Self-Care of Hypertension Among Older Adults During COVID-19

NCT04992000 | Completed DMC

• 1 other identifier: YDU/2020/76-997
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to examine the effects of a public health nursing intervention plus m-Health applications for hypertension management on enhancing the Self-care, systolic and diastolic blood pressure, and quality of life in older adults during the lockdown period in Jordan. Study Hypothesis: There are no differences between the three groups in: H01 HTN self-care (SC-HI) score. H02 Health-related quality of life (SF-36) score. H03 The management of systolic and diastolic BP levels.

Conditions

Hypertension

Keywords

self-care; hypertension; COVID-19; m-Health; Older adults

Outcome Measures

Primary Outcomes (2)

• Self-care (SC-HI) scale

  Self-care of HTN was measured by the SC-HI scale, which developed to measure the self-care in patients with HTN 26. SC-HI has the ability of evaluate the effectiveness of such self-care interventions. SC-HI is 23-item in three subscales: measuring self-care maintenance, monitoring, and management, Cronbach's α were 0.83, 0.75, and 0.83 for the three subscales. For the purpose of this study, authors cross-culturally translated the scale into Arabic in a previous study; Cronbach's α were 0.82, 0.61, and 0.86 for the three subscales 27. . Each subscale is scored distinctly and identical from 0 to 100, the final score calculated as: (the participant score - minimum) / (maximum - minimum) \* 100. The separate score 70 or greater is indicated better self-care.

  basic and after 3 months

• Changing in systolic and diastolic blood pressure

  Systolic BP (SBP) and diastolic BP (DBP) were measured and recorded by a clinic nurse who has 9 years' experience in the cardiac clinic two times for the purpose of study's analysis; at baseline and after 3 months following the same assessment process: Patients in setting position with their arms at the chest line, relaxed for 5 minutes, then measuring the BP of the right arm using an electronic sphygmomanometer which was checked for calibrated regularly. BP readings through the 3 months were measured by patients themselves at home.

  basic and after 3 months

Secondary Outcomes (1)

• Quality of life (SF-36) scale

  basic and after 3 months

Study Arms (3)

4-free app + PHN intervention

EXPERIMENTAL

The intervention group was received initial education, 4-free apps, and followed by PHN interventions. Education, app, and PHN intervention

Other: 4-free app + PHN intervention

4-free app alone

EXPERIMENTAL

The apps alone group received the initial education and the 4-free Apps.

Other: 4-free app + PHN intervention

education

NO INTERVENTION

Standard care group received just the initial education.

Interventions

4-free app + PHN intervention OTHER

same mentioned in groups

4-free app + PHN intervention; 4-free app alone

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants were 55 years and above,
• have follow-up with out-patients of KAUH,
• had been diagnosed with hypertension,
• on anti-hypertension medication- at least one drug,
• reported that he/she has a personal smartphone (Android) - internet access is not important,
• able to read and understand the Arabic language.

You may not qualify if:

• Participants have Apple phones,
• had any psychiatric or mental illness,
• had a terminal-stage disease or were blind or deaf.

Sponsors & Collaborators

• Near East University, Turkey: lead

Study Sites (1)

Near east University

Nicosia, Cyprus

Location

Related Publications (1)

• Alsaqer K, Bebis H. Self-care of hypertension of older adults during COVID-19 lockdown period: a randomized controlled trial. Clin Hypertens. 2022 Jul 15;28(1):21. doi: 10.1186/s40885-022-00204-7.

  PMID: 35836287 DERIVED

MeSH Terms

Conditions

Hypertension; COVID-19

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• hatice Bebis, Prof. Dr

  Near East University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: July 29, 2021
• First Posted: August 5, 2021
• Study Start: June 1, 2020
• Primary Completion: September 1, 2020
• Study Completion: December 1, 2020
• Last Updated: August 12, 2021

Record last verified: 2021-08

Locations

CY (1)