[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"University of Ghana\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":79},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,48],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100587352","effectiveness-of-phone-call-and-video-based-interventions-to-improve-adherence-to-medications-in-hypertensive-patients-100587352",false,"NCT06927271","Effectiveness of Phone Call and Video-based Interventions to Improve Adherence to Medications in Hypertensive Patients","Effectiveness, Cost-effectiveness, and Acceptability of Phone Call and Video-based Interventions to Improve Adherence to Antihypertensive Medications","Inclusion Criteria:\n\n* adult aged 18 years or older\n* diagnosed of hypertension\n* has uncontrolled hypertension (i.e. systolic blood pressure ≥140 mmHg and a diastolic blood pressure ≥ 90mmHg) documented in their records on 2 clinic visits\n* has been prescribed at least one antihypertensive medication for a period of 2 months before the study\n* owns a smart phone or has access to one at all times.\n\nExclusion Criteria:\n\n* Pregnant women with hypertension or within 3 months postpartum\n* Hypertensive patients with diabetes, liver failure or kidney disease\n* Plans to travel out of the country during the period of the study\n* Participating in another mobile health intervention or medication adherence intervention\n* has a psychiatric disease or mental illness 6) has a visual impairment.","ALL","18 Years","65 Years",{"count":20,"type":21},1400,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this clinical trial is to find out if phone call and video-based interventions that seek to educate people with uncontrolled high blood pressure and also remind them to take their medicines will improve adherence to their medicines. It will also examine if the interventions are economical to implement. The main objectives of the study are:\n\n* Design videos and phone call-based interventions for people with hypertension.\n* Examine the effect of videos and phone call-based intervention on adherence to medication in people with hypertension.\n* Calculate the costs associated with the mobile health intervention\n* Examine the factors influencing acceptance of video and phone calls based interventions for improving adherence to antihypertensive medications among patients\n\nParticipants will:\n\n* Receive the intervention thrice weekly for 3 months\n* Visit the health facility at the end of 3 months for check up and measurement of outcome variables (adherence and blood pressure). Additionally, at the end of 3 months, the acceptability of the interventions will be measured among the participants who received either phone call or video.\n\nResearchers will compare the two groups (one group will utilize phone call whereas the other videos) with the control group to see if the mobile interventions improve adherence to medicines. Only adults 18 years and above in selected health facilities in the Eastern will participate in the study. The selected participants should have uncontrolled blood pressure based on readings from last 2 visits. To be included in the study, the participants need to own a smartphone.",[27,28],"Hypertension","Hypertension (Without Type 2 Diabetes Mellitus)",[30,31,32,33,34],"hypertension","adherence","medications","mHealth","mobile technology","RECRUITING","2025-04-13",{"date":38,"type":39},"2025-04-15","ACTUAL",{"date":41,"type":39},"2025-02-24",{"date":43,"type":21},"2025-08-30",{"name":45,"class":46},"University of Ghana","OTHER",1,{"id":49,"slug":50,"hasResults":11,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":16,"minAge":55,"maxAge":56,"enrollmentInfo":57,"targetDuration":4,"studyType":22,"phases":59,"briefSummary":60,"conditions":61,"keywords":64,"overallStatus":70,"whyStopped":4,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":74,"completionDateStruct":76,"leadSponsor":78,"locationsCount":4},"100570030","multiple-family-group-intervention-programming-to-improve-mental-health-of-adolescents-living-with-hiv-in-ghana-an-implementation-science-approach-100570030","NCT06701942","Multiple-Family Group Intervention Programming to Improve Mental Health of Adolescents Living With HIV in Ghana: An Implementation Science Approach","Multiple-Family Group Intervention Programming to Improve Mental Health of Adolescents Living With HIV\u002FAIDS in Ghana: An Implementation Science Study Protocol.","Inclusion Criteria:\n\n* Adolescents:\n\nAged 10-19 years (as per WHO definition of adolescence) Confirmed HIV-positive status Currently receiving antiretroviral therapy (ART) Aware of their HIV status Residing in Lower Manya Krobo district Able to communicate in either English or the local language Willing to participate in group sessions\n\nCaregivers\u002Ffamily:\n\nPrimary caregiver of an eligible adolescent participant Aged 18 years or older Aware of the adolescent\\'s HIV status Residing in Lower Manya Krobo district Able to communicate in either English or the local language Willing to participate in group sessions\n\nExclusion Criteria:\n\n* Adolescents:\n\nPresence of severe cognitive impairment that would prevent participation in group