Hypertension Education Research Articles

“TELANG TEA TIME”, MINUMAN SEHAT PENANGKAL HIPERTENSI

Hypertension is characterized by blood pressure above 140/90 mmHg and is an alarm of hemodynamic imbalance in the body. Hypertension is a silent killer. One of the efforts that can be made to stabilize blood pressure is by consuming telang (Clitoria ternatea L.) flower herbal drinks. The high antioxidant content in telang flowers is beneficial for health. To introduce the benefits of flowers to the community, community service activities were carried out in Tunge Village, Kediri Regency. This community service was carried out using the Participatory Action Research (PAR) method with a total of 238 participants. The community service was carried out in July-August 2024. It was divided into three activity groups. In each implementation, the activity was divided into six stages, namely: health screening, pretest, hypertension education, demonstration of making telang flower tea, tester, and testimony, then was closed with a post-test. There were several results obtained from the implementation of the community service activities, which were the increase in residents' knowledge about hypertension, the benefits of Clitoria ternatea L. flowers for health, and how to process Clitoria ternatea L. flowers into herbal drinks that are efficacious for health. In the processing into herbal drinks, the flower can be combined with other herbal ingredients to obtain other properties and a more delicious taste.

Assessment of adherence to antihypertensive medication and its associated factors: a cross-sectional study

Background: Hypertension is a silent killer. India is home to approximately 220 million hypertensive individuals. Poor adherence to medication may lead to complications and add to the burden of disease. So, this study aims to assess medication adherence and its associated factors. Methods: This hospital based cross sectional study was conducted at Urban Health Training center. Patients who attended Out Patient Department over the period of three months were enrolled in the study. Morisky Medication Adherence four-point scale (MMAS-4) was used to study compliance, while JAMOVI software was used for data analysis. Results: Around half (45%) of the patients had high adherence to anti-hypertensive medication. Various sociodemographic factors like age, gender, education, occupation, family history, personal history and duration of hypertension were considered. A significant association was observed between age and duration with adherence. Conclusions: There was significant association between age and poor adherence. Timely interventions are necessary to reinforce good compliance to antihypertensive drugs.

Impact of hypertension education on knowledge and healthy lifestyle practices among Indian adolescents: A quasi-experimental study

Background: This study aimed to establish the effectiveness of a hypertension knowledge education intervention among Indian adolescents to foster lifestyle changes aimed at preventing hypertension. Methods: The Hypertension Knowledge Test (HKT) was used to assess changes in knowledge using a repeated-measures one-way analysis of variance (ANOVA). The Healthy Lifestyle Practice Scale for Children and Adolescents (HELIPSCA) indexed healthy lifestyle practices, with paired t-tests used to compare pre- and post-intervention scores. A two-way mixed ANOVA examined changes in healthy lifestyle practices among adolescents divided in terms of early and late stage of development. Results: Significant mean differences were observed in overall hypertension knowledge across four domains: general awareness, lifestyle factors, causes and care, and medication management and across time periods. There was a significant improvement in HELIPSCA scores post-intervention, particularly among early adolescents. Conclusion: The hypertension knowledge intervention examined in this study was effective in establishing a cognitive base among school children, with knowledge retention observed for 3 months. Moreover, this knowledge increase was associated with a parallel change in improved healthy lifestyle practices, notably among early adolescents. These findings underscore the importance of providing school-based education programmes early in adolescence to promote awareness of chronic illnesses and encourage healthy lifestyle choices.

Psychometric properties of the Slovenian versions of the diabetes empowerment scale, long and short form, among the slovenian adults with type 2 diabetes

AimsTo determine the psychometric properties of the Slovenian versions of the Diabetes Empowerment Scale (DES), both the long form (S-DES-LF) and the short form (S-DES-SF). MethodsBetween April and September 2023, we recruited adults with type 2 diabetes (T2D) using convenient sampling in five primary health centres. We examined internal consistency, test-retest reliability, criterion validity, and discriminant validity. Confirmatory factor analysis (CFA) evaluated the fit of the one-and three-factor models for S-DES-SF and S-DES-LF, respectively. ResultsThe results of 288 individuals, with a mean age of 67 ± 9.2 years, including 132 men and 156 women, showed excellent internal consistency and strong test-retest reliability for both the S-DES-LF (Cronbach’s α=0.90; ICC=0.95) and S-DES-SF (α=0.91; ICC=0.92). Criterion validity of the S-DES-LF was confirmed through known-groups validity, with higher education (p=0.016) and absence of comorbid hypertension (p=0.034) associated with greater empowerment. Discriminant validity was demonstrated by the lack of significant correlations between the S-DES-LF and S-DES-SF scores with age or gender. CFA confirmed a good fit for the S-DES-SF's one-factor model but not for S-DES-LF three-factor model. ConclusionsS-DES-LF and S-DES-SF are valid and reliable tools for assessing diabetes empowerment in Slovenian people with T2D. Future research should further explore the convergent validity of scales.

