Assessing the Feasibility of Multimedia Interventions to Reduce Blood Pressure in Marginalized Hypertensive Communities of Karachi, Pakistan

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-70
SponsorSINA Health Education and Welfare Trust

About this trial

This study utilizes the I-Change Model to empower individuals in literacy-limited settings, where the majority of the population is illiterate. By leveraging multimedia tools-such as an educational video and a pictorial infographic-we aim to promote self-care practices among individuals suffering from hypertension. Through these tailored interventions, we seek to enhance awareness, improve hypertension management, and encourage behavioral change, even in low-literacy communities

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants will be hypertension patients with an active primary healthcare clinic registration from eight chosen clinics situated in Karachi, Pakistan's slums.

Anyone between the ages of 21 and 70 who has been diagnosed with hypertension at one of SINA's participating clinics in the last 30 days is eligible to participate.

Participants will be required to take medicine to control their blood pressure,

sign an informed consent form,

Disqualifiers

a patient's pregnancy or lactation status, a history of cancer that may necessitate medication changes,

a blood pressure reading greater than 220/120 mmHg,

a disability that prevents the patient from reading, writing, communicating, or watching television, and participation in any other study.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Behavior Change through Education intervention

    Other intervention

    The I-Change Model We used behavior alteration theory to identify areas of thinking or conduct that might potentially lead to issues in the process of collecting or consuming medicine. Subsequently, we proceeded to create and improve the substance of the message, and we aligned the messages with a standardized classification of evidence-based strategies for modifying behavior. Unclear or confusing information in infographics and television videos was revised, while information that was deemed unhelpful or insignificant by both patients and clinicians was eliminated. Patients' feedback was used to create fresh material for television videos and infographics. 1. Encourage patients about routine clinic appointments 2. Provide relevant health-related information. 3. Help participants plan and organize various treatment adherence behaviors including medication collection and taking, diet, and exercise 4. Support positive adherence-related behaviors

Treatment groups

150 Participants
are divided into 4 treatment groups
Group A: Control Arm: Standardized clinic care with Doctor AdviceNo intervention 0 interventions
Group B: Intervention :" Educational Intervention through pictorial infographs"Experimental treatment 1 intervention
Group C: Intervention : "Education intervention through video of self-care in LCD"Experimental treatment 1 intervention
Group D: Intervention: Education intervention through video of self-care in LCD + pictorial infographExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in Systolic and/or Diastolic Blood Pressure

Change in Systolic and/or Diastolic Blood Pressure from baseline to follow-up

Time frame
3, 6, 9 months post intervention

Secondary outcomes

1

Change in hypertension knowledge score

From baseline to post intervention, knowledge about self-care among interventional arms

Time frame
at 3, 6, 9 months post intervention
2

Adherence to antihypertensive medication

The Hill bone-scale, comprising 14 items, assesses medication self-efficacy in managing Hypertension (chronic diseases) and appears suitable for individuals with limited literacy skills

Time frame
at 3, 6, 9 months post intervention
3

Dietary modifications (e.g., reduced salt intake)

Dietary modifications (e.g., reduced salt intake)

Time frame
at 3, 6, 9 months post intervention
4

Number of clinic visits or follow-up consultations

Number of clinic visits or follow-up consultations

Time frame
3, 6, 9 months post intervention

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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