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Five-year blood pressure control and mortality following health education for hypertensive patients

Author

Listed:
  • Morisky, D.E.
  • Levine, D.M.
  • Green, L.W.
  • Shapiro, S.
  • Russell, R.P.
  • Smith, C.R.

Abstract

Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) and exit interview to increase understanding of an compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous evaluation of the initial two-year experience demonstrated a positive effect of the educational program on compliance with the medical treatment and blood pressure control. Data accumulated over an addition three years, including mortality analysis, are now presented. The study group consisted of the same cohort of 400 ambulatory hypertensive outpatients in the eight experimental and control groups. The five-year analysis shows a continuing positive effect on appointment keeping, weight control, and blood pressure control. All-cause life table mortality rate was 57.3 per cent less for the experimental group compared to the control group (12.9/100 vs 30.2/100, p

Suggested Citation

  • Morisky, D.E. & Levine, D.M. & Green, L.W. & Shapiro, S. & Russell, R.P. & Smith, C.R., 1983. "Five-year blood pressure control and mortality following health education for hypertensive patients," American Journal of Public Health, American Public Health Association, vol. 73(2), pages 153-162.
    • Handle: RePEc:aph:ajpbhl:1983:73:2:153-162_1
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    Cited by:

    1. Mi Young Kwak & Eun Jeong Hwang & Tae Ho Lee, 2021. "Effects of the Physician–Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    2. Jorge César Correia & Ahmed Waqas & Isabelle Aujoulat & Melanie J. Davies & Jean-Philippe Assal & Alain Golay & Zoltan Pataky, 2022. "Evolution of Therapeutic Patient Education: A Systematic Scoping Review and Scientometric Analysis," IJERPH, MDPI, vol. 19(10), pages 1-24, May.
    3. Chatterjee, Meera, 1990. "Indian women, health, and productivity," Policy Research Working Paper Series 442, The World Bank.
    4. Marquez-Padilla, Fernanda, 2021. "When less is more: Can reduced health monitoring improve medication adherence?," Journal of Health Economics, Elsevier, vol. 75(C).

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