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Doctor communication training helps hypertension care

Training physicians in communication skills improved hypertensive patients’ health literacy, blood pressure control, adherence, and self-efficacy in an Iranian RCT.

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Where was the trial conducted?

Primary health care centres in Mashhad, Iran.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

How many patients were assigned to each arm?

119 intervention and 121 control patients.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

What was the 6-month primary outcome?

Proportion of patients with controlled BP from SBP/DBP reduction.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

What baseline HL pattern was reported?

70% had inadequate or marginal health literacy.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

What benefits did authors attribute to communication training?

Improved HL, medical outcomes, medication adherence, and self-efficacy.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

How was uncontrolled BP defined for many patients?

Average SBP >140 or DBP >90 mmHg (stricter 130/80 with diabetes/renal disease).

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

How were health centres allocated?

Randomly assigned as the unit of randomization to intervention or control.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

When were outcomes measured after training?

At 1 and 6 months after educational training completed.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

How did adequate HL relate to adherence and BP?

Adequate HL associated with better adherence, self-efficacy, and BP scores.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

What did authors conclude about physician communication skills?

Higher physician communication skills associated with better patient HL and medical care.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified

What disease framed the clinical problem?

Hypertension as a major chronic disease with high global mortality.

Source: Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial · DOI · quote verified