The Effect ''of Follow-up With the Mobile Application'' on Treatment Compliance in Patients With Hypertension

NCT05334446 | Completed

• 2 other identifiers: 2021/192021/484
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

Hypertension is an important disease that generally affects the adult population, is increasing rapidly in our country and in the world, and threatens public health due to its complications. In our country, the rate of blood pressure control in patients receiving antihypertensive treatment is 53.9%. One of the factors that play a role in not exceeding this rate is the patient's non-compliance with treatment. Hypertension management has two main building blocks. These are: lifestyle improvement and drug therapy. According to the data of the World Health Organization, the rate of compliance with treatment in chronic diseases in developing countries is around 50%. Morbidity and mortality are directly related to the use of drugs in patients with hypertension, and the control of hypertension is possible with the patient's compliance with the treatment. Among the reasons for non-compliance with treatment; The side effects of drugs, the patient's insecurity about the effectiveness and benefit of the treatment, lack of motivation, the absence of disturbing physical symptoms in some patients, lack of knowledge about drug therapy and diet regimens, miscommunication between the patient and the physician, the complexity of the treatment, and insufficient participation in the follow-up of the patient can be counted. It is important to support and follow-up the hypertensive individual in order to develop their self-care skills and to adapt and maintain their lifestyle changes and drug treatment to keep their blood pressure under control. The use of mobile health services is becoming more and more popular in the self-management of chronic diseases such as hypertension. Due to the rapid adoption of smartphone technologies, mobile phones are now attracting the attention of individuals with chronic diseases and increasing their usability, thanks to their entertaining use as well as monitoring patient data, providing personalized self-management, benefiting from social effects. This study was planned to determine the "Effect of Mobile Application Use on Treatment Adherence and Self-Care Management in Patients with Hypertension". The study was designed to improve individuals' knowledge about the disease, regular drug use, diet compliance, physical activity level, quitting smoking and alcohol if using, and weight control.

Conditions

Hypertension

Keywords

Hypertension; Mobile Application; Treatment Compliance; Self Care Management

Outcome Measures

Primary Outcomes (3)

• Blood pressure value

  The average blood pressure values of the patients will be taken at the end of 24 hours by attaching a blood pressure holter.

  6 weeks

• Hypertension Self-Care Profile Scale

  Motivation of patients; It is a 20-item Likert-type scale evaluating not important=1, somewhat important=2, important=3, very important=4. The scale results in a score between 20 and 80. A higher score indicates better self-care of a patient with hypertension.

  6 weeks

• Hill-Bone Hypertension Treatment Adherence Scale

  The scale consists of 14 questions of 4-point Likert type. The answers include (0) "Never", (1) "Sometimes", (2) "Often" and (3) "Always". The scale total score ranges from 0 to 42. The higher the score, the lower the fit.

  6 weeks

Study Arms (2)

The Effect ''of Follow-up with the Mobile Application'' in Patients with Hypertension

EXPERIMENTAL

Intervention Group:mobile application for 4 weeks; This is the training group in which individual motivational messages will be sent to the mobile phones every week for compliance with the diet, exercise and drug therapy of the patients, and the weekly average of blood pressure follow-ups is monitored over the system.

Behavioral: The Effect of the Mobile Application

The Effect ''of Follow-up with the Mobile Application'' in Hypertension control group

NO INTERVENTION

It is the control group whose routine outpatient follow-up will continue and no training is given

Interventions

The Effect of the Mobile Application BEHAVIORAL

This study was planned to determine the "Effect of Mobile Application Use on Treatment Adherence and Self-Care Management in Patients with Hypertension". The study was designed to improve individuals' knowledge about the disease, regular drug use, diet compliance, physical activity level, quitting smoking and alcohol if using, and weight control.

The Effect ''of Follow-up with the Mobile Application'' in Patients with Hypertension

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteering to participate in the study,
• Being followed in the outpatient clinic with the diagnosis of hypertension for the last 1 year,
• Using antihypertensive medication
• Being a smart mobile phone user,
• years of age and over
• Not having any communication problems such as seeing or hearing,
• Ability to read and write

You may not qualify if:

• Those who lost their lives during the research,
• Those who want to leave the research voluntarily at any stage of the research,
• Patients who fill in the forms incompletely and have missing data will be excluded from the study.
• Being illiterate
• Having communication problems such as seeing and hearing,
• Not being willing to participate in the study,

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Alev YILDIRIM KESKİN

Konya, 42550, Turkey (Türkiye)

Location

Related Publications (7)

• Marquez Contreras E, Marquez Rivero S, Rodriguez Garcia E, Lopez-Garcia-Ramos L, Carlos Pastoriza Vilas J, Baldonedo Suarez A, Gracia Diez C, Gil Guillen V, Martell Claros N; Compliance Group of Spanish Society of Hypertension (SEH-LELHA). Specific hypertension smartphone application to improve medication adherence in hypertension: a cluster-randomized trial. Curr Med Res Opin. 2019 Jan;35(1):167-173. doi: 10.1080/03007995.2018.1549026. Epub 2018 Dec 5.

  PMID: 30431384 BACKGROUND

• Kang H, Park HA. Development of Hypertension Management Mobile Application based on Clinical Practice Guidelines. Stud Health Technol Inform. 2015;210:602-6.

  PMID: 25991219 BACKGROUND

• Hallberg I, Ranerup A, Kjellgren K. Supporting the self-management of hypertension: Patients' experiences of using a mobile phone-based system. J Hum Hypertens. 2016 Feb;30(2):141-6. doi: 10.1038/jhh.2015.37. Epub 2015 Apr 23.

  PMID: 25903164 BACKGROUND

• Bengtsson U, Kjellgren K, Hallberg I, Lindwall M, Taft C. Improved Blood Pressure Control Using an Interactive Mobile Phone Support System. J Clin Hypertens (Greenwich). 2016 Feb;18(2):101-8. doi: 10.1111/jch.12682. Epub 2015 Oct 12.

  PMID: 26456490 BACKGROUND

• Cutrona SL, Choudhry NK, Fischer MA, Servi A, Liberman JN, Brennan TA, Shrank WH. Modes of delivery for interventions to improve cardiovascular medication adherence. Am J Manag Care. 2010;16(12):929-42.

  PMID: 21348564 BACKGROUND

• Bengtsson U, Kjellgren K, Hallberg I, Lundin M, Makitalo A. Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system. Scand J Prim Health Care. 2018 Mar;36(1):70-79. doi: 10.1080/02813432.2018.1426144. Epub 2018 Jan 18.

  PMID: 29343156 BACKGROUND

• Yildirim Keskin A, Ozpancar Solpan N, Degirmenci H. The Effect of Mobile Application Follow-Up on Treatment Compliance and Self-Care Management in Patients With Hypertension: Randomized Controlled Trial. Public Health Nurs. 2025 Jan-Feb;42(1):275-285. doi: 10.1111/phn.13476. Epub 2024 Nov 4.

  PMID: 39492655 DERIVED

MeSH Terms

Conditions

Hypertension; Patient Compliance

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Alev YILDIRIM KESKİN, Asst. Prof

  Selcuk University/ School of Health, KONYA, TURKEY

  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: Assistant Professor

Model Details: The Effect ''of Follow-up With the Mobile Application'' on Treatment Compliance with the intervention group.

Study Record Dates

• First Submitted: March 14, 2022
• First Posted: April 19, 2022
• Study Start: November 15, 2021
• Primary Completion: January 15, 2022
• Study Completion: January 30, 2022
• Last Updated: April 19, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)