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Effects of a transformative learning theory-based health literacy enhancement program on self-management behaviors and blood pressure in adults with uncontrolled hypertension in Thailand: A cluster randomized controlled trial

Effects of Transformative Learning Theory-Based Health Literacy Enhancement Program on Self-Management Behaviors and Blood Pressure in Adults with Uncontrolled Hypertension

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250202009
Enrollment
58
Registered
2025-02-02
Start date
2025-02-03
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Uncontrolled hypertension Transformative Learning Theory, Health Literacy, Self-Management, Blood Pressure Adults, Uncontrolled Hypertension

Interventions

Transformative Learning Theory - Based Health Literacy Enhancement Program is a set of activities developed by the researcher based on transformative learning theory (Mezirow, 1991) and health literac
Experimental Behavioral,No Intervention No treatment
Transformative Learning Theory-Based Health Literacy Enhancement Program,Usual care

Sponsors

None listed

Eligibility

Sex/Gender
All
Age
40 Years to 59 Years

Inclusion criteria

Inclusion criteria: 1) age between 40-59 years 2) having been diagnosed with hypertension by a physician for at least six months and are treated with one or two types of antihypertensive drug 3) presenting a clinical SBP 140 mmHg or higher and/or a clinical DBP 90 mmHg or higher on the last visits 4) having a low (scores of 14-28) or moderate (scores of 28.01-42.01) level of health literacy assessed using the Health Literacy Scales (HLS) modified for persons with hypertension and translated into Thai by Ongkulna et al. (2022) 5) having smart phone 6) able to communicate, read, and write in Thai language 7) willing to participate in the study.

Exclusion criteria

Exclusion criteria: 1) having underlying diseases and comorbidity, including ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular, atrial fibrillation disease, peripheral artery disease, and diabetes mellitus by check from medical record 2) being in crisis of hypertension (SBP180 mmHg or higher or an average clinical DBP 110 mmHg or higher).

Design outcomes

Primary

MeasureTime frame
Self-management behaviors at baseline, and at 8 and 12 weeks after program ends The Self-Management Behavior Scale (SMBS)

Secondary

MeasureTime frame
blood pressure at baseline and 12 weeks after program ends The digital blood pressure (Omron)

Countries

Thailand

Contacts

Public ContactUraiwan Sasang

Faculty of Nursing Chiang Mai University

uraiwan_sa@cmu.ac.th0946285920

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026