To Achieve Blood Pressure Control With Retained Quality of Life

Possibilities for Patients With Elevated Blood Pressure to Achieve Blood Pressure Control Without Affecting Quality of Life (the PEQ Study)

The purpose of the study is to get an understanding about what problems patients with hypertension are facing, how they manage these challenges, how they feel and what requirements they believe are important to have in their treatment. These factors will later act as a foundation and incentive for designing an intervention that may result in more patients achieving blood pressure control with maintained quality of life.

Study Overview

• Status: Terminated
• Conditions: Hypertension; Patient Compliance

Detailed Description

This is a Swedish observational mixed-methods study to get an understanding about what problems patients with hypertension are facing. The information will act as a foundation for designing an intervention/interventions that may result in more patients achieving blood pressure control with maintained quality of life. Patients, who have well/not well controlled blood pressure, are to fill in questionnaires about their view on ability to perform self-care and their perceived quality of life. Individual interviews will also be made about for what reasons they do or do not change lifestyle as well as take their drugs to treat their hypertension. In focus group interviews the patients are to be asked about what they want and expect in the encounter with health care personnel, what other things outside the health care area would be helpful for the patient and how age, gender, cultural and psychosocial aspects affect the ability to achieve blood pressure control. The developed future interventions will be evaluated in clinical practice.

• Study Type: Observational
• Enrollment (Actual): 12

Contacts and Locations

Study Locations

• Sweden
  • Lund, Sweden, SE-221 00
    • Department of Health Sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

To preserve that the population is representative for an area in southern Sweden, patients are to be included consequtively through stratified sampling regarding age, gender and treatment at health centre or medical clinic at a hospital as well as geographically.

Description

Inclusion Criteria:

• diagnosed with hypertension since 9 months
• being able to read and speak Swedish

Exclusion Criteria:

-

Study Plan

How is the study designed?

Number of groups / cohorts

4

Cohorts and Interventions

Group / Cohort
Patients: achieved BP control; Patients who have achieved blood pressure control (≤140/90 mmHg)
Patients: not achieved BP control; Patients who have not achieved blood pressure control (>140/90 mmHg)
Individual interviews; Hypertensive patients who have considered changing lifestyle regarding one or more of the areas of tobacco, alcohol, diet, physical activity or stress.
Focus-group interviews; Hypertensive patients

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-care agency	Exercise of Self Care Agency (ESCA) instrument	through study completion, an average of 6 months
Quality of life: SF-36	Short Form Health Survey, 36 items	through study completion, an average of 6 months
Individual interviews	Semistructured interviews	through study completion, an average of 3 months
Focus-group interviews	Discussions in focus-groups	through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: Eva Drevenhorn
• Investigators: Principal Investigator: Lena-Karin Erlandsson, Department of Health Sciences

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2016
• Primary Completion (Actual): May 31, 2019
• Study Completion (Actual): May 31, 2019

Study Registration Dates

• First Submitted: February 8, 2016
• First Submitted That Met QC Criteria: February 10, 2016
• First Posted (Estimate): February 15, 2016

Study Record Updates

• Last Update Posted (Actual): March 9, 2021
• Last Update Submitted That Met QC Criteria: March 5, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Keywords: Adherence; Hypertension; Mixed Methods; Blood Pressure Control
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Hypertension
• Other Study ID Numbers: The PEQ-study

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED