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Published on: August 1, 2019
A randomized controlled trial of an information booklet for hypertensive patients in general practice
Insights
A patient information booklet improved hypertension knowledge but not blood pressure control in a one-year trial. The tool is acceptable for patient education in clinical practice.
Area of Science:
- Cardiology
- Public Health
- Health Education
Background:
- Hypertension management requires effective patient education and engagement.
- Standard care may not fully optimize patient understanding of hypertension.
- Patient information booklets are a potential tool to enhance self-management.
Purpose of the Study:
- To evaluate the effectiveness of an information and medical record booklet in improving patient understanding and participation in hypertension management.
- To assess the impact of the booklet on blood pressure control.
- To determine the acceptability of the booklet for healthcare professionals.
Main Methods:
- A randomized controlled trial was conducted in six inner London general practices.
- Participants were assigned to receive either the information booklet or standard care (control group).
- Outcomes including blood pressure and knowledge about hypertension were assessed after one year.
Main Results:
- No significant differences were observed in mean systolic or diastolic blood pressure between the groups after one year.
- The group receiving the booklet demonstrated significantly higher scores in knowledge about hypertension and its management.
- The observed differences in knowledge were small, potentially due to a high baseline understanding in both groups.
Conclusions:
- The information booklet significantly improved patient knowledge of hypertension but did not lead to better blood pressure control.
- The booklet is a highly acceptable method for informing patients about hypertension and its management.
- This tool can be effectively utilized by healthcare professionals in both hospital and general practice settings.
Abstract:
A randomized controlled trial of an information and medical record booklet designed to improve patient understanding and participation in the management of hypertension was conducted in six inner London general practices. After one year there were no significant differences between the group who had received the booklets and the control group in mean systolic or diastolic blood pressure, but the study group scored significantly higher on knowledge about hypertension and its management. However, the difference between the two groups was small, possibly because both groups started with a high level of understanding about hypertension and its management. In addition, the mean diastolic blood pressure in the control group showed that the treatment provided was already satisfactory, and that there was little need for improvement. Nevertheless, the information booklet evaluated in this study provides health professionals with a highly acceptable method of informing the patient about hypertension and its management and could be used both in hospital and general practice.
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