An interventional study of Behavior Change through Education intervention in Hypertension, Cardio Vascular Disease and Educational Intervention, sponsored by SINA Health Education and Welfare Trust. Not yet recruiting. Open to participants aged 21 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-08-20.
Sponsored by SINA Health Education and Welfare Trust · Not applicable, Interventional, and Supportive care
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
This study is grounded in the I-Change Model, a behavioral change framework that emphasizes awareness, motivation, and ability as key drivers for adopting healthier lifestyles. Recognizing the barriers posed by low literacy in many underserved communities, particularly in urban slums, we aim to implement context-sensitive interventions that empower individuals with hypertension to take charge of their health. In these settings, traditional written health education materials often fail to reach or resonate with the population due to widespread illiteracy and limited health literacy. To address this gap, our study introduces two key multimedia tools: an educational video, designed with simple language and culturally relevant visuals to demonstrate self-care techniques; and a pictorial infographic that visually conveys essential information about hypertension management, medication adherence, dietary habits, and physical activity. By combining these tools with physician consultations, we hope to strengthen patient understanding, increase engagement with self-care practices, and ultimately improve blood pressure control. This multimedia-based, patient-centered approach offers a scalable and cost-effective strategy for promoting behavioral change in marginalized, low-literacy populations.
Exclusion Criteria:
In this arm, patient will receive all doctor's consultation and standardized care provided in the clinic setting.
Standardized clinic care + pictorial info-graphs distribution at every follow-up visit
Other: Behavior Change through Education intervention
Standardized clinic care + hypertension care enhanced Video message in the local language at the waiting area through fastening LCD of the designated cluster.
Other: Behavior Change through Education intervention
Standardized clinic care + Hypertension care enhanced pictorial infographic pamphlet distribution at every follow-up visit + hypertension care enhanced Video message at waiting area through fastened LCD of the designated cluster
Other: Behavior Change through Education 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
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
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
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
Dietary modifications (e.g., reduced salt intake)
Dietary modifications (e.g., reduced salt intake)
Time frame: at 3, 6, 9 months post intervention
Number of clinic visits or follow-up consultations
Number of clinic visits or follow-up consultations
Time frame: 3, 6, 9 months post intervention
BMI management in Kg/m2
weight control according to height in kg/m2
Time frame: 3,6,9 months post intervention
Smoking control (number of cigarettes per day)
Smoking control starting from reduction in number of cigarettes per day to complete cessation
Time frame: 3, 6, 9 months post intervention
Physical activity
time in minutes which shows physically active in a day (in term of walking, yoga, exercise)
Time frame: 3, 6, 9 months intervention
No study locations are listed for this record.
Plan to share: No — There is confidently matter and Organization will not allow to share
No publications or documents are linked to this record.
This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.
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SINA Health Education and Welfare Trust