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Educational Program with Text Messaging for Community-Dwelling Patients with Hypertension: A Pilot Randomized
Hon Lon Tam1, Eliza Mi Ling Wong2, Kin Cheung3
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Asian Nursing Research
|June 9, 2023
Summary
A theory-guided educational program effectively reduced systolic blood pressure and pulse pressure in older adults with hypertension. This pilot study suggests the program is feasible and acceptable for community-based hypertension management.
Area of Science:
- Cardiovascular Health
- Health Education
- Geriatric Medicine
Background:
- Hypertension management in patients aged 45 years and older has suboptimal control rates.
- Effective interventions are needed to improve cardiovascular event risk reduction in this demographic.
Purpose of the Study:
- To pilot a theory-guided educational program for community-dwelling patients with hypertension aged 45 years and older.
- To assess the program's impact on blood pressure, pulse pressure, self-efficacy, and adherence.
Main Methods:
- A two-arm pilot randomized controlled trial involving 69 hypertensive patients (age ≥45 years, BP >130/80 mmHg).
- Intervention group received Health Promotion Model-guided education; control group received usual care.
- Data collected at baseline, week 8, and week 12; analyzed using generalized estimating equation.
Main Results:
- The educational program significantly reduced pulse pressure (β = -8.20, p = .007).
- A trend towards reduced systolic blood pressure (β = -7.12, p = .086) and improved self-efficacy (β = 2.61, p = .269) was observed.
- The program demonstrated small-to-moderate effect sizes for blood pressure and self-efficacy outcomes.
Conclusions:
- The theory-guided educational program is feasible and acceptable for community-dwelling hypertensive patients.
- This program shows potential for integration into existing community-level hypertension management strategies.
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