A randomised trial of a brief cognitive-behavioural, manualised, self-management programme for hypertension delivered in a cardiac patient club in Shanghai

ISRCTN ISRCTN73114566
DOI https://doi.org/10.1186/ISRCTN73114566
Secondary identifying numbers N/A
Submission date
14/08/2007
Registration date
22/08/2007
Last edited
10/01/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Mr Feng Xue
Scientific

Postgraduate Area
2nd Floor
Hull York Medical School (HYMS) Building
University of York
Heslington
York
YO10 5DD
United Kingdom

Email fx101@york.ac.uk

Study information

Study designPragmatic randomised controlled trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleA randomised trial of a brief cognitive-behavioural, manualised, self-management programme for hypertension delivered in a cardiac patient club in Shanghai
Study hypothesisPatients recruited from an anti-hypertensive club who are shown how to use a cognitive-behavioural self-management manual together with brief group faciliatation, will demonstrate similar levels of blood pressure, self-efficacy, behavioural change and quality of life at follow-ups when compared to patients given written information alone.
Ethics approval(s)The Department of Health, Sciences Research Governance Committee at the University of York approved this study on 5 January 2005.
ConditionHypertension
InterventionIntervention group: A self-management manual (the Hypertension Manual) plus four educational sessions (in small groups)
Control group: Written information alone

The topics covered in the educational sessions included the following:
1. Basic knowledge of hypertension
2. Goal setting
3. Self-monitoring of blood pressure
4. Physical activity (demonstration of exercises)
5. Dietary advice
6. Calculating BMI
7. Food energy calculation

The booklet provided to the control group covered:
1.Basic knowledge on hypertension, including cardiovascular anatomy, definition and classification of hypertension, and how to measure blood pressure
2. Preventive knowledge on hypertension, including the implications of life style changes and a self-assessment tool for cardiovascular risks
3. Clinical knowledge on hypertension, including symptoms and signs of hypertension, anti-hypertensive medication and compliance with taking drugs
Intervention typeOther
Primary outcome measureSystolic and diastolic blood pressure at 1 month and 4 months after the end of treatment.
Secondary outcome measuresThe following were assessed at 1 month and 4 months after the end of treatment:
1. Blood total cholesterol
2. Urinary sodium and potassium
3. Body mass index
4. Waist circumference
5. Self-efficacy
6. Physical activity
7. Dietary behaviour
8. Quality of life
Overall study start date01/09/2004
Overall study end date30/11/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants140
Total final enrolment140
Participant inclusion criteriaClinician diagnosed primary hypertension defined as having systolic Blood Pressure (BP) >140 mmHg or diastolic BP >90 mmHg recorded in their medical records. An age criterion is adopted restricting recruitment to those aged 18 to 69 years because the physical activity questionnaire used is only valid in this range.
Participant exclusion criteria1. Secondary forms of hypertension
2. Target organ damage and/or diabetes
3. Use of weight-loss medications
4. Congestive heart failure
5. Angina
6. Life-threatening co-morbidity (e.g. carcinoma, terminal liver or renal failure)
7. Disability that would prevent participation in a walking exercise regime
8. Inability to read or communicate in Chinese, and/or a history of reduced cognitive ability
Recruitment start date01/09/2004
Recruitment end date30/11/2005

Locations

Countries of recruitment

  • China
  • England
  • United Kingdom

Study participating centre

Postgraduate Area
York
YO10 5DD
United Kingdom

Sponsor information

University of York
University/education

Heslington
York
YO10 5DD
England
United Kingdom

Email jah14@york.ac.uk
Website http://www.york.ac.uk
ROR logo "ROR" https://ror.org/04m01e293

Funders

Funder type

Charity

Great Britain-China Educational Trust (UK)

No information available

Henry Lester Trust Limited (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 06/05/2008 10/01/2020 Yes No

Editorial Notes

10/01/2020: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.