The Efficacy of a Comprehensive Reminder System to Improve Health Behaviors and Blood Pressure Control in Hypertensive Ischemic Stroke Patients

Abstract

At 3 months, use of the Comprehensive Reminder System based on the Health Belief Model, yielded improvement in most health behaviors and blood pressure control in hypertensive ischemic stroke patients. Continued implementation of this intervention protocol is warranted to determine the long-term effect. Smoking and alcohol use behaviors need to be targeted with a different intervention.

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

“…Regarding the educational intervention, seven studies were nurse-led [28,30,32,34,[36][37][38]. The role of nursing in health promotion has been advocated by the International Council of Nurses for decades [42].…”

“…In regard to the combined method, Wan et al adopted a self-developed handbook for participants to read at home, and weekly message reminder was used in line with the content of the handbook to reinforce the effect of education [38]. One study provided a cookbook and used biweekly phone calls as supportive methods, while others employed phone calls and message reminders in different frequency.…”

“…The included studies were published from 2010 to 2019. According to the classification from The World Bank Group [27], five were from high-income economies [26,[28][29][30][31] and eight from middle-income economies [32][33][34][35][36][37][38][39]. Of the 13 included studies, two were three-arm RCTs [31,32], and, in seven studies, their educational interventions were delivered by nurses [28,30,32,34,[36][37][38].…”

“…All studies were conducted in a community or primary health setting, except one, which was conducted in hospital wards [38]. The end-point assessment was usually conducted in the same month of the last intervention delivered; only three studies stated the end-point assessment was conducted one month after the last intervention [30,33,37].…”

“…Among the theory-based studies, only two studies used supportive methods to enhance the effect of individual education. Various theories were used in these two studies, including Roy's adaptation theory and health promotion model [32], and the health belief model [38]. On the other hand, motivational interviewing and the stages of change model were identified as common theoretical frameworks.…”