Sau Nga Fu|Dao M|Carlos King Ho Wong|Bernard Man Yung Cheung
Knowledge and practice of home blood pressure monitoring 6 months after the risk and assessment management programme: does health literacy matter?
Hospital Authority|Hospital Authority|University of Hong Kong|Chinese University of Hong Kong|University of Hong Kong
little known whether patients lower health literacy could retain practice knowledge home blood pressure monitoring hbpm educational programmea cluster randomised controlled trial five primary care clinics recruited participants uncontrolled hypertension clinics randomised either hbpm group education risk assessment management programme rampgroup individual counselling selfmanagement rampindividual health literacy assessed chinese health literacy scale chronic care practice knowledge hbpm surveyed 10item hbpm knowledge checklist patient record review 6 months interventions predictors regular hbpm good hbpm knowledge assessed multivariate logistic regression models287 participants rampgroup 151 rampindividual 136 followup 6 months 272 participants completed knowledge questionnaires response rate 948 678 participants performed hbpm regularly statistical difference interventions age 65 adjusted odds ratios aor 258 95 ci 137 486 p0003 working aor 234 95 ci 110 497 p0027and adequate health literacy aor 225 95 ci 128 395 p0005 predicted regular hbpm participants rampgroup demonstrated significant lower body weight rampindividual 0320 kg vs 07 17 kg p0001the rampgroup participants eight times likely full hbpm knowledge score rampindividual participants aor 846 95 ci 468 1528 p0001patients could retain hbpm knowledge better rampgroup rampindividual older retired patients adequate health literacy likely continue weekly hbpm 6 months educationnct02551393