activities Acute psychiatric conditions requiring immediate intensive treatment Current participation in another mental health intervention study Unable to provide assent or obtain caregiver consent\n\nPrimary Caregivers\u002FFamily:\n\nPresence of severe cognitive impairment that would prevent participation in group activities Acute psychiatric conditions requiring immediate intensive treatment Unable to provide informed consent\n\nBoth Adolescents and Caregivers:\n\nPlanning to relocate outside of Lower Manya Krobo district within the next 12 months Unable to commit to attending the majority of planned group sessions","10 Years","19 Years",{"count":58,"type":21},80,[24],"When young people living with HIV don't get the mental health support they need, it can lead to a lot of problems. Not only do they suffer from mental health issues, but it also makes it harder for them to stick to their HIV treatment, practice safe sex, go to school regularly, and do well in their studies.\n\nBecause of these challenges, experts are urging that we take action to address the mental health needs of these adolescents. They believe that our healthcare system should provide a more comprehensive approach that includes mental health services for these young people. This would not only improve their HIV treatment but also give more people access to mental healthcare around the world.\n\nBeing a teenager with HIV is especially difficult, so it's crucial they get the right support, including help with their mental health, to navigate this stage of life. However, many studies show that mental health issues in young people living with HIV, especially in poorer areas, are often ignored. These places often have underfunded and poorly organized healthcare systems, making it even harder to address these problems.\n\nThere have been significant advances in treating and preventing HIV, and with the right medication, young people with HIV can now live almost as long as those without the virus. Ghana, like many other countries, has committed to the global goal of ensuring that 95% of people living with HIV are diagnosed, 95% of those diagnosed start treatment, and 95% of those on treatment achieve and maintain low levels of the virus. But these goals are hard to reach without addressing the significant mental health and substance abuse issues faced by adolescents living with HIV.\n\nIn Ghana and other low-resource areas, the healthcare system is struggling. Mental health services are rarely included in the basic healthcare that young people living with HIV receive. Most psychiatric units in hospitals are underfunded, so these young people are often referred to specialized hospitals for mental health support. However, financial difficulties, distance, and other barriers prevent many from accessing these services, leaving their mental health needs unmet.\n\nTo address this issue, it's essential to integrate mental health services into primary care for adolescents living with HIV. One promising approach is the Multiple Family Group Therapy (MFGT), which could provide much-needed support in these settings.\n\nMultiple Family Group Therapy (MFGT) is a very affordable way to address the emotional and social challenges faced by young people living with HIV and their families. It's a proven method that's listed in the U.S. national registry of effective programs because it uses minimal resources to achieve positive mental health outcomes for many participants.\n\nMFGT was initially designed to help children with behavior problems and their parents, but it has since been used to address a wide range of issues like depression and anxiety in different groups, including people living with HIV. The program is structured and combines group and family therapy, focusing on building skills and improving family dynamics through what are called the 4Rs (Rules, Responsibility, Relationship, and Respectful communication) and 2Ss (Stress and Social support).\n\nThe main goal of MFGT is to create a space where families who are dealing with similar challenges can support each other and learn together, all with the aim of improving mental health and behavior. The program helps participants stay engaged with healthcare services, stick to their treatment, reduce symptoms, prevent relapses, and improve their overall quality of life.\n\nAlthough MFGT was developed in the West and is based on several theories like family systems and social learning, it has been successfully adapted for use in low-resource settings like Ghana. It's particularly appealing in these areas because it can be facilitated by non-professionals such as lay counselors, community health workers, or even parents. This aligns with the World Health Organization's strategy of task-shifting, which involves training non-mental health professionals to provide basic mental health support.",[62,63],"Depressive Disorder","Anxiety Disorder (Panic Disorder or GAD)",[65,66,67,68,69],"Multiple family group therapy","Adolescents","HIV\u002FAIDS","Depression","Anxiety","NOT_YET_RECRUITING","2024-11-19",{"date":73,"type":39},"2024-11-22",{"date":75,"type":21},"2025-01-15",{"date":77,"type":21},"2026-12-30",{"name":45,"class":46},""]