Health education to help adults with high blood pressure take their medicine
Tests health education for adults with hypertension who do not take their medication.
Plain-language title generated from the registry record
Registry title: IMB-Guided Health Education Intervention for Medication Adherence and Blood Pressure Control in Non-adherent Hypertensive Patients
Key facts
- Where
- Ādēt, Ādīs ‘Alem, Bahir Dar, Gurbetē, Līben, and Mēch’a, EthiopiaSee the 8 sites
Where in Ethiopia
- Adet Primary HospitalĀdēt, EthiopiaTaking people
- Adis Alem Primary HospitalĀdīs ‘Alem, EthiopiaTaking people
- Adiss alemBahir Dar, EthiopiaTaking people
- FelehiwoteBahir Dar, EthiopiaTaking people
- Tibebe GhionBahir Dar, EthiopiaTaking people
- Durbete Primary HospitalGurbetē, EthiopiaTaking people
- Liben HospitaLīben, EthiopiaTaking people
- Merawi HospitalMēch’a, EthiopiaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Bahir Dar University
- Trial code
- NCT07894068
- Record updated
- 26 October 2026
- Original description
This study will evaluate the effectiveness of an Information-Motivation-Behavioral Skills (IMB) Model-guided health literacy intervention among adults with hypertension who are non-adherent to prescribed antihypertensive medication. The study will use a cluster randomized controlled trial design in eight public hospitals in North Ethiopia. Four hospitals will be allocated to the intervention group and four to the usual-care control group.Read full original descriptionShow less
Effectiveness of Information-Motivation-Behavioral Skills -Based Intervention on Medication Adherence and Blood Pressure Control in North Ethiopia: A Cluster Randomized Controlled Trial
This study will evaluate the effectiveness of an Information-Motivation-Behavioral Skills (IMB) Model-guided health literacy intervention among adults with hypertension who are non-adherent to prescribed antihypertensive medication. The study will use a cluster randomized controlled trial design in eight public hospitals in North Ethiopia. Four hospitals will be allocated to the intervention group and four to the usual-care control group.
The intervention will address information, motivation, and behavioral skills related to medication adherence and hypertension self-management. Participants in the intervention group will receive the IMB Model-guided health literacy intervention in addition to usual care, while participants in the control group will receive usual care.
The primary outcome is medication adherence. Blood pressure control and other specified hypertension self-management outcomes will be assessed as secondary outcomes. In addition, a qualitative component will explore the perceptions, experiences, and contextual barriers of medication non-adherent hypertensive patients regarding the information, motivation, and behavioral skills that influence their medication adherence and hypertension self-care behaviors.
The study will test the hypothesis that the IMB Model-guided health literacy intervention will improve medication adherence compared with usual care. The qualitative component will provide contextual information to help explain participants' experiences and the factors influencing medication-taking behavior and intervention implementation.
Inclusion: Adults aged 18 years and above; Documented diagnosis of hypertension (BP ≥140/90); ≥6 months on antihypertensive medication (this duration ensures stabilization of treatment regimens and allows reliable assessment of persistent medication adherence behavior and blood pressure outcomes); Identified as having poor medication adherence.
Exclusion: Severe comorbidities that limit life expectancy or participation.