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CTRI Number  CTRI/2026/02/104097 [Registered on: 17/02/2026] Trial Registered Prospectively
Last Modified On: 16/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness of supportive education on BP, Medication adherence and quality of life of hypertensive patients 
Scientific Title of Study   The effectiveness of health literacy based self-management support intervention on Blood pressure control, Medication adherence and quality of life among hypertensive patients visiting Dommasandra PHC, Bangalore  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tenzin Bhutti 
Designation  7 Semester BSc Nursing student  
Affiliation  Krupanidhi College of Nursing 
Address  Department of medical surgical nursing , Department office , Krupanidhi college of Nursing , No.12/1, Chikkabellandur,Varthur Hobli, Carmeleram PO
Department of medical surgical nursing, Department office Krupanidhi college of Nursing , No.12/1, Chikkabellandur,Varthur Hobli, Carmeleram PO
Bangalore
KARNATAKA
560035
India 
Phone  6006846814  
Fax    
Email  tenzinbhutti6051@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prabha Lis Thomas 
Designation  Vice principal 
Affiliation  Krupanidhi College of Nursing 
Address  Department of medical surgical Nursing, Department office , Krupanidhi college of nursing,No.12/1,Chikkabellandur,Varthur Hobli,Carmelaram PO, Bangalore 560035
Department of medical surgical Nursing, Department office Krupanidhi college of nursing,No.12/1,Chikkabellandur,Varthur Hobli,Carmelaram PO, Bangalore 560035
Bangalore
KARNATAKA
560035
India 
Phone  09886451011  
Fax    
Email  pabha0575@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prabha Lis Thomas 
Designation  Vice principal 
Affiliation  Krupanidhi College of Nursing 
Address  Department of Medical surgical Nursing, Department office, Krupanidhi college of nursing,Chikkabellandur, Varthur hobli, Carmelaram PO ,Bangalore
Department of Medical surgical Nursing, Department office, Krupanidhi college of nursing,Chikkabellandur, Varthur hobli, Carmelaram PO ,Bangalore
Bangalore
KARNATAKA
560035
India 
Phone  09886451011  
Fax    
Email  pabha0575@gmail.com  
 
Source of Monetary or Material Support  
Rajiv Gandhi University of Health Sciences, Bangalore  
 
Primary Sponsor  
Name  Rajiv Gandhi University of Health Sciences  
Address  4th T block, Jayanagar ,Bangalore -560041 
Type of Sponsor  Other [Government university] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jay Bharthi  Dommasandra PHC   Medical officer room, Administraive office, PHC, Sarjapura Main Road, Dommasandra Village, Anekal Taluk, Bengaluru Urban District, Karnataka – 562125
Bangalore
KARNATAKA 
9731751320

phcdommasandra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RV COLLEGE OF NURSING  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  standard care  Participants allocated to the active control group will receive routine hypertension care provided, including regular medical consultations, prescription of antihypertensive medications, and general lifestyle advice as per standard guidelines. 
Intervention  Health literacy based self-management support intervention  Health literacy based self-management support interventions refers to the process of equipping the individual with the knowledge, skill and attitude necessary to take care of their physical, emotional, mental and spiritual wellbeing based on the health literacy index. Supportive interventions include education through individual and group discussion, micro learning strategy and awareness, lifestyle modifications, medication adherence support, goal setting intervention to share problem solving and coping strategy to navigate health challenges, self-monitoring and tracking, continuous support and follow up, and family and community engagement and health tools. It will be delivered through group sessions, one by one counselling and lectures. These interventions are planned for 8 weeks.  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Hypertensive patients at Dommasandra PHC who are;
Within the age of 30–80 years
on antihypertensive medication for at least 6 months,
- Able to communicate in English/Hindi/Kannada
-Willing to participate in the study
-Mentally competent to comprehend the instructions
available for the entire intervention and follow-up period
diagnosed with primary (essential) hypertension 
 
ExclusionCriteria 
Details 

Patients diagnosed with secondary hypertension.
Patients with severe complications of hypertension, such as recent stroke, myocardial infarction, heart failure, or end-stage renal disease.
Patients with severe cognitive impairment, psychiatric illness, or hearing/speech difficulties that may interfere with understanding the intervention.
Pregnant or lactating women, due to different blood pressure management protocols.
Patients currently participating in another structured hypertension education or self-management program.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Blood pressure ,Medication adherence and quality of life   Baseline and at the end of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Hypertension is a major non-communicable disease and a leading cause of cardiovascular deaths globally and in India. Despite being preventable and treatable, hypertension remains poorly controlled; only 12% of affected Indians achieve normal blood pressure. Limited awareness, poor medication adherence, and low health literacy are major contributors to uncontrolled hypertension. Self-management practices—such as medication compliance, dietary modification, physical activity, salt restriction, stress reduction, and regular BP monitoring—are essential in preventing complications like heart attack, stroke, and kidney failure. Health literacy strongly influences these behaviours, as patients with better understanding are more likely to follow treatment plans. Tailoring education and support to a patient’s literacy level has been shown to significantly improve BP control and treatment adherence.

This study aims to determine the effectiveness of a health literacy–based self-management support intervention for hypertensive patients visiting Dommasandra PHC, Bangalore. Using a true experimental pre-test/post-test design, hypertensive adults aged between 30 and 80 years  will be randomly assigned to intervention and control groups. Health literacy levels of each subject will be screened and interventions to promote self-care will be administered to the experimental group according to their health literacy for a duration of 8 weeks. BP, medication adherence, and quality of life will be assessed using validated tools before and after the intervention. The intervention includes individualized education, lifestyle guidance, medication support, reminders, self-monitoring, goal setting, and counselling. Data will be analysed using descriptive and inferential statistics

The literacy-tailored self-management support intervention is expected to result in significant improvement in blood pressure control, medication adherence, and overall quality of life among hypertensive patients. By customizing the supportive interventions based on individual health literacy levels, this approach fosters better understanding, active engagement in treatment, and long-lasting self-care behaviours. If proven effective, this intervention may provide a sustainable framework for reducing hypertension-related morbidity and mortality in community-based hypertension control programs, contributing to enhanced primary health-care outcomes

 
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