This is a randomized controlled trial conducted at a community health center in Kunshan, Jiangsu, China. A total of 358 adults aged 60 years or older with hypertension were randomized 1:1 to receive either usual care or a personalized Heart Age report with a brief scripted physician explanation delivered during the routine consultation in which participants received and discussed their annual health-check results. The primary outcome is cardiovascular risk awareness at 3 months. Secondary outcomes include self-reported physical activity and dietary behaviors. Implementation outcomes, including feasibility, acceptability, fidelity, and consultation burden, are assessed primarily in the intervention group. Clinical indicators, including blood pressure, glucose, lipids, and body mass index, are obtained from routine health records at approximately 12 months as exploratory outcomes.
An exploratory four-item medication-taking questionnaire based on the Morisky-Green-Levine measure (Morisky et al., 1986) was administered at baseline. Responses were coded Yes = 1 and No = 0, with higher scores indicating more non-adherent responses. The measure was previously misidentified in the registry as the MMAS-4. The planned follow-up assessment of medication adherence was subsequently discontinued, and medication adherence was not included in the effectiveness analysis.