Upaya Pencegahan Kejadian Hipertensi Melalui Edukasi Lansia di Kelurahan Sawah Padang Aua Kuning, Payakumbuh Selatan, Sumatera Barat

The elderly are the age group over 60 years. The elderly are at risk of various disease burdens such as diabetes mellitus, Alzheimer's, hypertension, and others. Hypertension is a condition characterized by an increase in blood pressure above 140/90 mmHg. Elderly people are at risk of developing hypertension due to the influence of age and the process of atherosclerosis. Many efforts can be made to prevent hypertension, namely maintaining a healthy diet, physical activity, and reducing stress. This effort can be carried out well if it is supported by ongoing education for the elderly regarding hypertension. This activity aims to provide education to the elderly to prevent hypertension and hopefully reduce the incidence of hypertension in the elderly. The method of this activity is carried out by providing education about hypertension and the efforts that need to be made to prevent hypertension to the elderly who attend Posyandu activities at the Sawah Padang Aua Kuning Subdistrict Health Center. The media used was hypertension education posters. After the counseling activity, a question and answer session was held regarding hypertension material. Many of the elderly asked questions and were enthusiastic about the material presented. It is hoped that in the future hypertension education can be carried out regularly to increase the knowledge of the elderly.

Enhancing hypertension education of community health extension workers in Nigeria’s federal capital territory: the impact of the extension for community healthcare outcomes model on primary care, a quasi-experimental study

BackgroundHealthcare workers (HCWs) including community health extension workers (CHEWs) in the Federal Capital Territory, Nigeria participated in a hypertension training series following the Extension for Community Healthcare Outcomes (ECHO) model which leverages technology and a practical peer-to-peer learning framework to virtually train healthcare practitioners. We sought to evaluate the patient-level effects of the hypertension ECHO series.MethodsHCWs from 12 of 33 eligible primary healthcare centers (PHCs) in the Hypertension Treatment in Nigeria Program (NCT04158154) were selected to participate in a seven-part hypertension ECHO series from August 2022 to April 2023. Concurrent Hypertension Treatment in Nigeria Program patient data were used to evaluate changes in hypertension treatment and control rates, and adherence to Nigeria’s hypertension treatment protocol. Outcomes were compared between the 12 PHCs in the ECHO program and the 21 which were not.ResultsBetween July 2022 and June 2023, 16,691 PHC visits were documented among 4340 individuals (ECHO: n = 1428 [33%], non-ECHO: n = 2912 [67%]). Patients were on average (SD) 51.5 (12.0) years old, and one-third were male (n = 1372, 32%) with no differences between cohorts in either characteristic (p ≥ 0.05 for both). Blood pressures at enrollment were higher in the ECHO cohort compared to the non-ECHO cohort (systolic p < 0.0001 and diastolic p = 0.0001), and patients were less likely to be treated with multiple medications (p < 0.0001). Treatment rates were similar at baseline (ECHO: 94.0% and Non-ECHO: 94.7%) and increased at a higher rate (interaction p = 0.045) in the ECHO cohort over time. After adjustment for baseline and within site variation, the difference was attenuated (interaction p = 0.37). Over time, control rates increased and medication protocol adherence decreased, with no differences between cohorts. Staffing levels, adult patient visits, and rates of hypertension screening and empanelment were similar between ECHO and non-ECHO cohorts (p ≥ 0.05 for all).ConclusionsThe ECHO series was associated with moderately increased hypertension treatment rates and did not adversely affect staffing or clinical capacity among PHCs in the Federal Capital Territory, Nigeria. These results may be used to inform strategies to support scaling hypertension education among frontline HCWs throughout Nigeria, and use of the ECHO model for CHEWs.Trial RegistrationThe Hypertension Treatment in Nigeria Program was prospectively registered on November 8, 2019 at www.clinicaltrials.gov (NCT04158154; https://clinicaltrials.gov/ct2/show/NCT04158154).

