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Table 1 Actions at each patient appointment

From: EDUCORE project: a clinical trial, randomised by clusters, to assess the effect of a visual learning method on blood pressure control in the primary healthcare setting

Appointment 1

Recruitment: may require an extra patient appointment to collect all the information necessary for a decision on inclusion/exclusion to be made, to inform the patient about the study, and to request signed consent to be included. See Figure 1.

 

Actions performed in both study arms (GP/nurse)

Additional actions performed in the EDUCORE arm (GP)

Collection of sociodemographic data: sex, age, educational level, physical activity, use of tobacco, consumption of medications, body mass index.

Use of EDUCORE method.

Taking of blood pressure. Completion of MiniCHAL and Morisky-Green questionnaires.

 

Calculation of SCORE score and extrapolation to 60 years of age.

 

Define interventions and therapeutic objectives for CVR, HBP, total cholesterol and tobacco use

 

At the end of the appointment, inform patient of therapeutic plan (pharmacological/non-pharmacological). Record changes in drugs prescribed.

 

Appointment 2 (at 3 months)

Actions in both arms (GP/nurse)

No additional actions in the EDUCORE arm

Record blood pressure and degree of control.

 

Review pharmacological treatment.

 

Appointment 3 (at 6 months)

Actions performed in both study arms (GP/nurse)

Additional actions performed in the EDUCORE arm (GP)

Record blood pressure and degree of control. Completion of Morisky-Green questionnaire.

Use of EDUCORE method.

Review pharmacological treatment.

 

Calculation of SCORE score and extrapolation to 60 years of age.

 

Appointment 4 (at 9 months)

Actions in both arms (GP/nurse)

No additional actions in the EDUCORE arm

Record blood pressure and degree of control.

 

Review pharmacological treatment.

 

Appointment 5 (at 12 months)

Actions performed in both study arms (GP/nurse)

No additional actions in the EDUCORE arm

Record blood pressure and degree of control.

 

Completion of MiniCHAL and Morisky-Green questionnaires.

 

Record physical activity and changes in number of packets of cigarettes smoked/year in smokers.

 

Calculation of SCORE score and extrapolation to 60 years of age.

 

Perform annual blood analysis. Review pharmacological treatment.

 

Record changes in clinical variables (consumption of medications, body mass index).