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- Publisher Website: 10.1136/postgradmedj-2020-139329
- Scopus: eid_2-s2.0-85106962003
- PMID: 34039693
- WOS: WOS:000727501000001
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Article: Knowledge and practice of home blood pressure monitoring 6 months after the risk and assessment management programme: does health literacy matter?
Title | Knowledge and practice of home blood pressure monitoring 6 months after the risk and assessment management programme: does health literacy matter? |
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Authors | |
Keywords | Hypertension Primary care |
Issue Date | 2021 |
Publisher | BMJ Publishing Group. The Journal's web site is located at http://www.postgradmedj.com |
Citation | Postgraduate Medical Journal, 2021, p. postgradmedj-2020-139329 How to Cite? |
Abstract | Background Little is known whether patients with lower health literacy could retain the practice and knowledge of home blood pressure monitoring (HBPM) after an educational programme. Methods A cluster randomised controlled trial in five primary care clinics recruited participants with uncontrolled hypertension. Clinics were randomised either to a HBPM group education (Risk Assessment and Management Programme (RAMP-group), or individual counselling of self-management (RAMP-individual). Health literacy was assessed by the Chinese Health Literacy Scale for Chronic Care. Practice and knowledge of HBPM were surveyed by a 10-item HBPM knowledge checklist and patient record review 6 months after interventions. Predictors for regular HBPM and good HBPM knowledge were assessed by multivariate logistic regression models. Results 287 participants (RAMP-group: 151; RAMP-individual: 136) were follow-up for 6 months. 272 participants completed the knowledge questionnaires (response rate 94.8%). 67.8% of the participants performed HBPM regularly, and there was no statistical difference between both interventions. Age more than 65 (adjusted odds ratios (aOR) 2.58, 95% CI 1.37 to 4.86, p=0.003), not working (aOR 2.34, 95% CI 1.10 to 4.97, p=0.027)and adequate health literacy (aOR 2.25, 95% CI 1.28 to 3.95, p=0.005) predicted regular HBPM. Participants in RAMP-group demonstrated a significant lower body weight than those in RAMP-individual (−0.3±2.0 kg vs +0.7 ±1.7 kg, p<0.001).The RAMP-group participants were eight times more likely to have full HBPM knowledge score than the RAMP-individual participants (aOR 8.46, 95% CI 4.68 to 15.28, p<0.001). Conclusion Patients could retain HBPM knowledge better after RAMP-group than RAMP-individual. Older, retired and patients with adequate health literacy were more likely to continue weekly HBPM 6 months after education. Trial registration number NCT02551393. |
Persistent Identifier | http://hdl.handle.net/10722/300311 |
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 0.876 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | FU, SN | - |
dc.contributor.author | Dao, MC | - |
dc.contributor.author | Wong, CKH | - |
dc.contributor.author | Cheung, BMY | - |
dc.date.accessioned | 2021-06-04T08:41:08Z | - |
dc.date.available | 2021-06-04T08:41:08Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | Postgraduate Medical Journal, 2021, p. postgradmedj-2020-139329 | - |
dc.identifier.issn | 0032-5473 | - |
dc.identifier.uri | http://hdl.handle.net/10722/300311 | - |
dc.description.abstract | Background Little is known whether patients with lower health literacy could retain the practice and knowledge of home blood pressure monitoring (HBPM) after an educational programme. Methods A cluster randomised controlled trial in five primary care clinics recruited participants with uncontrolled hypertension. Clinics were randomised either to a HBPM group education (Risk Assessment and Management Programme (RAMP-group), or individual counselling of self-management (RAMP-individual). Health literacy was assessed by the Chinese Health Literacy Scale for Chronic Care. Practice and knowledge of HBPM were surveyed by a 10-item HBPM knowledge checklist and patient record review 6 months after interventions. Predictors for regular HBPM and good HBPM knowledge were assessed by multivariate logistic regression models. Results 287 participants (RAMP-group: 151; RAMP-individual: 136) were follow-up for 6 months. 272 participants completed the knowledge questionnaires (response rate 94.8%). 67.8% of the participants performed HBPM regularly, and there was no statistical difference between both interventions. Age more than 65 (adjusted odds ratios (aOR) 2.58, 95% CI 1.37 to 4.86, p=0.003), not working (aOR 2.34, 95% CI 1.10 to 4.97, p=0.027)and adequate health literacy (aOR 2.25, 95% CI 1.28 to 3.95, p=0.005) predicted regular HBPM. Participants in RAMP-group demonstrated a significant lower body weight than those in RAMP-individual (−0.3±2.0 kg vs +0.7 ±1.7 kg, p<0.001).The RAMP-group participants were eight times more likely to have full HBPM knowledge score than the RAMP-individual participants (aOR 8.46, 95% CI 4.68 to 15.28, p<0.001). Conclusion Patients could retain HBPM knowledge better after RAMP-group than RAMP-individual. Older, retired and patients with adequate health literacy were more likely to continue weekly HBPM 6 months after education. Trial registration number NCT02551393. | - |
dc.language | eng | - |
dc.publisher | BMJ Publishing Group. The Journal's web site is located at http://www.postgradmedj.com | - |
dc.relation.ispartof | Postgraduate Medical Journal | - |
dc.rights | Postgraduate Medical Journal. Copyright © BMJ Publishing Group. | - |
dc.rights | Author’s Accepted Manuscript This article has been accepted for publication in [Journal, Year] following peer review, and the Version of Record can be accessed online at [insert full DOI eg. http://dx.doi.org/10.1136/xxxxx © Authors (or their employer(s)) OR © BMJ Publishing Group Ltd ( for assignments of BMJ Case Reports) <year> | - |
dc.subject | Hypertension | - |
dc.subject | Primary care | - |
dc.title | Knowledge and practice of home blood pressure monitoring 6 months after the risk and assessment management programme: does health literacy matter? | - |
dc.type | Article | - |
dc.identifier.email | Wong, CKH: carlosho@hku.hk | - |
dc.identifier.email | Cheung, BMY: mycheung@hkucc.hku.hk | - |
dc.identifier.authority | Wong, CKH=rp01931 | - |
dc.identifier.authority | Cheung, BMY=rp01321 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1136/postgradmedj-2020-139329 | - |
dc.identifier.pmid | 34039693 | - |
dc.identifier.scopus | eid_2-s2.0-85106962003 | - |
dc.identifier.hkuros | 322685 | - |
dc.identifier.spage | postgradmedj-2020-139329j | - |
dc.identifier.epage | 2020 | - |
dc.identifier.isi | WOS:000727501000001 | - |
dc.publisher.place | United Kingdom | - |