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The Impact of Peer Support Program on Adherence to the Treatment Regimen in Patients with Hypertension: A Randomized
Ameneh Haidari1, Mahin Moeini2, Alireza Khosravi3
1Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Peer support programs significantly improved adherence to medication, diet, and activity regimens in hypertension patients. This intervention offers a valuable strategy for managing high blood pressure and its associated risks.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Background:
- Hypertension is a leading global risk factor for mortality.
- Effective management strategies are crucial for controlling blood pressure.
- Peer support programs are recognized interventions for chronic disease management.
Purpose of the Study:
- To evaluate the impact of a peer support program on treatment regimen adherence in hypertension patients.
- To compare the effectiveness of peer support versus standard care in improving hypertension management.
Main Methods:
- A clinical trial involving 64 hypertension patients.
- Data collected via adherence questionnaires pre-intervention, immediately post-intervention, and 1 month post-intervention.
- Experimental group received 6 peer support sessions; control group received 2 researcher-led sessions.
Main Results:
- No significant baseline differences in adherence scores between groups.
- Significant increases in adherence scores observed in the peer support group immediately and 1 month after the intervention (p < 0.001).
- The peer support program demonstrated a statistically significant positive effect on adherence.
Conclusions:
- Peer support programs positively influence adherence to medication, diet, and activity regimens in hypertensive patients.
- This intervention is effective in enhancing self-management of hypertension.
- Peer support represents a promising approach for improving hypertension control and patient outcomes.
Background:
High blood pressure is the greatest risk factor of death, and patients should manage to control it. Peer support program is used to control chronic diseases. This study aims to determine the effect of peer support program on adherence to the regimen in patients suffering from hypertension.
Materials And Methods:
This study is a clinical trial conducted among 64 patients with hypertension referring to the Hypertension Research Center (Isfahan. Iran). The information was collected in three stages - before the start of intervention, immediately after, and 1 month after the intervention using a questionnaire of adherence to the treatment regimen for high blood pressure. The questionnaires were filled using a questioning method by patients who were not aware of the study. The experimental group attended 6 sessions of the peer support program (1 hour), and the control group attended two sessions held by the researcher. Data were analyzed using the Statistical Package for the Social Sciences version 18 software, and statistical tests were analyzed using independent t-test and analysis of variance with repeated measures.
Results:
Before the intervention, there was no significant difference in adherence to the treatment regimen score between the two groups regarding the three aspects of medication regimen, diet, and activity program. Increase in scores of control group immediately after and 1 month after peer support program was higher (p < 0.001) compared to before the intervention.
Conclusions:
This study showed that peer support programs had a positive impact on adherence to the treatment regimen in patients suffering from hypertension.
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