Transforming Healthcare: The AI Revolution in the Comprehensive Care of Hypertension.

This review explores the transformative role of artificial intelligence (AI) in hypertension care, summarizing and analyzing published works from the last three years in this field. Hypertension contributes to a significant healthcare burden both at an individual and global level. We focus on five key areas: risk prediction, diagnosis, education, monitoring, and management of hypertension, supplemented with a brief look into the works on hypertensive disease of pregnancy. For each area, we discuss the advantages and disadvantages of integrating AI. While AI, in its current rudimentary form, cannot replace sound clinical judgment, it can still enhance faster diagnosis, education, prevention, and management. The integration of AI in healthcare is poised to revolutionize hypertension care, although careful implementation and ongoing research are essential to mitigate risks.

HYPERTENSION AS A SILENT KILLER DISEASE: EDUCATION FOR AT-RISK COMMUNITIES IN PEKUWON VILLAGE

Hypertension is often called a silent killer disease because it does not give symptoms to the affected person. Bojonegoro Regency in East Java is one of the areas with a high rate of non-communicable diseases, reaching 385,465 people. Pekuwon Village in Bojonegoro Regency is one of many areas with high hypertension problems. An education program is needed to increase knowledge about hypertension as a disease that can come unexpectedly. The target of this education program is the people of Pekuwon Village aged 15-59 years. The hypertension education program was carried out during the Posbindu PTM activity in Pekuwon Village which was attended by 39 participants. The speaker of the education program was a village cadre who had been trained by the community service team of the Faculty of Public Health, Universitas Airlangga. The evaluation used pre-test before giving information and post-test after giving information. The results showed an increase in knowledge from 63.63% to 97.43%. These results meet the program's success indicators, namely a 30% increase in knowledge in the Pekuwon Village community.

Engaging an African American Church-based Community in Developing a Technology-focused Virtual Reality Hypertension Program

Abstract: Background: African Americans are disproportionately affected by cardiovascular disease and hypertension. To address this, we partnered with local church leaders in developing a virtual reality (VR) hypertension reduction program. Objectives: A community-based participatory research approach was adopted to develop a hypertension education program using VR, incorporating feedback from the African American church congregation members. Methods: Using a qualitative approach, a modified Delphi exercise, and member checking, the research team collaborated with congregation members who provided feedback and assisted in the development of the intervention. Lessons Learned: Incorporating feedback from church members significantly impacted the educational platform. Encouraged by the reverend, church members were engaged and participated in the 12-week program designed to reduce blood pressure. Novel approaches like VR may need more time to pilot to achieve desired results, particularly with vulnerable populations. Conclusions: This participatory research platform highlights the importance of incorporating external stakeholders throughout the research process in order to develop a meaningful health intervention using new technology that is tailored to the church members.

The impact of hypertension education on self-care management in hypertensive patients in Senderak village health centre.

To determine the effect of hypertension education on self-care management in hypertensive patients in a rural setting. The quasi-experimental study was conducted in January and February 2022 at the Senderak Village Health Centre, Bengkalis, Indonesia, and comprised hypertension patients without any complications referred to the community health centre between August 2021 and January 2022. The subjects underwent self-care education intervention. The knowledge level was assessed at baseline and post-intervention using the Hypertension Self-Management Behaviour Questionnaire. Data was analysed using IBM SPSS Statistic v23 software. All the 30(100%) patients were females, 12(40%) were aged 46-55 years, 20(66.7%) had received elementary school education and 25(83.3%) were housewives. There were 21(70%) respondents with stage II hypertension having systolic blood pressure ≥160mmHg. The mean level of knowledge about self-care management of hypertension increased significantly post-intervention (p<0.0001). Health education could improve knowledge on self-care management of hypertension in hypertensive patients.

Uncontrolled hypertension and hypertensive urgency: One-year single-center emergency department experience.

