Cost-effectiveness of peer education on treatment adherence among elderly hypertensive client

Cost-effectiveness of peer education on treatment adherence among elderly hypertensive clients

Randomized clinical trial

This study performed in health center no.3 of Mashhad University of Medical Sciences. At first, samples divided two groups randomly. In intervention group, 45-minute training sessions be held by peers on Blood Pressure Control for six weeks on Saturday for elderly people. During the implementation of the study, the direct costs of implementing peer education included human resource costs, including peer education costs, consumables and estimated training space, as well as the cost of passage and caregiver costs and the cost effectiveness of interventions in relation to the amount of mmHg reduction Blood pressure is calculated. In the control group only routine health care will be held for sixty weekly sessions for 45 minutes by the nurse. in control group direct costs of training sessions held by health center staff are estimated and per mmHg reduction in blood pressure is calculated and compared in intervention group. Blood pressure and Murisky questionnaire and researcher-made questionnaire will be completed before, after the end of the intervention, and three to six weeks later in the both groups.

History of at least 6 months of hypertension; hypertension grade 2 and above; lack of Cyrus hypertension; age 60 and older; ability to speak Persian; reading and writing literacy; treatment with anti hypertensive drugs; Iranian& resident of Mashhad; lack of medical education associated with hypertension over the past 6 months; has suffered from any physical illness or severe mental disorders that prevented the intervention.

peer education group

Comparison of the cost-effectiveness of peer education and routine training

Assigned with random spss numbers, in intervention or control groups, randomly

Elderly people with Hypertension Grade 2 and above who take anti-hypertensive medications for 6 months are randomly divided into intervention and control groups. While they are in the group, they do not know.

Evaluating the Effectiveness of Peer Education on Adherence to Treatment of Elderly With Hypertension, Compared to Routine Training

Start the access period 6 months after printing the results

Researchers and patients with hypertension

After collecting data and encoding and logging into the computer, using spss 11 software, data analysis is done using descriptive and inferential statistics. To describe the characteristics of the research units in the two groups, descriptive statistics including frequency distribution and percentages, and central inclination and dispersion, mean, and standard deviations are used. In the analytical statistics, a quantitative data test was performed using Kolmogorov-Smynov and Shapiro Wilk tests. To determine the homogeneity of data in two groups, Chi-square or Fisher test for qualitative variables and independent t-test for quantitative variables and if the abnormality is used, the Mann-Whitney test will be used. Also, intra-group comparisons based on whether data are normal or not, paired t-test or Kruskal-Wallis tests will be used. To determine the relationship between the underlying and interventional variables, two groups of variance analysis or covariance analysis will be used in three groups. To compare the cost-effectiveness of the two methods of peer-to-peer training, with the help of a statistic expert, Tree Age's decision tree model and software will be used. For all tests, the confidence coefficient will be 95%

Faculty of Nursing and Midwifery, Ibn Sina Avenue,Doktora st.Mashhad, Iran Phone:0098 5138591511 Fax: 0098 5138597313 Zip Code: 9137913199 E-mail: NMS.IT@mums.ac.ir

Referring to the library of Mashhad Nursing and Midwifery Faculty and presenting the identification card to this unit and receiving the existing documentation