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BMC Public Health
Published in: BMC Public Health 3/2014

Open Access 01-12-2014 | Proceedings

The effectiveness of a life style modification and peer support home blood pressure monitoring in control of hypertension: protocol for a cluster randomized controlled trial

Authors: Tin Tin Su, Hazreen Abdul Majid, Azmi Mohamed Nahar, Nurul Ain Azizan, Farizah Mohd Hairi, Nithiah Thangiah, Maznah Dahlui, Awang Bulgiba, Liam J Murray

Published in: BMC Public Health | Special Issue 3/2014

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Abstract

Background

Death rates due to hypertension in low and middle income countries are higher compared to high income countries. The present study is designed to combine life style modification and home blood pressure monitoring for control of hypertension in the context of low and middle income countries.

Methods

The study is a two armed, parallel group, un-blinded, cluster randomized controlled trial undertaken within lower income areas in Kuala Lumpur. Two housing complexes will be assigned to the intervention group and the other two housing complexes will be allocated in the control group. Based on power analysis, 320 participants will be recruited. The participants in the intervention group (n = 160) will undergo three main components in the intervention which are the peer support for home blood pressure monitoring, face to face health coaching on healthy diet and demonstration and training for indoor home based exercise activities while the control group will receive a pamphlet containing information on hypertension. The primary outcomes are systolic and diastolic blood pressure. Secondary outcome measures include practice of self-blood pressure monitoring, dietary intake, level of physical activity and physical fitness.

