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CTRI Number  CTRI/2026/01/101432 [Registered on: 19/01/2026] Trial Registered Prospectively
Last Modified On: 16/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   A Study to assess if emotional support delivered by volunteers in the community decreases BP in people with hypertension.  
Scientific Title of Study   Assessment of a psychological intervention by community health volunteers for hypertension in rural settings in Alappuzha in Kerala - A Pilot Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chitra Venkateswaran 
Designation  Adjunct Faculty 
Affiliation  Department of Community Medicine, Amrita Viswa Vidyapeetham, Amrita Institute of Medical Sciences Kochi Campus 
Address  Department of Community Medicine, Amrita Viswa Vidyapeetham, Amrita Institute of Medical Sciences (AIMS), Ponekkara, North, PO Brahmasthanam, Amrita Nagar, Edappally, Kochi, Ernakulam, Kerala

Ernakulam
KERALA
682024
India 
Phone  9349113654  
Fax    
Email  chitven@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chitra Venkateswaran 
Designation  Adjunct Faculty  
Affiliation  Department of Community Medicine, Amrita Viswa Vidyapeetham, Amrita Institute of Medical Sciences Kochi Campus 
Address  Department of Community Medicine, Amrita Viswa Vidyapeetham, Amrita Institute of Medical Science (AIMS), Ponekkara, North, PO Brahmasthanam, Amrita Nagar, Edappally, Kochi, Ernakulam, Kerala

Ernakulam
KERALA
682024
India 
Phone  9349113654  
Fax    
Email  chitven@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chitra Venkateswaran 
Designation  Adjunct Faculty  
Affiliation  Department of Community Medicine, Amrita Viswa Vidyapeetham, Amrita Institute of Medical Sciences Kochi Campus 
Address  Department of Community Medicine, Amrita Viswa Vidyapeetham, Kochi, North, PO Brahmasthanam, Amrita Nagar, Edappally, Kochi, Ernakulam, Kerala

Ernakulam
KERALA
682024
India 
Phone  9349113654  
Fax    
Email  chitven@gmail.com  
 
Source of Monetary or Material Support  
Amrita Viswa Vidyapeetham, Amrita Institute of Medical Sciences (AIMS), Ponekkara, North, PO Brahmasthanam, Amrita Nagar, Edapally, Kochi, Ernakulam, Kerala 682024 
Harvard T.H Chan School of Public Health, Department of Global Health and Population, 665 Huntington Ave, MA 02115, Boston, Massachusetts, USA 
 
Primary Sponsor  
Name  Harvard TH Chan School of Public Health 
Address  Department of Global Health and Population, 665 Huntington Ave, MA 02115, Boston, Massachusetts, USA 
Type of Sponsor  Research institution 
 
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 Chitra Venkateswaran  Muhamma Panchayat  Muhamma Panchayat, Alappuzha District, Kerala, India Pincode:688525
Ernakulam
KERALA 
9349113654

chitven@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Ethics Committee of Amrita School of Medicine  Approved 
Local No Objection Certificate  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  NIL  NIL 
Intervention  Psychological Intervention for Hypertensive Patients  The psychological intervention is delivered to the hypertensive patients by the Community Health Volunteers of Muhamma Panchayat, Alappuzha, Kerala 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1) Adults over 30 years and above and below or equal to 75 years will be recruited who have been diagnosed with Hypertension and are on Antihypertensive medication and / or lifestyle measures.2) The diagnosis of Hypertension by the Physician is made when the mean of three BP measurements recorded 5 minutes apart with Diastolic BP greater than or equal to 90 mm Hg and/ or Systolic BP greater than 140 mm Hg. 
 
ExclusionCriteria 
Details  1)Those above 75 years, 2)Those with BP greater than or equal to 180/100 mm Hg, 3)Those who have had a Cerebrovascular Accident (CVA),Severe Heart Failure (heart failure NYHA Classification 111 and IV),bedridden, difficulty in engaging with the volunteers due to physical Co morbidities /Cognitive Impairment/ Mental Illness already on /or requiring Pharmacological management will be excluded.  
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
BP Changes, Distress Scores, Quality of Life Scores and Adherence Scores.  Follow Up will be immediately after the intervention and 3 months following intervention.  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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="7"
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   A Psychological intervention delivered by trained Community Volunteers can decrease Blood Pressure in persons with Hypertension. The Objective of the study is to test whether and how a psychological intervention delivered by community volunteers works on people with Hypertension and obtain data on effect to design the main trial to test its effectiveness. This is a Cluster non randomised - pre and post intervention design mixed methods and study is conducted in Muhamma panchayat in Alappuzha district in Kerala. The sample size is of 160 participants, and they are selected based on the inclusion and exclusion criteria. 
The screening for the   psychological distress will be done using DASS 21 Questionnaire, Baseline measurements include BP measurements, Quality of   Life (QOL) Scores measured by EQ-5D-5L, medication adherence measured using Hill Bone Medication Adherence Scale. The intervention will be delivered by Community Health Volunteers twice. First intervention will be face to face sessions for 8 weeks.  Measurements on BP, Distress, QOL and adherence will be collected immediately after the intervention. There will be a follow up intervention over phone for 8 weeks and measurements on BP, Distress, QOL and adherence will be collected following this intervention. Qualitative assessment (focus group discussions and in- depth interviews (IDI)) will be conducted with key stakeholders which include patients and family members to study process indicators. 
The outcome measures include Blood Pressure changes, Distress Scores, Quality of life Scores, Adherence Scores, process indicators - recruitment, retention, numbers, numbers engaged, followed up, dropped out, any   adverse event, satisfaction, readiness, challenges, and barriers indicating acceptability, appropriateness, adoption and feasibility. 
 
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