reported favorable experience with the intervention; and 2. The feasibility of the intervention when implemented in clinical practice, examinated by content analysis of field diaries elaborated by nurses, that we expected evaluate the positive points and the dificulties barriers and facilitating factors during the application of the intervention in clinical practice. ;The primary outcomes pointed to the high interest level in participating of the study among nurses from intervention group (health clinics=70.8%; nurses=81.1% intervention group [IG] and 71.4% control group [CG]), but low enrollment rates in CG among nurses (48% IG; 29.1% CG) and patients (71.4% IG; 16.7% CG). The nurses considered the intervention feasible, effective in the behavior's change and some barriers reported were the increase in the lenght of nursing consultiation and the surcharge of nursing activities, what caused dificulty to continue in the study and to recruit patients. The patients evaluated the intervention as useful and accptable.

Secondary

MeasureTime frame
The secondary outcome to be evaluated was the potential effect of the intervention on patients’ salt intake, assessed by quantitative analysis of validated self-reported measures, aimed at reducing salt intake up to 5g per day. ;The patients from the intervention group showed a decreased in salt intake from 7.5±4.2g/day to 4.6±2.5g/day and no significant changes were observed in patients from control group.

Countries

Brazil

Contacts

Public ContactAndressa Nunciaroni

Faculdade de Enfermagem, Universidade Estadual de Campinas

andressateoli@gmail.com+55-19-997906048

Outcome results

None listed

Source: REBEC (via WHO ICTRP)