Hypertension, also known as high blood pressure, is a high-prevalent-medical-condition characterized by the pressure exerted by the blood against the arterial walls being consistently elevated to 140/90 mmHg or higher. This health problem can lead to severe consequences related to three grades of hypertension if left untreated and controlled. The classification of hypertension is an assessment of the extent to which the disease has advanced at a particular time, cardiovascular risk assessment is
Conditions
Interventions
Researchers are focusing the use of chatbots in hypertension management programs to modify patient behaviors through self-management strategies. These strategies, based on Briesch &
Chafouleas (2009), involve setting personal goals, self-monitoring, self-evaluation, and self-reinforcement. The framework also incorporates Kanfer (2000) four domains, which focus on building therape
Experimental Behavioral,No Intervention No treatment
Hypertension management program applying chatbot,Hypertension management program as usual care
Sponsors
National Research Council of Thailand (NRCT)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. The older adults who aged 60 years or older, both male and female who are attend health services at outpatient department 9, Srinagarind hospital, and Sila health promotion hospital, this includes patient who have underlying of hypertension with or without diabetes mellitus, and dyslipidemia. 2. Diagnosed having hypertension grade 1 or 2 by physician. 3. Treat hypertension with anti-hypertensive medication. 4. Barthel activities daily living score greater than or equal 12 marks (Barthel activities daily living score was used to ensure that participants had adequate ability to perform daily routine and capable to exercise by themselves). 5. Thai Mental State Examination (TMSE) greater than 23 marks. 6. Thai-eHEALS greater than or equal 28 marks (eHEALS score and TMSE was used to ensure that participants had adequate digital health literacy to engage effectively with the chatbot-based intervention, thereby minimizing usability barriers and ensuring that outcomes reflected intervention effectiveness than limitations in technology use). 7. Have own smartphone and be able to use Line application. 8. Patient who unexperienced of blood pressure greater 180/110 mmHg, angina, dyspnea, dizziness, heart failure, arrythmias, uncontrolled diabetes mellitus, acute illness, and other chronic disease such as stroke, osteoporosis, and COPD 9. Patient who have routine appointment at the hospital
Exclusion criteria
Exclusion criteria: 1. Using other hypertensive management or mHealth program or other Chatbot for hypertensive management. 2. Using wearable tracking devices. 3. Have unstable or emergency health problem during joining intervention such as infection, dyspnea, or unstable vital sign. 4. Utilizes the program (chatbot) less than 80%, this criterion will be monitor from chatbot using of requesting any function weekly along 12 weeks intervention or accessing health information from the chatbot options.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hypertension management knowledge At 3 months after end of the intervention Hypertension management knowledge score,Health-behaviors At 3 months after end of the intervention Health-behaviors score,Medication adherence At 3 months after end of the intervention Medication adherence score,Blood pressure At 3 months after end of the intervention Blood pressure value | — |
Secondary
| Measure | Time frame |
|---|---|
| Biomarkers At 3 months after end of the intervention Blood glucose, Lipid preofile, Renal profile, Serum sodium, Serum potassium, Uric acid | — |
Countries
Thailand
Contacts
Public ContactKhanisorn Ransinyo
Faculty of Nursing, Khon Kaen University
Outcome results
None listed