Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An
Hon Lon Tam1,2, Eliza Mi Ling Wong1, Kin Cheung1
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Insights
Educational interventions significantly improve medication adherence and blood pressure control in hypertensive patients. Supportive methods like phone calls and reminders enhance lifestyle modification adherence, suggesting integration into community health promotion.
Area of Science:
- Public Health and Preventive Medicine
- Cardiovascular Health
- Health Education
Background:
- Elevated blood pressure is a primary risk factor for cardiometabolic diseases and stroke globally.
- Recent decades show a plateau in blood pressure control rates, indicating challenges with medication and lifestyle adherence.
- Existing reviews focus on educational interventions for medication adherence, but a gap exists for lifestyle modification adherence.
Purpose of the Study:
- To conduct a systematic review and meta-analysis on the impact of educational interventions on blood pressure control.
- To evaluate the effect of educational interventions on adherence to lifestyle modifications in hypertensive patients.
Main Methods:
- A systematic literature search was performed across CINAHL Complete, PubMed, Medline, Embase, and Scopus for randomized controlled trials (2009-2019).
- Studies were selected and data extracted following PRISMA guidelines for quality synthesis and meta-analysis.
- Thirteen studies were included, analyzing individual and group educational interventions, supplemented by methods like phone calls, reminders, and reading materials.
Main Results:
- Educational interventions, particularly monthly 45-minute group sessions, demonstrated a moderate to large effect on adherence to lifestyle modifications.
- Supportive methods used post-education, including phone calls, message reminders, and reading materials, were effective.
- Both individual and group education formats showed positive impacts on blood pressure control and adherence behaviors.
Conclusions:
- Educational interventions, combined with supportive methods, are effective in improving blood pressure control and adherence to lifestyle modifications.
- Health professionals should integrate these educational strategies and supportive tools into community health promotion programs.
- This approach can enhance and sustain adherence behaviors for both medications and lifestyle modifications among individuals with hypertension.
Abstract:
Controlling blood pressure is a global concern as it is a major risk factor for cardiometabolic diseases and stroke. A flattened control rate was noted in recent decades, which highlighted an issue of adherence to medications and lifestyle modifications. Effectiveness of educational intervention on medication adherence and blood pressure control had been reviewed, but reviews on lifestyle modifications are lacking. This review with meta-analysis aimed to identify the effect of educational interventions on blood pressure control and adherence to lifestyle modifications. In accordance with the PRISMA statement, a search of CINAHL Complete, PubMed, Medline, Embase and Scopus for randomized control trials published between 2009 and 2019 was conducted. Data were extracted for quality synthesis and meta-analysis. Thirteen studies were included. Two forms of educational intervention, individual and group education, were commonly used. Phone calls, message reminders and reading materials after education were identified in the studies as supportive methods, which showed a moderate to large effect on adherence to lifestyle modifications and blood pressure control. Monthly group education lasting 45 min was suggested. Health professionals could integrate the education with supportive methods into community health promotion to improve and reinforce the adherence behavior on medications and lifestyle modifications among hypertensive patients.
Related Concept Videos
Hypertension IV: Drug Therapy and Lifestyle Modifications
Atherosclerosis III: Management
Hypertension V: Nursing Management
Hypertension III: Clinical Manifestations and Diagnostic Studies
Factors affecting Blood pressure
Physiological Factors:
Peripheral Artery Disease III: Interprofessional Care


