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Promotion of behavioural change in people with hypertension: an intervention study

Daniela Scala1, Maria D'Avino, Santolo Cozzolino

  • 1Centre of Biotechnologies, Cardarelli Hospital, A.O. Cardarelli Via Cardarelli, 9, 80131 Naples, Italy. daniela.scala@ospedalecardarelli.it

Pharmacy World & Science : PWS
|June 28, 2008
PubMed

Insights

A motivational approach significantly reduced blood pressure in hypertensive patients. This intervention improved lifestyle modifications more effectively than standard care, highlighting its value in hypertension management.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Medicine

Background:

  • Hypertension is a major cardiovascular risk factor.
  • Effective lifestyle modification strategies are crucial for blood pressure control.
  • Motivational interviewing shows promise in health behavior change.

Purpose of the Study:

  • To evaluate the efficacy of a comprehensive motivational approach in reducing blood pressure.
  • To assess the impact of motivational intervention on lifestyle modifications in hypertensive patients.
  • To compare the effectiveness of a motivational approach versus standard care in managing hypertension.

Main Methods:

  • A randomized controlled trial involving 292 hypertensive patients without diabetes or dyslipidemia.
  • Intervention group received a comprehensive motivational approach including focus groups and role-playing.
  • Control group received standard oral information.
  • Blood pressure and lifestyle modifications were assessed at baseline and 12 months.

Main Results:

  • The intervention group showed a significant reduction in both systolic and diastolic blood pressure (P < 0.001).
  • The control group demonstrated a significant reduction in systolic blood pressure only (P = 0.01).
  • Blood pressure decreased more markedly in the intervention group compared to the control group (P < 0.001 for both).
  • Significant improvements in lifestyle modifications were observed in both groups after 12 months.

Conclusions:

  • A motivational approach is a powerful tool for improving blood pressure control.
  • This approach enhances lifestyle modifications, contributing to better hypertension management.
  • Motivational skills are essential for healthcare professionals involved in patient care.
Abstract

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