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Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
Habibeh Barzegar1, Sheida Sodagar1, Mohammadreza Seirafi1
1Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
Health Promotion Perspectives
|December 5, 2024
Summary
Interventions based on the transtheoretical model (TTM) effectively improve self-care and quality of life for adults with hypertension. This approach is suitable for delivering health education and promoting behavior change in patients.
Area of Science:
- Public Health
- Behavioral Science
- Health Education
Background:
- Hypertension is a widespread condition linked to cardiovascular and kidney diseases, often exacerbated by lifestyle factors despite medication.
- Effective self-care strategies are vital for managing hypertension and preventing associated complications.
- Rising hypertension rates underscore the need for innovative intervention strategies.
Purpose of the Study:
- To assess the efficacy of transtheoretical model (TTM)-based interventions in enhancing self-care, self-efficacy, and health-related quality of life (HRQOL) among hypertensive adults.
- To determine if TTM principles can be practically applied to improve patient outcomes in hypertension management.
Main Methods:
- A systematic review and meta-analysis of 24 studies involving 6553 participants.
- Interventions utilized TTM principles delivered via various methods including individual counseling and multimedia software.
- Risk of bias was assessed using established tools like the Cochrane Collaboration tool and JBI Critical Appraisal Checklist.
Main Results:
- The included interventions focused on promoting healthier lifestyles, including improved diet and physical activity.
- TTM-based interventions were delivered through diverse educational modalities.
- Control groups received standard care, such as physician visits or general lifestyle lectures.
Conclusions:
- The transtheoretical model (TTM) and its stage of change component provide a robust framework for delivering targeted educational messages to patients.
- TTM-based interventions demonstrate potential for improving self-care behaviors and health outcomes in hypertensive populations.
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