Seyedeh Belin Tavakoly Sany1,2, Nooshin Peyman1,2, Fatemeh Behzhad1,2, Habibollah Esmaeily1,3, Ali Taghipoor1,3, Gordon Ferns4. 1. a Social Determinants of Health Research Center , Mashhad University of Medical Sciences , Mashhad , Iran. 2. b Department of Health Education and Health Promotion, School of Health , Mashhad University of Medical Sciences , Mashhad , Iran. 3. c Department of Biostatistics and Epidemiology, School of Health , Mashhad University of Medical Sciences , Mashhad , Iran. 4. d Brighton and Sussex Medical School , Division of Medical education, Falmer , Brighton, Sussex , UK.
Abstract
OBJECTIVE: Hypertension is a common cardiovascular risk factor within the Iranian population, and this may be improved through changes in lifestyle. We aimed at improving hypertension outcomes and health literacy skills among hypertensive patients through communication skills training targeting health providers. METHODS: A randomized controlled trial method was used to enroll 35 health providers and 240 hypertensive patients attending community-based healthcare practices in the Mashhad, Iran. We evaluated the effects of a communication skills intervention for primary care providers compared to usual care controls, on the hypertension outcomes, patient medication adherence, and self-efficacy, assessed at baseline and post-intervention. Bivariate analysis and the regression model were used to assess whether the health provider training improved outcomes. RESULTS:Majority of participating patients were female (77.3%), less than high school education (80.3%), married (82.3%), and low income (82.3%), with mean age of 37 years. Following the educational intervention, there was a significant improvement (p < 0.05) in patient communication skills, self-efficacy, adherence to medication, and hypertension outcomes in the intervention compared to the control group. CONCLUSIONS: The brief communication skills training for health care providers appear to be an efficient way to improve patient-provider communication skills and hypertension outcome among patients with uncontrolled BP.
RCT Entities:
OBJECTIVE:Hypertension is a common cardiovascular risk factor within the Iranian population, and this may be improved through changes in lifestyle. We aimed at improving hypertension outcomes and health literacy skills among hypertensivepatients through communication skills training targeting health providers. METHODS: A randomized controlled trial method was used to enroll 35 health providers and 240 hypertensivepatients attending community-based healthcare practices in the Mashhad, Iran. We evaluated the effects of a communication skills intervention for primary care providers compared to usual care controls, on the hypertension outcomes, patient medication adherence, and self-efficacy, assessed at baseline and post-intervention. Bivariate analysis and the regression model were used to assess whether the health provider training improved outcomes. RESULTS: Majority of participating patients were female (77.3%), less than high school education (80.3%), married (82.3%), and low income (82.3%), with mean age of 37 years. Following the educational intervention, there was a significant improvement (p < 0.05) in patient communication skills, self-efficacy, adherence to medication, and hypertension outcomes in the intervention compared to the control group. CONCLUSIONS: The brief communication skills training for health care providers appear to be an efficient way to improve patient-provider communication skills and hypertension outcome among patients with uncontrolled BP.
Authors: Seyedeh Belin Tavakoly Sany; Hassan Doosti; Mehrsadat Mahdizadeh; Arezoo Orooji; Nooshin Peyman Journal: Int J Environ Res Public Health Date: 2021-04-17 Impact factor: 3.390
Authors: Elham Charoghchian Khorasani; Seyedeh Belin Tavakoly Sany; Mehrsadat Mahdizadeh; Hassan Doosti; Hadi Tehrani; Mohammad Moghzi; Alireza Jafari; Nooshin Peyman Journal: Int J Environ Res Public Health Date: 2022-02-17 Impact factor: 3.390