Discussion

The present study will evaluate the effect of lifestyle modification and peer support home blood pressure monitoring on blood pressure control, during a 6 month intervention period. Moreover, the study aims to assess whether these effects can be sustainable more than six months after the intervention has ended.
Literature
1.
World Health Organization: The global burden of disease: a response to the need for comprehensive, consistent and comparable global information on diseases and injuries. 2007
2.
World Health Organization: Strategies to monitor and evaluate population sodium consumption and sources of sodium in the diet. 2010, Canada, WHO.
3.
Ministry of Health Malaysia: The Third National health and Morbidity Survey 2006. 2008, Institute For Public Health, Ministry Of Health Malaysia, II:
4.
Chung N, Baek S, Chen MF, Liau CS, Park C, Park J, Saruta T, Shimamoto K, Wu Z, Zhu J: Expert recommendations on the challenges of hypertension in Asia. Int J Clin Pract. 2008, 62 (9): 1306-1312. 10.1111/j.1742-1241.2008.01838.x.CrossRefPubMed
5.
Centers for Disease Control and Prevention: Can Lifestyle Modifications using Therapeutic Lifestyle Changes (TLC) Reduce Weight and the Risk for Chronic Disease?. Research to Practice Series, No 7.
6.
Forman JP, Stampfer MJ, Curhan GC: Diet and lifestyle risk factors associated with incident hypertension in women. JAMA: the journal of the American Medical Association. 2009, 302 (4): 401-411. 10.1001/jama.2009.1060.CrossRefPubMed
7.
Aung DPP: Diet and hypertension. MJCMP. 2005, 9: 37-42.
8.
Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB: Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Archives of internal medicine. 2008, 168 (7): 713-10.1001/archinte.168.7.713.CrossRefPubMed
9.
Scisney-Matlock M, Bosworth HB, Giger JN, Strickland OL, Van Harrison R, Coverson D, Shah NR, Dennison CR, Dunbar-Jacob JM, Jones L: Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans. Postgrad Med. 2009, 121 (3): 147-10.3810/pgm.2009.05.2015.PubMedCentralCrossRefPubMed
10.
Bosworth HB, Olsen MK, McCant F, Harrelson M, Gentry P, Rose C, Goldstein MK, Hoffman BB, Powers B, Oddone EZ: Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control. Am Heart J. 2007, 153 (6): 918-10.1016/j.ahj.2007.03.004.CrossRefPubMed
11.
Bosworth HB, Olsen MK, Grubber JM, Neary AM, Orr MM, Powers BJ, Adams MB, Svetkey LP, Reed SD, Li Y: Two Self-management Interventions to Improve Hypertension ControlA Randomized Trial. Ann Intern Med. 2009, 151 (10): 687-695. 10.7326/0000605-200911170-00148.PubMedCentralCrossRefPubMed
12.
Green BB, Cook AJ, Ralston JD, Fishman PA, Catz SL, Carlson J, Carrell D, Tyll L, Larson EB, Thompson RS: Effectiveness of home blood pressure monitoring, web communication, and pharmacist care on hypertension control. JAMA: the journal of the American Medical Association. 2008, 299 (24): 2857-2867. 10.1001/jama.299.24.2857.CrossRefPubMed
13.
Wang V, Smith VA, Bosworth HB, Oddone EZ, Olsen MK, McCant F, Powers BJ, Van Houtven CH: Economic evaluation of telephone self-management interventions for blood pressure control. Am Heart J. 2012
14.
Thomas S, Reading J, Shephard RJ: Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian journal of sport sciences = Journal canadien des sciences du sport. 1992, 17 (4): 338-345.PubMed
15.
A Dean, K Sullivan, M Soe: OpenEpi: Open Source Epidemiologic Statistics for Public Health, version 2.3. 1, updated 2011/23/06. 2011
16.
McManus RJ, Mant J, Bray EP, Holder R, Jones MI, Greenfield S, Kaambwa B, Banting M, Bryan S, Little P: Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomised controlled trial. The Lancet. 2010, 376 (9736): 163-172. 10.1016/S0140-6736(10)60964-6.CrossRef
17.
Anderson ES, Winett RA, Wojcik JR: Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior. Ann Behav Med. 2007, 34 (3): 304-312. 10.1007/BF02874555.CrossRefPubMed
18.
Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM: Dietary approaches to prevent and treat hypertension a scientific statement from the American Heart Association. Hypertension. 2006, 47 (2): 296-308. 10.1161/01.HYP.0000202568.01167.B6.CrossRefPubMed
19.
1999 World Health Organization- International Society of Hypertension Guidelines for the Management of Hypertension. Guidelines Subcommittee. J Hypertens. 1999, 2: 151-183.
20.
World Health Organization(WHO): Developing Integrated Response of health Care Systems to Rapid Population Ageing. 2002, World Health Organization
21.
Bull FC, Maslin TS, Armstrong T: Global physical activity questionnaire (GPAQ): nine country reliability and validity study. Journal of physical activity & health. 2009, 6 (6): 790-
22.
Soo KL, Wan Muda WAM, Wan Nik WS: The Bahasa Melayu Version of the Global Physical Activity Questionnaire: reliability and validity study in malaysia. Asia-Pac J Public He. 2012
23.
Wrieden W, Peace H, Armstrong J, Barton K: A short review of dietary assessment methods used in National and Scottish Research Studies. Briefing Paper Prepared for: Working Group on Monitoring Scottish Dietary Targets Workshop Edinburgh: 2003. 2003
24.
World Health Organization: Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation. Geneva, 8-11 December 2008
25.
Butland R, Pang J, Gross E, Woodcock A, Geddes D: Two-, six-, and 12-minute walking tests in respiratory disease. British medical journal (Clinical research ed). 1982, 284 (6329): 1607-10.1136/bmj.284.6329.1607.CrossRef
26.
Du H, Newton PJ, Salamonson Y, Carrieri-Kohlman VL, Davidson PM: A review of the six-minute walk test: its implication as a self-administered assessment tool. Eur J Cardiovasc Nur. 2009, 8 (1): 2-8. 10.1016/j.ejcnurse.2008.07.001.CrossRef
27.
Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, Berman LB: The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985, 132 (8): 919-PubMedCentralPubMed
28.
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, Sayer AA: A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011, 40 (4): 423-429. 10.1093/ageing/afr051.CrossRefPubMed
29.
Trampisch US, Franke J, Jedamzik N, Hinrichs T, Platen P: Optimal Jamar Dynamometer Handle Position to Assess Maximal Isometric Hand Grip Strength in Epidemiological Studies. The Journal of hand surgery. 2012, 37 (11): 2368-2373. 10.1016/j.jhsa.2012.08.014.CrossRefPubMed
30.
Al-Efan QMA: Cost of treating hypertension in Malaysia. Asian Journal of Pharmaceutical and Clinical Research. 2009, 2 (1): 1-5.
31.
Ministry of Health Malaysia:National Strategic Plan For Non-Communicable Disease (NSPNCD): Medium Term Strategic Plan To Further Strengthen The Cardiovascular Diseases & Diabetes Prevention & Control Program In Malaysia (2010-2014): Non-Communicable Disease Section, Disease Control Division. 2010, Ministry of Health Malaysia
32.
Brownstein JN, Chowdhury FM, Norris SL, Horsley T, Jack L, Zhang X, Satterfield D: Effectiveness of community health workers in the care of people with hypertension. Am J Prev Med. 2007, 32 (5): 435-447. 10.1016/j.amepre.2007.01.011.CrossRefPubMed
33.
Park M-J, Kim H-S, Kim K-S: Cellular phone and Internet-based individual intervention on blood pressure and obesity in obese patients with hypertension. International journal of medical informatics. 2009, 78 (10): 704-10.1016/j.ijmedinf.2009.06.004.CrossRefPubMed
34.
Su TT, Majid H, Amiri MR, Hairi FM, Thangiah N, Bulgiba AM, Murray L: Prevalence of Cardiovascular Disease Risk Factors in a Low Income Urban Community in Kuala Lumpur, Malaysia. International Research Symposium on Population Health 2013 Kualala Lumpur, Malaysia. 2013
35.
Ghani SN, Yadav H: Health care in Malaysia. 2008, University of Malaya Press
36.
Lim T, Ngah B: The Mentakab Hypertension Study project. Part II--Why do hypertensives drop out of treatment?. Singap Med J. 1991, 32 (4): 249-
37.
Bennett H, Laird K, Margolius D, Ngo V, Thom DH, Bodenheimer T: The effectiveness of health coaching, home blood pressure monitoring, and home-titration in controlling hypertension among low-income patients: protocol for a randomized controlled trial. Bmc Public Health. 2009, 9 (1): 456-10.1186/1471-2458-9-456.PubMedCentralCrossRefPubMed
38.
Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T: Interventions used to improve control of blood pressure in patients with hypertension. Cochrane database of systematic reviews. 2010, 3 (3):
39.
Krutilova V, Yaya S: Unexpected impact of changes in out-of-pocket payments for health care on Czech household budgets. Health Policy. 2012, 107 (2-3): 276-288. 10.1016/j.healthpol.2012.07.002.CrossRefPubMed
Metadata
Title
The effectiveness of a life style modification and peer support home blood pressure monitoring in control of hypertension: protocol for a cluster randomized controlled trial
Authors
Tin Tin Su
Hazreen Abdul Majid
Azmi Mohamed Nahar
Nurul Ain Azizan
Farizah Mohd Hairi
Nithiah Thangiah
Maznah Dahlui
Awang Bulgiba
Liam J Murray
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue Special Issue 3/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-S3-S4

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