IMB-guided health education to boost medication taking and blood pressure control in adults with hypertension
Official title: Effectiveness of Information-Motivation-Behavioral Skills -Based Intervention on Medication Adherence and Blood Pressure Control in North Ethiopia: A Cluster Randomized Controlled Trial
Run by Bahir Dar University · NCT07894068 · Data updated 2026-11-12
This study tests a health-literacy program based on Information-Motivation-Behavioral Skills to help adults with hypertension who don’t take their medicines regularly to take them more consistently and better control their blood pressure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 230 (estimated) |
| Sponsor | Bahir Dar University Academic / other |
| Locations | 8 sites (Ādēt and 7 other locations) |
| Status | Recruiting |
| Started | June 25, 2026 |
| Main results expected | March 25, 2027 |
| Study ends | May 25, 2027 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07894068 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with hypertension, on antihypertensive medication for at least 6 months, and identified as having poor medication adherence.
✕Probably not a fit
Patients with severe comorbidities or conditions preventing participation may not benefit from the intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This mixed-methods study uses a cluster randomized design in eight public hospitals in North Ethiopia to test whether an IMB Model-guided health literacy intervention improves antihypertensive medication adherence compared with usual care. Hospitals are assigned to either the IMB intervention or usual care; participants are adults with hypertension and documented non-adherence. The primary outcome is medication adherence, with secondary outcomes including blood pressure control and hypertension self-management measures. A qualitative component explores participants’ experiences and contextual factors influencing adherence. The intervention provides information, motivation, and behavioral skills to support adherence and self-management, delivered in addition to standard care.
Why it matters
Potential benefit: If successful, the intervention could improve medication adherence and blood pressure control among adults with hypertension, potentially reducing cardiovascular risk.
How similar studies have gone: Prior studies in behavioral-health education suggest IMB-based approaches can improve adherence, though context-specific evidence in hypertension and low-resource settings is limited and this trial adds new data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adults aged 18 years and above. 2. Documented diagnosis of hypertension (BP ≥140/90) 3. ≥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). 4. Identified as having poor medication adherence Exclusion Criteria: 1\. Severe comorbidities that limit life expectancy or participation
Where it's running
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Adet Primary Hospital
Ādēt, Ethiopia Recruiting -
Adis Alem Primary Hospital
Ādīs ‘Alem, Ethiopia Recruiting -
Adiss alem
Bahir Dar, Ethiopia Recruiting -
Felehiwote
Bahir Dar, Ethiopia Recruiting -
Tibebe Ghion
Bahir Dar, Ethiopia Recruiting -
Durbete Primary Hospital
Gurbetē, Ethiopia Recruiting
Show 2 more locations
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Liben Hospita
Līben, Ethiopia Recruiting -
Merawi Hospital
Mēch’a, Ethiopia Recruiting
Study contacts
- Study coordinator: Wallelign Alemnew Getnet, Master
- Email: wallelignaleminew@gmail.com
- Phone: +251982221932
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.