Instant Message-guided Hypertension Management Intervention Among Stroke Survivors

NCT06195969 | Completed

• 1 other identifier: HTN2023
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 7

Brief Summary

This pilot and feasibility study aims to develop an automated instant message-delivered intervention (i.e., EMI) for hypertension management in stroke survivors, and to investigate the feasibility and effectiveness of the intervention.

Conditions

Stroke; Hypertension; Lifestyle Modifications

Keywords

Stroke; Hypertension Management

Outcome Measures

Primary Outcomes (2)

• Systolic blood pressure

  A validated blood pressure monitor will be used to evaluate the participants' blood pressure. A higher systolic blood pressure number indicates higher blood pressure.

  4 weeks

• Diastolic blood pressure Diastolic blood pressure

  A validated blood pressure monitor will be used to evaluate the participants' blood pressure. A higher diastolic blood pressure number indicates higher blood pressure.

  4 weeks

Secondary Outcomes (4)

• Self-efficacy (Stroke Self-Efficacy Questionnaire)

  4 weeks

• Quality of life (EuroQol 5-dimension 5-level questionnaire)

  4 weeks

• Feedback on Instant Message-Guided Hypertension Management Intervention

  4 weeks

• Self-care of high blood pressure (SC-HI)

  4 weeks

Study Arms (2)

Intervention group

EXPERIMENTAL

Participants in intervention group will receive the EMI for 4 weeks. Based on the steps of mobile message development recommended by Abroms, et al. , we will develop a message content library and protocol for EMI delivery.

Behavioral: automated instant message-guided hypertension management intervention group

Control group

NO INTERVENTION

The control group will receive instant messages about general stroke management including hypertension management from the Hospital Authority of HK SAR Government website, which is open to the public (https://www21.ha.org.hk/smartpatient/SPW/en-US/Disease-Information/Disease/?guid=29ac1219-3d68-4378-a2bd-09e111da3650), with reminder text messages of importance follow-up surveys.

Interventions

automated instant message-guided hypertension management intervention group BEHAVIORAL

Participants in intervention group will receive the EMI for 4 weeks. Based on the steps of mobile message development recommended by Abroms, et al., we will develop a message content library and protocol for EMI delivery

Intervention group

Eligibility Criteria

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

You may qualify if:

• Diagnosis of stroke (ICD-10 codes: I60-I69)
• Diagnosis of hypertension and antihypertension medication
• Aged ≥18
• Able to read and communicate in Chinese (Cantonese or Putonghua)
• Able to use text messaging function on mobile phones
• MoCA 5-minute Protocol (cognitive screen) ≥14 (Equivalence to MMSE ≥ 21)

You may not qualify if:

• Currently receiving active stroke care in acute or post-acute inpatient settings
• Has diagnosis of psychiatric disease or is currently taking psychotropic drug

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (7)

Hong Kong PHAB Association

Hong Kong, Hong Kong

Location

Queen Mary Hospital

Hong Kong, Hong Kong

Location

Shatin Hospital

Hong Kong, Hong Kong

Location

Southern District Elderly Community Centre

Hong Kong, Hong Kong

Location

The Hong Kong Society for Rehabilitation

Hong Kong, Hong Kong

Location

Tung Wah Hospital

Hong Kong, Hong Kong

Location

United Christian Hospital

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Stroke; Hypertension

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Jung Jae Lee

  School of nursing, the University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2023
• First Posted: January 8, 2024
• Study Start: November 13, 2023
• Primary Completion: January 12, 2024
• Study Completion: January 12, 2024
• Last Updated: July 11, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

HK (7)