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We examined the effectiveness of four short instructional training videos on HT management.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Eighteen primary health care facilities were randomly selected using systematic sampling from five districts in the Dar es Salaam region, Tanzania. Pre-post provider knowledge assessments were conducted six months after training and provider performance was measured using patient observations on 8-10 consecutive adult patients per facility. A Screening Quality Index (SQI), comprised of ten HT screening standards, was used to measure adherence.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Pre-post knowledge scores improved significantly, for, time between blood pressure (BP) readings (28.1% to 72.7%, p=0.01), BP threshold for patients with complications (21.2% to 97.0%, <jats:italic>p<\/jats:italic>&lt;0.001), and lifestyle\/dietary counseling (from 36.4% to 97.0%, <jats:italic>p<\/jats:italic>&lt;0.001). SQI was significantly higher following the training for all provider groups; Nurses (3.0\u00b13.5 to 8.4\u00b11.0, <jats:italic>p<\/jats:italic>&lt;0.001), Assistant Medical Officers and Medical Officers (3.5\u00b14.1 to 7.6\u00b12.4, <jats:italic>p<\/jats:italic>&lt;0.001), and Assistant Clinical Officers and Clinical Officers (5.4\u00b13.8 to 8.4\u00b12.0, <jats:italic>p<\/jats:italic>&lt;0.001). After training, significantly higher adherence was evident for key aspects of managing patients with HT: e.g., counseling on medication (62.1% to 92.7%, <jats:italic>p<\/jats:italic>=0.002), side effects (41.4% to 56.1%, <jats:italic>p<\/jats:italic>=0.009), reducing caloric intake (69.0 % to 95.1%, p=0.003), reducing cooking salt (65.5% to 97.6%, <jats:italic>p<\/jats:italic>&lt;0.01), increasing physical activity (55.2% to 92.7% <jats:italic>p<\/jats:italic>&lt;0.001), stopping\/reducing cigarette smoking (24.1% to 63.4%, p=0.001), and reducing alcohol consumption (24.1% to 68.3%, <jats:italic>p<\/jats:italic>&lt;0.001). SQI was significantly associated with number of years of provider experience (more than 2 years), type of primary healthcare facility (public facility), and exposure to the training intervention.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Training with short instructional videos can improve provider competency and clinical performance for HT management. The strategy has the potential to enhance effective implementation of HT control strategies in primary care clinics in Tanzania and elsewhere.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-022-08064-5","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T14:05:06Z","timestamp":1654005906000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management \u2013 a pre-post study in primary healthcare settings, Tanzania"],"prefix":"10.1186","volume":"22","author":[{"given":"Anbrasi","family":"Edward","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gibson B.","family":"Kagaruki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Manase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence J.","family":"Appel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunihiro","family":"Matsushita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"issue":"9455","key":"8064_CR1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/S0140-6736(05)17741-1","volume":"365","author":"PM Kearney","year":"2005","unstructured":"Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. 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Written informed consent was obtained from the health providers and supervisors, and verbal informed consent from the patients who were 30 years or older. Based on the Johns Hopkins Bloomberg School of Public Health Institutional Review Board (#9856) and the National Institute of Medical Research, Tanzania (#R.8c\/Vol 1.1\/751) IRB approval, we were not required to obtain consent from a parent or legal guardian for adults aged 30+ who were included in this research. Both research institutions; Johns Hopkins Bloomberg School of Public Health Institutional Review Board and the National Institute of Medical Research, Tanzania, approved informed verbal consent for illiterate participants who were 30 years or above. All research methods were performed in accordance with the relevant guidelines and regulations for the Tanzania and Johns Hopkins IRB<b>.<\/b>","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"Not applicable","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"AE, FM, GB, KM, and LA were partially funded by the Resolve to Save Lives Grant. The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"721"}}