Family member-based supervision of patients with hypertension: a cluster randomized trial in rural China

Journal of Human Hypertension
Y ShenJ Wang

Abstract

Empirical evidence has suggested that social support from family can help patients take their medicines correctly. This study aims to evaluate the role of a family member-based supervision package in the management of hypertension using a cluster randomized trial in rural China. We recruited patients with hypertension from four villages in Yangzhong and randomly allocated them to the control group (n=288) and the intervention group (n=266). A family member-based supervision package was applied to the intervention group, while the usual service was applied to the controls. Patients were followed for 12 months and completed face-to-face interviews at the end of 6 and 12 months. The primary outcomes were patients' medication adherence and frequency of blood pressure measurement. Secondary outcomes included changes in blood pressure, altered risk behaviours and occurrence of hypertension-related complications. To control for the effects of cluster randomization, multilevel mixed-effects regression models were used to compare group changes. We observed that the intervention improved patients' blood pressure measurement frequency (OR: 9.00, 95% CI: 4.52-17.91) and adherence to antihypertensive treatment (OR: 1.74, 95% CI: 0.91-3.32)....Continue Reading

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Citations

Apr 28, 2018·American Journal of Hypertension·Tazeen H JafarUNKNOWN COBRA-BPS Study Group
Jun 12, 2018·Journal of Comparative Effectiveness Research·Enos M RampambaElvera Helberg
Nov 10, 2020·Current Hypertension Reports·Chigozirim IzeoguAntoinette Schoenthaler
Apr 2, 2021·Circulation Research·Aletta E SchutteDorairaj Prabhakaran

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