Evaluating the Effect of Training through Short Message Service (SMS) on Compliance and the Mean Blood Pressure of Patients with Hypertension: A Study Design

Document Type : Letter to Editor

Authors

1 MPH Student, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Department of Health Education and Health Promotion, The Vice chancellery for Health in Isfahan Province, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

The blood pressure has not been controlled in most of patients due to inappropriate treatment; and they suffer from the complications. To solve the problem, training through short message service (SMS) will be applied and this article is a report of designing the SMS-training approach for patients with hypertension. The current intervention is a randomized clinical trial implemented on patients with hypertension in Gorgab Center (Shahin-Shahr and Meyme town) subordinate to Isfahan University of Medical Sciences, Iran. Firstly, 110 patients will be chosen from the list of patients with hypertension using simple randomized method. Afterwards, the patients will be assigned in one of the intervention or control groups randomly by using random numbered table. Before intervention, all the patients will fill the compliance questionnaire and then, their blood pressures will be measured by caregivers. Patients in SMS group will be texting daily for one month containing a training text to motivate them to improve their life style and use medicine properly. Finally, after one and two months, blood pressure will be measured for all the patients again and the treatment adherence questionnaire will be filled. SMS can be applied as a training method to control hypertension.

Keywords


  1. Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, et al. Resistant hypertension: Diagnosis, evaluation, and treatment: A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation 2008; 117(25): e510-e526.
  2. Hojatzadeh A, Samavat T. Manual blood pressure measurements. Tehran, Iran: Ministry of Health and Medical Education of Iran; 2012. [In Persian].
  3. Jabalameli S, Neshat Doost HT, Moulavi H. Efficacy of cognitive-behavioral stress management intervention on quality of life and blood pressure in female patients with hypertension. Sci J Kurdistan Univ Med Sci 2010; 15(2): 88-97. [In Persian].
  4. Siadat ZD, Hasandokht T, Farajzadegan Z, Paknahad Z. Effects of multicomponent lifestyle modification on blood pressure control in health centers: Design of the study. J Res Med Sci 2013; 18(4): 308-13.
  5. He FJ, Li J, Macgregor GA. Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials. BMJ 2013; 346: f1325.
  6. Pedram Razi S, Piroozmand N, Zolfaghari M, Kazemnejad A, Firoozbakhsh S. Education of how-to-use peak flow meter and following up via SMS on asthma self-management. Hayat 2013; 18(4): 19-27. [In Persian].
  7. Sedri N, Asadi Noughabi A, Zolfaghari M, Haghani H, Tavan A. Comparison of the effect of two types of short message service (interactive and non-interactive) on anticoagulant adherence of patients with prosthetic heart valves. Journal of Nursing Education 2014; 2(4): 1-11. [In Persian].
  8. Goodarzi M, Javadi Bora MA, Farajollahi M. Impact of education via mobile phone on knowledge, attitude, practice and HbA1C of patients with type 2 diabetes mellitus in Karaj-Iran. Interdisciplinary Journal of Virtual Learning in Medical Sciences 2015; 6(3): 8-19. [In Persian].
  9. Marquez CE, de la Figuera von Wichmann M, Gil Guillen V, Ylla-Catala A, Figueras M, Balana M, et al. Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert). Aten Primaria 2004; 34(8): 399-405. [In Spanish].
  10. Bickley L. Bates' guide to physical examination and history-taking. Philadelphia, PA: Lippincott Williams and Wilkins; 2012.
  11. World Health Organization. Hypertension [Online]. Available from: URL:
  12. http://www.who.int/topics/hypertension/en/
  13. Lifestyle and Hypertension [Online]. Available from: URL: https://www.uptodate.com/contents/search? source=MISSPELL&sp=0&search=hypertension+and+lifestyle&searchOffset=0&searchType=PLAIN_TEXT