Impact of a Climate-Adapted Self-Management Intervention for Hypertension: A Randomized Controlled Trial Examining Psychosocial and Environmental Determinants

NCT07720752 | Completed DMC

• 1 other identifier: FJWU/EC/2026/145
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 3

Brief Summary

This study aims to evaluate the effectiveness of a Climate-Adapted Self-Management Intervention in improving the quality of life among adults with hypertension. The study employed a two-phase design comprising a cross-sectional survey followed by a randomized controlled trial. The intervention was evaluated for its effects on quality of life, psychological distress, health behaviors, environmental determinants, and blood pressure.

Conditions

Quality of Life; Psychological Distress; Climate Change Anxiety; Health Behaviors; Heatwave Knowledge, Awareness, Practices, and Behaviors

Outcome Measures

Primary Outcomes (1)

• World Health Organization Quality of Life Scale Urdu Version

  It is a 26-item instrument that measures four domains: physical health, psychological health, social relationships, and environmental health. A total score was calculated by summing the responses to all 26 items, with a possible score range of 26 to 130. Higher scores indicate better quality of life, whereas lower scores indicate poorer quality of life.

  3 months

Study Arms (2)

Experimental

EXPERIMENTAL

Who receives the intervention, i.e., Climate-Adapted Self-Management Intervention

Behavioral: Climate-Adapted Self-Management Intervention

Waitlist Control

ACTIVE COMPARATOR

Who receives usual medical care, along with generic health information, throughout the study period and receive the Climate-Adapted Self-Management Intervention once the study is completed.

Behavioral: Climate-Adapted Self-Management Intervention

Interventions

Climate-Adapted Self-Management Intervention BEHAVIORAL

The Climate-Adapted Self-Management Intervention is a behavioral intervention developed for adults with hypertension. It integrates evidence-based self-management strategies with climate-related health education. The intervention is delivered in six sessions, one session per week, with each session lasting approximately 40-45 minutes. Sessions include psychoeducation, self-management skills, healthy lifestyle promotion, medication adherence, stress management, mindfulness, climate change awareness, heatwave preparedness, behavioral coping strategies, goal setting, and relapse prevention.

Experimental; Waitlist Control

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 25-65 years.
• Clinically diagnosed with primary hypertension by a medical professional.
• Receiving antihypertensive medication for at least one year.
• Able to read and understand English.
• Access to internet services for participation in online intervention sessions.
• Willing and able to provide written informed consent.

You may not qualify if:

• Severe chronic physical illness (e.g., neurological disorders, cancer, severe cardiac conditions, stroke, diabetes, or other chronic diseases besides hypertension).
• Chronic psychological illness.
• Pregnancy.

Sponsors & Collaborators

• Fatima Jinnah Women University: lead

Study Sites (3)

Capital Hospital Islamabad

Islamabad, Islamabad, 46000, Pakistan

Location

Fauji Foundation Hospital

Rawalpindi, Punjab Province, 45000, Pakistan

Location

Cantonment Board General Hospital Rawalpindi

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Health Behavior; Behavior

Study Officials

• Ayesha Sohail, Mphil Scholar

  Fatima Jinnah women University, Rawalpindi, Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: July 18, 2026
• First Posted: July 22, 2026
• Study Start: February 1, 2026
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: July 28, 2026

Record last verified: 2026-07

Locations

PA (3)