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Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An Integrative Review

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  • Hon Lon Tam

    (School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
    Education department, Kiang Wu Nursing College of Macau, Macau 999078, China)

  • Eliza Mi Ling Wong

    (School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China)

  • Kin Cheung

    (School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China)

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.

Suggested Citation

  • Hon Lon Tam & Eliza Mi Ling Wong & Kin Cheung, 2020. "Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An Integrative Review," IJERPH, MDPI, vol. 17(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2513-:d:342222
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    References listed on IDEAS

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    1. Rabia Hacihasanoğlu & Sebahat Gözüm, 2011. "The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(5‐6), pages 692-705, March.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Will Maimaris & Jared Paty & Pablo Perel & Helena Legido-Quigley & Dina Balabanova & Robby Nieuwlaat & Martin Mckee, 2013. "The Influence of Health Systems on Hypertension Awareness, Treatment, and Control: A Systematic Literature Review," PLOS Medicine, Public Library of Science, vol. 10(7), pages 1-18, July.
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    Cited by:

    1. Gun-Young Lee & Kyung-O Kim & Jae-Hyeong Ryu & Sun-Hee Park & Hae-Ryong Chung & Marcia Butler, 2022. "Exploring Perceived Barriers to Physical Activity in Korean Older Patients with Hypertension: Photovoice Inquiry," IJERPH, MDPI, vol. 19(21), pages 1-22, October.
    2. Ana Margarida Alves & Alexandre Rodrigues & Pedro Sa-Couto & João Lindo Simões, 2021. "Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study," IJERPH, MDPI, vol. 19(1), pages 1-22, December.
    3. Eliza Mi Ling Wong & Hon Lon Tam & Angela Yee Man Leung & Alice Siu Ping Cheung & Ka Ching Cheung & Doris Yin Ping Leung, 2022. "Impacts of Educational Interventions with Support of Mobile App versus Booklet for Patients with Hypertension and Metabolic Syndrome: A Secondary Data Analysis," IJERPH, MDPI, vol. 19(19), pages 1-10, October.
    4. Izabela Gąska & Katarzyna Sygit & Elżbieta Cipora & Marian Sygit & Anna Pacian & Maryna Surmach & Dorota Kaleta & Adam Rzeźnicki, 2021. "Assessment of the Health Behaviours and Value-Based Health Analysis of People Aged 50+ Who Were Hospitalized Due to Cardiovascular Disease," IJERPH, MDPI, vol. 18(8), pages 1-23, April.

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