A randomised trial of a 5 week, manual based, self-management programme for hypertension delivered in a cardiac patient club in Shanghai

Abstract

Background: In Shanghai there are 1.2 million people with hypertension, many of whom have difficulty in affording medical treatment. Community based, anti-hypertensive clubs have been created to provide health education but education alone is often ineffective. Lifestyle change programmes have shown some potential for reducing blood pressure but in previous trials have required specialist staff and extensive contact. We have previously demonstrated that self-management programmes delivered by health professionals, such as a nurse who has had short training in self-management techniques can change health behaviour and reduce symptoms. This study was designed to evaluate the benefits of a simple, cognitivebehavioural, self-management programme for hypertension based around a hypertension manual and delivered in the setting of a community anti-hypertensive club in Shanghai.

Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013

“…5 Clinical trials have consistently shown the benefits of lifestyle modification for treating hypertension. 14,15,16,17,18,19,20,21 Furthermore, healthy lifestyles could prevent or delay use of antihypertensive medication for grade I hypertension in adults and, among individuals who were using antihypertensive medications, contribute to additional blood pressure reduction 22 and reduce the dosage and number of antihypertensive medications. 8 …”

A Randomized Controlled Trial of the Effects of Aerobic Dance Training on Blood Lipids Among Individuals with Hypertension on a Thiazide

“…In fact, current public health guidelines for the prevention of dyslipidaemia recommend physical exercise of moderate intensity [17]. In addition, effects of aerobic exercise on serum lipid levels in individuals with hypertension have been well-reported in the literature [18][19][20][21]. However, only a few studies on the effects of aerobic exercise on serum lipid levels reported the use of antihypertensive drugs by the participants [14,22].…”

Patient‐tailored self‐management intervention for older adults with hypertension in a nursing home

“…The lifestyle approach is particularly an important behavioural strategy for self‐management of hypertension (Bosworth et al. 2005, 2008, Xue et al. 2008).…”

“…Another self‐management intervention with a lifestyle approach was also beneficial for blood pressure control. The patients in the intervention group ( n = 70) had lower blood pressures compared to those receiving the usual care ( n = 70) at one month (mean group differences, systolic = 10·52 mmHg, diastolic = 7·85 mmHg) and four months (mean group differences, systolic = 10·15 mmHg, diastolic = 8·29 mmHg) (all p < 0·001) after the five‐week intervention (Xue et al. 2008).…”

“…Self‐management education increased self‐care knowledge about hypertension, compliance with healthcare appointments and self‐care behaviours, decreased healthcare use and improved adherence to medication and exercise in nursing home residents or community‐dwelling older adults with hypertension. Another self‐management intervention was also beneficial in that patients in the intervention group had a significant reduction in weight and increases in physical activity and quality of life (all p < 0·001) (Xue et al. 2008).…”