Key result
Nurse-led telephone monitoring and text messages significantly improved medication adherence and lowered systolic and diastolic blood pressure compared to usual care at 12 weeks (p<0.05).
Why the study?
The study was designed to evaluate the effect of telephone monitoring combined with text messages on medication adherence and blood pressure control in individuals with primary hypertension.
Does a nurse-led telephone and text message intervention improve medication adherence and blood pressure control in adults with primary hypertension?
RCT (n=77)
randomized
Does a nurse-led telephone and text message intervention improve medication adherence and blood pressure control in adults with primary hypertension?
p-value: p=<0.05
A 12-week nurse-led telephone and text messaging intervention significantly improves medication adherence and lowers blood pressure in adults with primary hypertension.
Supports nurse-led telehealth integration into hypertension care; extends RCT evidence for remote adherence interventions.
AIM: The aim of this study was to evaluate the effect of telephone monitoring, in combination with texts, on medication adherence and blood pressure (BP) control in primary hypertension. METHOD: Data were collected from August to December 2016. Seventy-seven adults were randomized to the intervention and control groups. A 12-week intervention consisted of regular text messages and phone calls. The control group received usual hypertension care. The outcomes were evaluated with blood pressure measurement and medication adherence self-efficacy scale short form. RESULTS: Medication adherence in Week 12 was found to be significantly higher in the intervention group than in the control group. Mean systolic and diastolic BP levels in Weeks 4, 8 and 12 were statistically significantly lower in the intervention group than in the control group (p < 0.05). CONCLUSION: Using text messaging and nurse-led telephone monitoring improved adherence and BP control in adults with hypertensive in primary care.
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Kes et al. (2021) conducted an RCT in primary hypertension (n=77). Nurse-led telephone monitoring and text messages vs. Usual hypertension care was evaluated on Medication adherence and blood pressure control (p=<0.05). Nurse-led telephone monitoring and text messages significantly improved medication adherence and lowered systolic and diastolic blood pressure compared to usual care at 12 weeks (p<0.05).
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