The prevalence of uncontrolled hypertension remains a significant concern in public healthcare systems, including daily practices of emergency departments (ED). We aimed to characterize patients admitted to an ED for elevated blood pressure (BP) and to identify factors leading to hospitalization. This retrospective analysis included all patients admitted to an ED in a tertiary hospital in 2022 due to an acute BP rise without hypertensive emergencies. The studied group (n = 570) constituted 1.5% of all ED admissions in 2022. The median age was 67 years (Q1-Q3) (52-75), 68.9% were females. Systolic BP (200 mm Hg [180-212]) and diastolic BP (105 mm Hg [100-115]) at home were higher than during triage (173 mm Hg [160-190] and 95 mm Hg [84-103], respectively [P <0.0001]). Thirty-nine percent of the studied population had taken BP-lowering agents before ED admission (captopril in 91.8% of cases). In the ED, nitrendipine (54.2%), captopril (38.1%), furosemide (16.3%), urapidil (10.0%), and nitroglycerine (1.9%) were administered. Eventually, a median of 140/82 mm Hg BP was reached in the median time of 288 minutes (202-400). Hospitalization was necessary in 5.4% of patients. The need for furosemide or urapidil administration in the ED doubled the risk of hospitalization (OR, 2.0; P <0.01). Before ED admission, only 17.0% of patients received guidelines-recommended single-pill combination therapy, and 17.6% had already visited ED for uncontrolled hypertension (median of 388 days earlier). Elevated BP is a common reason for admission to the ED. Crucially, improvements in long-term hypertension treatment and education are needed to reduce the number of patients seeking ED care for elevated BP.

Therapeutic patient education and treatment intensification of diabetes and hypertension in subjects with newly diagnosed type 2 diabetes mellitus: a longitudinal study.

The aim of this study is to prospectively evaluate whether individual and group Therapeutic Patient Education (TPE) can reduce the need to intensify treatment of diabetes and hypertension in newly diagnosed type 2 diabetic patients. A total of 937 patients were recruited and followed-up for 42.7 ± 21.5 months. TPE was a structured comprehensive education delivered by trained nurses: 322 patients received individual TPE (ITPE), 291 underwent group TPE (GTPE), and 324 were in Usual Care (UC). The primary endpoints were intensification of diabetes treatment and intensification of hypertension treatment. The rate of diabetes treatment intensification was 40.1% in patients receiving ITPE, 47.8% in patients undergoing GTPE, and 64.2% in patients in UC (p < 0.001). The rate of hypertension treatment intensification was 24.2% in patients following ITPE, 31.3% in patients receiving GTPE, and 41.0% in patients in UC (p < 0.001). Multivariate analysis showed that both ITPE and GTPE were associated with reduced intensification of diabetes (ITPE: HR:0.51; 95% IC:0.40-0.64; p < 0.001 - GTPE: HR:0.46; 95% IC:0.44-0.70; p < 0.001) and hypertension medication (ITPE: HR:0.45; 95% IC:0.34-0.61; p < 0.001 - GTPE: HR:0.49; 95% IC:0.38-0.65; p < 0.001). The association was independent of age, sex, BMI, HbA1c, and presence of hypertension at baseline. TPE, delivered as both individual and group sessions, represents an effective tool to reduce the need to intensify treatment of both diabetes and hypertension. Therefore, it can ensure better control of diabetes and hypertension with fewer medications. This could reduce adverse effects and costs and improve quality of life and medication taking in patients with type 2 diabetes.

Prevalence and Analysis of Risk Factors for Cataracts in Jember Regency, Indonesia

Introduction: Cataracts are the leading cause of preventable blindness. This study aims to determine the prevalence of cataracts and analyze the risk factors for cataracts in Jember Regency.&#x0D; Methods: The research design is observational research with a cross-sectional approach. The study carried out eye examinations on 1000 adults (≥50 years) who were randomly selected in Jember Regency. Risk factors analyzed included age, gender, education, occupation, smoking, and history of diabetes mellitus and hypertension.&#x0D; Results: The prevalence of cataracts in Jember Regency is 25.3%. Risk factors associated with the incidence of cataracts are age (OR=1.35; 95%CI: 1.02-1.98), female gender (OR=1.54; 95%CI: 1.12-2.13), low education (OR=1.83; 95%CI: 1.22-2.73), outdoor work (OR=3.72; 95%CI: 1.14-5.58), smoking (OR=1.42; 95%CI: 1.01-2.00), and history of diabetes mellitus (OR=2.15; 95%CI: 1.43-3.24).&#x0D; Conclusion: The prevalence of cataracts at ages ≥ 50 years in Jember Regency is quite high. Age, female gender, low education, outdoor work, smoking, and a history of diabetes mellitus are risk factors for cataracts.

