Treatment adherence
Doctor communication training helps hypertension care
Open access · cc by · source: Europe PMC
Training physicians in communication skills improved hypertensive patients’ health literacy, blood pressure control, adherence, and self-efficacy in an Iranian RCT.
How this study connects
Role on claims
Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.
Physician training was linked to better patient health literacy, medication adherence, self-efficacy, and blood-pressure outcomes versus usual care.
Evidence for the claim as stated.
In Mashhad primary care, 35 physicians and 240 hypertensive patients were studied after intervention physicians received short experiential communication-skills training. Training was linked to better patient health literacy, medication adherence, self-efficacy and blood-pressure outcomes versus usual care to 6 months. Effects beyond 6 months, and which communication components drove BP change, were not isolated.
Evidence for the claim as stated.
Open-label clinical clusters and community structural trials ask different causal questions under the same design name. Digital medicines at 13 sites cut SBP by about 9 mm Hg without placebo control; Mashhad trained 35 physicians and followed 240 patients for literacy and BP; SASA! randomised Kampala communities to a norm-change programme. Blinding a village activist campaign is not the same problem as blinding a digital pill, and neither is an individually randomised ITT drug trial.
Evidence for the claim as stated.
Open questions
Tensions this paper is part of
From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.
Open-label clinical clusters and community structural trials ask different causal questions under the same design name. Digital medicines at 13 sites cut SBP by about 9 mm Hg without placebo control; Mashhad trained 35 physicians and followed 240 patients for literacy and BP; SASA! randomised Kampala communities to a norm-change programme. Blinding a village activist campaign is not the same problem as blinding a digital pill, and neither is an individually randomised ITT drug trial.
- Supports · Digital pills cut blood pressure faster
- Supports · SASA! cut partner violence in Kampala
Study at a glance
- Design
- RCT — Two-arm RCT; physicians received short experiential communication-skills training
- N
- N=240 · 240 hypertensive patients nested under 35 physicians
- Population
- Hypertensive patients and their primary-care physicians in Mashhad, Iran
- Outcome
- Patient health literacy, adherence, self-efficacy, and blood pressure to 6 months
Structured fields used in claim comparison tables when every cited study has a complete layer.
Inspect source passages
Doctor communication training helps hypertension care
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
240 hypertensive patients and 35 physicians were recruited.
This randomized, controlled clinical trial with two parallel arms recruited 35 physicians and 240 hypertensive patients presenting to primary health care centers in Mashhad, Iran, from September 2013 to August 2014.
70% of patients had inadequate or marginal health literacy at baseline.
At baseline, 70% of hypertensive patients showed inadequate and marginal levels of HL (Chew) .
Key findings
Physician training was linked to better patient health literacy, medication adherence, self-efficacy, and blood-pressure outcomes versus usual care.
Methodology
In Mashhad primary care, 35 physicians and 240 hypertensive patients were studied in a two-arm RCT; intervention physicians received short experiential communication-skills training and patient outcomes were followed to 6 months.
Limitations
Effects beyond 6 months, generalizability outside Iranian public primary care, and which communication components drove BP change were not isolated.
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