Adaptive Intervention Model for Hypertension Self-Management in Rural Areas: A Doctor-Patient Interaction Approach
Construction and Verification of Adaptive Intervention Model for Self-Management Behavior of Hypertensive Patients in Rural Areas：A Perspective of Doctor-Patient Interactions
Yuju Wu
320 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this project is to develop and validate an adaptive intervention model to improve self-management behavior in rural hypertensive patients. The primary question it seeks to answer is: Can a tailored, interaction-based intervention model, guided by key doctor-patient interaction elements, effectively enhance self-management behavior among rural hypertensive patients and improve long-term blood pressure control? Researchers will evaluate the impact of different intervention strategies on self-management behavior and identify the most effective combination to establish a sustainable intervention model for rural hypertension management.
Eligibility
Inclusion Criteria5
- Diagnosed hypertension patients who are permanent residents in rural areas.
- No plans for long-term relocation within the next year.
- Willing to participate in this study.
- No cognitive impairment.
- No other diseases that significantly affect self-management behavior, such as malignant tumors.
Exclusion Criteria4
- Age over 80 years.
- Having conditions such as stroke, paralysis, or mental disorders that prevent the completion of self-management behaviors.
- Severe hearing impairment or speech disorders that prevent participation in interviews.
- Likely to relocate or be away from the local area for an extended period within one year.
Interventions
The standard interactive intervention is a doctor-patient interaction intervention conducted by follow-up physicians using an intelligent outbound call system as part of follow-up management. It is implemented once a month and is designed based on the Health Behavior Interaction Model, covering four key aspects: health information (e.g., potential risks of poor self-management behavior), professional skills(e.g., blood pressure measurement, medication guidance), emotional support , and decision-making participation.
The enhanced interactive intervention builds upon the standard interactive intervention by increasing the frequency of interactions. In addition to the monthly intervention, patients receive an additional brief interactive intervention every two weeks via the intelligent outbound call system, reminding them to adhere to self-management behaviors for hypertension control.
Locations(1)
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NCT06869031