Decentralising chronic disease management in sub-Saharan Africa: a protocol for the qualitative process evaluation of community-based integrated management of HIV, diabetes and hypertension in Tanzania and Uganda

IntroductionSub-Saharan Africa continues to experience a syndemic of HIV and non-communicable diseases (NCDs). Vertical (stand-alone) HIV programming has provided high-quality care in the region, with almost 80% of people living...

Increasing Community Knowledge Regarding Hypertension in Kanreapia Village, Gowa Regency

Hypertension is a major health problem that can affect people in developing countries, especially rural communities. This disease can result in health problems in the body's internal organs such as the heart, brain and kidneys. This activity aims to increase public knowledge regarding hypertension and implement preventive methods to prevent hypertension. Counseling regarding hypertension was carried out using the lecture method in Balanlohe Hamlet, Kanreapia Village, Kuncio Pao District, Gowa Regency. By displaying a PPT (Power Point) which contains material about hypertension. Pre and post tests were given to determine changes in knowledge before and after the counseling was given. Shows that based on the difference in pre-test and post-test results, there was an increase in knowledge from 6.7% who had good knowledge before counseling to 80% after being given counseling. Based on the results of the Paired Samples T Test, it shows that there is a significant difference in knowledge both before and after hypertension education. The results of this activity recommend that people adopt a healthy lifestyle, use iodized salt, exercise regularly, and have regular health checks at the nearest health facility.

The effects of education based on the Roy adaptation model on medication adherence and psychosocial adjustment in hypertensive patients

Background and AimPatient education utilizing nursing theory can enhance patient adherence to treatment and potentially decrease mortality rates. The objective of this investigation was to assess the impact of Roy's adaptation Model-focused education on medication adherence and psychosocial compliance in hypertensive patients. MethodsThis study was conducted in N = 60 hypertensive patients (n = 30 control group and n = 30 experimental group) based on a randomized controlled trial design. In the pre-test phase of the study, data was collected using the Patient Information Form, the medication adherence rating scale (MARS), and the psychosocial adjustment to illness scale-self-report (PAIS-SR). After the pre-test phase, the experimental group received hypertension education and the “Hypertension Education Booklet” for a duration of four weeks. No education was provided to the control group patients; only routine follow-ups were conducted. In the post-test phase (after four weeks), both groups were reassessed using MARS and PAIS-SR. After completing the study, the control group patients who volunteered to participate in the education were provided with hypertension education and the “Hypertension Education Booklet” for a duration of four weeks (n = 4). ResultsThe post-test measurements of patients in the experimental group (after 4 weeks of education) revealed an increase in the mean MARS scores (6.50 ± 0.86) and a significant decrease in the total and subscale mean scores of PAIS-SR (24.12 ± 7.08) (p < 0.05). No changes were observed in the control group patients. ConclusionThe results of the study revealed that the education based on the Roy's Adaptation Model increased hypertensive individuals’ medication adherence and physiological, psychological, and social adjustment to the disease. Relevance to clinical practiceThe education based on the Roy's Adaptation Model seems to be effective in increasing patients' adherence to treatment and adjustment to the disease. This model can be used in various diseases and societies, since it increases adjustment to the disease and the effectiveness of treatment.

Sex differences in the association between socioeconomic status and untreated hypertension among residents with hypertension in rural Khánh Hòa, Vietnam: a post-hoc analysis

BackgroundSeveral studies have examined the association between socioeconomic status (SES) and the proportion of untreated hypertension, but have produced conflicting findings. In addition, no study has been conducted to determine sex differences in the association between SES and untreated hypertension. Thus, the aim of this study was to examine whether the associations between SES and the proportion of untreated hypertension differed by sex in Vietnam.MethodsThis study was conducted using the data of 1189 individuals (558 males and 631 females) who were judged to have hypertension during the baseline survey of a prospective cohort study of 3000 residents aged 40–60 years in the Khánh Hòa Province. A multilevel Poisson regression model with a robust variance estimator was used to examine whether sex and SES indicators (household income and educational attainment) interacted in relation to untreated hypertension.ResultsThe proportion of untreated hypertension among individuals identified as hypertensive was 69.1%. We found significant interaction between sex and SES indicators in relation to untreated hypertension (education: p < 0.001; household income: p < 0.001). Specifically, the association between SES and untreated hypertension was inverse among males while it was rather positive among females.ConclusionsOur finding suggests that the role of SES in the proportion of untreated hypertension might differ by sex.

