RT Journal Article
T1 EDUCORE project: a clinical trial, randomised by clusters, to assess the effect of a visual learning method on blood pressure control in the primary healthcare setting
A1 Rodríguez Salceda, Isidro
A1 Escortell Mayor, Esperanza
A1 Rico Blázquez, Milagros
A1 Riesgo Fuertes, Rosario
A1 Asúnsolo del Barco, Angel
A1 Valdivia Pérez, Antonio
A1 del Cura González, Isabel
A1 García Cañón, Ana B
A1 Ortiz Jiménez, María F
A1 Cabello Ballesteros, Luisa
A1 Garrido Elustondo, Sofia
A1 Chamorro González, Laura
A1 Rodríguez Barrientos, Ricardo
AB BackgroundHigh blood pressure (HBP) is a major risk factor for cardiovascular disease (CVD). European hypertension and cardiology societies as well as expert committees on CVD prevention recommend stratifying cardiovascular risk using the SCORE method, the modification of lifestyles to prevent CVD, and achieving good control over risk factors. The EDUCORE (Education and Coronary Risk Evaluation) project aims to determine whether the use of a cardiovascular risk visual learning method - the EDUCORE method - is more effective than normal clinical practice in improving the control of blood pressure within one year in patients with poorly controlled hypertension but no background of CVD;Methods/DesignThis work describes a protocol for a clinical trial, randomised by clusters and involving 22 primary healthcare clinics, to test the effectiveness of the EDUCORE method. The number of patients required was 736, all between 40 and 65 years of age (n = 368 in the EDUCORE and control groups), all of whom had been diagnosed with HBP at least one year ago, and all of whom had poorly controlled hypertension (systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg). All personnel taking part were explained the trial and trained in its methodology. The EDUCORE method contemplates the visualisation of low risk SCORE scores using images embodying different stages of a high risk action, plus the receipt of a pamphlet explaining how to better maintain cardiac health. The main outcome variable was the control of blood pressure; secondary outcome variables included the SCORE score, therapeutic compliance, quality of life, and total cholesterol level. All outcome variables were measured at the beginning of the experimental period and again at 6 and 12 months. Information on sex, age, educational level, physical activity, body mass index, consumption of medications, change of treatment and blood analysis results was also recorded;DiscussionThe EDUCORE method could provide a simple, inexpensive means of improving blood pressure control, and perhaps other health problems, in the primary healthcare setting;Trial registrationThe trial was registered with ClinicalTrials.gov, number NCT01155973 [http://ClinicalTrials.gov].
PB BioMed Central Ltd
SN 1471-2458
YR 2010
FD 2010-07-30
LK https://hdl.handle.net/20.500.14352/123485
UL https://hdl.handle.net/20.500.14352/123485
LA eng
NO Rodríguez-Salceda I, Escortell-Mayor E, Rico-Blázquez M, Riesgo-Fuertes R, Barco AA-D, Valdivia-Pérez A, et al. EDUCORE project: A clinical trial, randomised by clusters, to assess the effect of a visual learning method on blood pressure control in the primary healthcare setting. BMC Public Health. 2010;10.
NO Este estudio fue financiado por el Ministerio de Ciencia e Innovación de España a través del Instituto de Salud Carlos III, Subprograma de Proyectos de Investigación en Evaluación de Tecnologías Sanitarias y Servicios de Salud (09/90354).
DS Docta Complutense
RD 20 mar 2026