Evidence map›Paper›PMID 40098019›Full record

ArticleTrials2025

Effectiveness of community-based intervention using PATCH on disease perception, empowerment, and self-care in hypertension: a community trial protocol.

Hassan Heydari, Roya Sadeghi, Ensiyeh Jamshidi, Abbas Rahimiforoushani, Hossein Ali Nikbakht, Mohammad Reza Adel Mashhadsari

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hassan HeydariDepartment of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Roya SadeghiDepartment of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. sadeghir@tums.ac.ir.ORCID http://orcid.org/0000-0002-4290-0950
Ensiyeh JamshidiDepartment of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abbas RahimiforoushaniDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Hossein Ali NikbakhtDepartment of Biostatistics & Epidemiology, School of Public Health, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Mohammad Reza Adel MashhadsariHealth Research Council, Health Research Institute, Health Vice-Chancellor of Babol University of Medical Sciences, Babol, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension plays a significant role in the global burden of cardiovascular diseases. The planned approach to community health (PATCH), as a community-based framework, highlights community participation in decision-making. This study aimed to determine the effectiveness of a community-based intervention using the PATCH on disease perception, empowerment, self-care behaviors, and blood pressure in patients with hypertension.

methodsThis study will be a parallel randomized community trial. Twelve comprehensive rural health service centers (CRHSCs) are randomly selected as clusters. A total sample size of 428 individuals (214 in the intervention group and 214 in the control group) with hypertension covered by CRHSCs will be selected through cluster random sampling. The PATCH framework, developed by the Centers for Disease Control, will be employed to organize the community and empower it to address the issue in the intervention group. The control group will receive only the routine programs provided by the health system. Three months after the intervention, the outcome of hypertension perception will be assessed via the Disease Perception Questionnaire developed by Kamran et al., and empowerment will be measured via the Perceived Control Scale designed by Israel. Six months after the intervention, self-care behaviors will be evaluated through the Self-Care Behavior Assessment Questionnaire created by Han et al., and blood pressure will be assessed using a standard sphygmomanometer. Data analysis will be conducted via SPSS software version 20, which applies univariate and multivariate linear regression tests. DISCUSSION: The protocol aligns with health policies in the domain of noncommunicable diseases, emphasizing sustainable and participatory approaches. If proven effective, the findings can be utilized in educational programs and policymaking efforts, paving the way for the broader implementation of community-based interventions. Moreover, this framework can empower social groups to take an active role in combating noncommunicable diseases, and if effective, its application could yield long-term health benefits for individuals and communities.

trial registrationIranian Registry of Clinical Trials (IRCT), IRCT20231213060354N1. Registered on December 24, 2023. https://irct.behdasht.gov.ir/trial/74453.

Indexed as

Community Health ServicesCommunity ParticipationEmpowermentHealth Knowledge, Attitudes, PracticeHypertensionSelf CareBlood PressureFemaleHumansMaleMiddle AgedMulticenter Studies as TopicPerceptionRandomized Controlled Trials as TopicRural Health ServicesCommunity-based interventionDisease perceptionEmpowermentHypertensionPerceived controlPlanned approach to community healthSelf-care

Identifiers

PMID40098019
PMCPMC11912653

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.