Exploring Community-Based Strategies to Overcome Barriers to Hypertension Education and Management in Underserved Areas

Objective:In the United States, there are over 119.9 million adults who have been diagnosed with hypertension, representing nearly half of the adult population. Of this population with high blood pressure, 75% of Americans’ hypertension remains uncontrolled. Such control rates are significantly lower among individuals of racial and ethnic minorities as compared to their white counterparts, especially those in underserved areas. We hypothesize that the identification of community-based interventions and strategies to combat barriers to hypertension treatment and education could improve management in these populations.&#x0D; Project Methods:In this study, we looked through various peer reviewed articles on community-based care and hypertension rates among minorities, exploring study design and limitations to develop a questionnaire focused on access to hypertension education. This survey was distributed randomly during outreach events around Muncie, Indiana to anyone who wished to participate, non-minority groups included. The questionnaire asked about various hypertension and healthcare barrier identification factors with a final question of whether said participant would benefit from a hypertension education course.&#x0D; Results:The participants’ responses were across the board. Regarding hypertension knowledge, participants were asked about their diagnosis, as well as their level of knowledge of hypertension and its management; participants exhibited varying levels of knowledge. Understanding key aspects of management, including medication adherence, diet, physical activity, and potential complications and warning signs, also varied among participants. Overall, these preliminary survey results highlight the diverse characteristics and experiences of participants related to hypertension, access to healthcare, and hypertension knowledge.&#x0D; Potential Impact:This study could provide information for those looking to establish community-based organizations in underserved areas. Increasing the magnitude of such teams and advocating for more interventions against barriers to hypertension education could increase not only the health of those in such communities, but also the overall wellbeing of all people in the United States.

Comparing emergency department versus high school-based recruitment for a hypertension research study with adult-youth dyads.

Dyads can be challenging to recruit for research studies, but detailed reporting on strategies employed to recruit adult-adolescent dyads is rare. We describe experiences recruiting adult-youth dyads for a hypertension education intervention comparing recruitment in an emergency department (ED) setting with a school-based community setting. We found more success in recruiting dyads through a school-based model that started with adolescent youth (19 dyads in 7 weeks with < 1 hour recruitment) compared to an ED-based model that started with adults (2 dyads in 17 weeks with 350 hours of recruitment). These findings can benefit future adult-youth dyad recruitment for research studies.

Community-Based Intervention for Elderly Patients with Diabetes Mellitus: Assessing the Effectiveness of a YouTube Self-Education Program during the Global COVID-19 Pandemic

Background: This study assessed a YouTube self-education program implemented for elderly patients with diabetes during the coronavirus disease 2019 (COVID-19) pandemic at Hypertension and Diabetes Registration and Education Center (HDREC) in Hongcheon, Korea.Methods: Content analysis was conducted on diabetes-related videos uploaded on the YouTube channel ‘I want to know blood vessels!’ and the satisfaction of 266 patients with diabetes who participated in the online self-education program via a cross-sectional study was evaluated.Results: From 2020 to 2022, the HDREC periodically delivered a total of 38 diabetes care-related videos to this channel. The mean length of individual videos was approximately 7 minutes, and the total screening time for all videos reached about 289 minutes. Participants viewed videos on lifestyle habits such as nutrition care (up to 619 times), clinical understanding regarding diabetes (up to 578 times). In terms of satisfaction with self-education, 100% of the participants answered satisfied, and 100% answered helpful from video contents. The post-score (mean, 3.55 points) was significantly higher than the pre-score (mean, 2.43 points) after comparing the differences in knowledge levels of 74 patients who participated in this education program in 2022.Conclusion: Despite the stringent quarantine policies implemented during the COVID-19 pandemic, it is expected that our YouTube education strategy will be more accessible for diabetes self-care, and will improve treatment compliance of patients with diabetes. Further research should focus on devising a more appropriate method for developing educational content based on patients’ video inquiry patterns and preferences in future crises involving non-communicable diseases.