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IRCT20260613069762N1 IRCT 2026-09-07 Shahroud University of Medical Sciences The Effect of the Ask Me 3 Program on Treatment Adherence and Blood Pressure Control in Adults with Hypertension The Effect of the “Ask Me 3” Educational Program on Treatment Adherence and Blood Pressure Management in Adults with Hypertension: A Randomized Parallel Clinical Trial 2026-09-01 anticipated 94 Recruiting https://irct.ir/trial/90837 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: The educational intervention in this study is based on the Ask Me 3 program and consists of three in-person training sessions, along with telephone follow-ups and the provision of an educational booklet. Furthermore, the socio-economic strata of Shahroud city will be taken into account when selecting the participants, Randomization description: After obtaining informed consent, a 1:1 random allocation sequence will be generated using Random Allocation Software. The allocation sequence will be prepared by an independent person and kept in sequentially numbered, sealed opaque envelopes. Participants will be assigned to the intervention or control group according to the allocation sequence after enrollment. N/A Hypertension. Intervention 1: The intervention group will receive the Ask Me 3 educational program in three 45-minute face-to-face sessions over three consecutive days. Each session will focus on one of the three Ask Me 3 questions: “What is my main problem?”, “What do I need to do?”, and “Why is it important for me to do this?”. The content will cover hypertension, medication adherence, healthy diet and salt reduction, physical activity, blood pressure monitoring, and self-care. The sessions will be delivered by the researcher using an educational booklet and poster, followed by weekly telephone follow-up for 12 weeks to reinforce the educational content. Intervention 2: Control group: Receiving routine education provided by health centers. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is -
public Ruhollah hadinezhad
No.13 , Rezvan alley, Yas 60, Kargar street
Qaemshahr Iran (Islamic Republic of) 4764635938 +98 11 4204 8503 rhadinezhad555@gmail.com Shahroud University of Medical Sciences scientific Ruhollah hadinezhad
No. 13 , Rezvan alley, Yas 60, Kargar Street
Qaemshahr Iran (Islamic Republic of) 4764635938 +98 11 4204 8503 Rhadinezhad555@gmail.com Shahroud University of Medical Sciences Iran (Islamic Republic of) Age at least 40 years and older Diagnosis of primary hypertension (systolic 130–139 mmHg and diastolic 80–89 mmHg) Use of at least one antihypertensive medication within the last three months Possession of hearing, speaking, and communication abilities At least three months have passed since diagnosis A minimum score of 10 on the Lawton Instrumental Activities of Daily Living (IADL) scale A minimum score of 7 on the Abbreviated Mental Test (AMT) Normal result on the Mini-Cog test 40 years no limit Both Diagnosis of acute cardiac, renal, hepatic, or respiratory diseases, malignancies, stroke, or substance addiction Diagnosis of depression and anxiety documented in the medical record Participation in similar educational sessions I10 Essential (primary) hypertension Behavior Behavior The intervention group will receive the Ask Me 3 educational program in three 45-minute face-to-face sessions over three consecutive days. Each session will focus on one of the three Ask Me 3 questions: “What is my main problem?”, “What do I need to do?”, and “Why is it important for me to do this?”. The content will cover hypertension, medication adherence, healthy diet and salt reduction, physical activity, blood pressure monitoring, and self-care. The sessions will be delivered by the researcher using an educational booklet and poster, followed by weekly telephone follow-up for 12 weeks to reinforce the educational content. Control group: Receiving routine education provided by health centers 1-Treatment adherence. Timepoint: "At the beginning of the intervention (before the start of the intervention), one week after the end of the intervention, and three months after the end of the intervention.". Method of measurement: 1. Modanlou Medication Adherence Questionnaire. 1-Systolic and Diastolic blood pressure. Timepoint: "At the beginning of the intervention (before the start of the intervention), one week after the end of the intervention, and three months after the end of the intervention.". Method of measurement: Electronic blood pressure monitor. Shahroud University of Medical Sciences Approved 2026-06-09 The Ethics Committee of Shahroud University of Medical Sciences 7 Tir Square, Next to Shahroud Municipality, Shahroud, Semnan Province, Iran SHAHROUD Semnan Iran (Islamic Republic of)