Health Belief Model-Based Telenursing for Hypertension

NCT07823257 | Completed

• 1 other identifier: 2023-129
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial evaluated the effects of a Health Belief Model-based telenursing intervention on self-efficacy, quality of life, blood pressure, body mass index, and health behaviors in individuals with hypertension. A total of 78 participants were randomly assigned to the intervention group (n=39) or control group (n=39). Participants in the intervention group received a 12-week telenursing intervention based on the Health Belief Model, including face-to-face education, training on home blood pressure monitoring, educational materials, weekly text messages, and telephone follow-up at weeks 2, 4, 8, and 12. The control group received usual care. Outcomes were assessed at baseline, 3 months, and 6 months.

Conditions

Hypertension

Keywords

Telenursing; Health Belief Model; Self-Efficacy; Quality of Life; Blood Pressure; Nursing

Outcome Measures

Primary Outcomes (2)

• Hypertension Self-Efficacy

  Hypertension self-efficacy was assessed using the Hypertension Self-Efficacy Scale (HSES). The scale consists of 20 items, with higher scores indicating higher hypertension self-efficacy.

  Baseline, 3 months, and 6 months

• Health-Related Quality of Life

  Health-related quality of life was assessed using the 12-Item Short Form Health Survey (SF-12), which provides Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Higher scores indicate better health-related quality of life.

  Baseline, 3 months, and 6 months

Secondary Outcomes (3)

• Systolic Blood Pressure

  Baseline, 3 months, and 6 months

• Diastolic Blood Pressure

  Baseline, 3 months, and 6 months

• Body Mass Index

  Baseline, 3 months, and 6 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants received a 12-week Health Belief Model-based telenursing intervention in addition to routine care. The intervention included education, telephone follow-up, and weekly text messages.

Behavioral: Health Belief Model-Based Telenursing Intervention

Control Group

NO INTERVENTION

Participants received routine care without the Health Belief Model-based telenursing intervention. Outcome assessments were conducted at baseline, 3 months, and 6 months.

Interventions

Health Belief Model-Based Telenursing Intervention BEHAVIORAL

The intervention consisted of Health Belief Model-based education and a 12-week telenursing follow-up program. Participants received four telephone follow-up calls at weeks 2, 4, 8, and 12, each lasting approximately 10-15 minutes. Weekly text messages were sent for 12 weeks to remind participants about blood pressure monitoring and to provide information about hypertension management. Participants could also contact the researcher when they needed additional support.

Intervention Group

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 30-65 years
• Diagnosed with hypertension by a physician
• No cognitive or hearing impairments that could hinder communication
• Literate
• Using a mobile phone
• Willing to participate in the study

You may not qualify if:

• Did not respond to scheduled telephone calls for at least two consecutive weeks
• Transferred registration to another Family Health Center
• Voluntarily withdrew from the study

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Zümrütevler 2 No'lu Aile Sağlığı Merkezi

Istanbul, 34852, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants were not informed whether they were assigned to the intervention or control group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 11, 2026
• First Posted: September 16, 2026
• Study Start: July 9, 2024
• Primary Completion: February 28, 2025
• Study Completion: February 28, 2025
• Last Updated: September 16, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)