Adherence Clubs to Improve Hypertension Management in Nigeria: Clubmeds, a Feasibility Study

Isiguzo, Godsent; Santo, Karla; Panda, Rajmohan; Mbau, Lilian; Mishra, Shiva Raj; Ugwu, Collins Nwachi; Virani, Salim S.; Odili, Augustine N.; Atkins, Emily

doi:10.5334/gh.1109

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…Social support was identified as the third most important strategy in the current study. Similar findings were reported by a study conducted in Nigeria, which indicated that adherence clubs for hypertension control are feasible and led to a statistically significant and clinically meaningful improvement in self-reported medication adherence, resulting in BP reduction 53. Similar results were also stated in a study conducted in China 54.…”

Section: Discussionsupporting

confidence: 88%

“…Similar findings were reported by a study conducted in Nigeria, which indicated that adherence clubs for hypertension control are feasible and led to a statistically significant and clinically meaningful improvement in self-reported medication adherence, resulting in BP reduction. 53 Similar results were also stated in a study conducted in China. 54 Group hypertension education classes are an effective way to care for patients.…”

Section: Discussionsupporting

confidence: 81%

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Stakeholder’s perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique

et al. 2023

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ObjectiveTo determine the most acceptable hypertension intervention package to promote hypertension adherence based on stakeholders’ perspectives.DesignWe employed the nominal group technique method and purposively sampled and invited key stakeholders offering hypertension services and patients with hypertension. Phase 1 was focused on determining barriers to hypertension adherence, phase 2 on enablers and phase 3 on the strategies. We employed the ranking method based on a maximum of 60 scores to establish consensus regarding hypertension adherence barriers, enablers and proposed strategies.Setting and participants12 key stakeholders were identified and invited to participate in the workshop in Khomas region. Key stakeholders included subject matter experts in non-communicable diseases, family medicine and representatives of our target population (hypertensive patients).ResultsThe stakeholders reported 14 factors as barriers and enablers to hypertension adherence. The most important barriers were: lack of knowledge on hypertension (57 scores), unavailability of drugs (55 scores) and lack of social support (49 scores). Patient education emerged as the most important enabler (57 scores), availability of drugs emerged second (53 scores) and third having a support system (47 scores). Strategies were 17 and ranked as follows: continuous patient education as the most desirable (54 scores) strategy to help promote hypertension adherence, followed by developing a national dashboard to primarily monitor stock (52 scores) and community support groups for peer counselling (49 scores).ConclusionsMultifaceted educational intervention package targeting patient and healthcare system factors may be considered in implementing Namibia’s most acceptable hypertension package. These findings will offer an opportunity to promote adherence to hypertension therapy and reduce cardiovascular outcomes. We recommend a follow-up study to evaluate the proposed adherence package’s feasibility.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 81%

Stakeholder’s perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique

et al. 2023

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“…Eight non-randomized studies reported qualitative assessments to understand outcomes ( 39 , 41 , 42 , 50–53 , 56 ); one of these was mainly a process evaluation of a sustained peer leader program for Veterans ( 39 ). One pragmatic randomized study included process evaluation in their protocol, but published article mentions challenges with balancing external validity and intervention assessments ( 19 , 58 ).…”

Section: Resultsmentioning

confidence: 99%

Lay advisor interventions for hypertension outcomes: A Systematic Review, Meta-analysis and a RE-AIM evaluation

Patil,

Bhayani,

Yoshida

et al. 2024

Front. Med.

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IntroductionLay advisor interventions improve hypertension outcomes; however, the added benefits and relevant factors for their widespread implementation into health systems are unknown. We performed a systematic review to: (1) summarize the benefits of adding lay advisors to interventions on hypertension outcomes, and (2) summarize factors associated with successful implementation in health systems using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.MethodsWe systematically searched several databases, including Ovid MEDLINE, CINAHL, PsycINFO from January 1981 to May 2023. All study designs of interventions delivered solely by lay advisors for adults with hypertension were eligible. If both arms received the lay advisor intervention, the study arm with lower intensity was assigned as the low-intensity intervention.ResultsWe included 41 articles, of which 22 were RCTs, from 7,267 screened citations. Studies predominantly included socially disadvantaged populations. Meta-analysis (9 RCTs; n = 4,220) of eligible lay advisor interventions reporting outcomes showed improved systolic blood pressure (BP) [−3.72 mm Hg (CI –6.1 to −1.3; I2 88%)], and diastolic BP [−1.7 mm Hg (CI −1 to −0.9; I2 7%)] compared to control group. Pooled effect from six RCTs (n = 3,277) comparing high-intensity with low-intensity lay advisor interventions showed improved systolic BP of −3.6 mm Hg (CI –6.7 to −0.5; I2 82.7%) and improved diastolic BP of −2.1 mm Hg (CI –3.7 to −0.4; I2 70.9%) with high-intensity interventions. No significant difference in pooled odds of hypertension control was noted between lay advisor intervention and control groups, or between high-intensity and low-intensity intervention groups. Most studies used multicomponent interventions with no stepped care elements or reporting of efficacious components. Indicators of external validity (adoption, implementation, maintenance) were infrequently reported.DiscussionLay advisor interventions improve hypertension outcomes, with high intensity interventions having a greater impact. Further studies need to identify successful intervention and implementation factors of multicomponent interventions for stepped upscaling within healthcare system settings as well as factors used to help sustain interventions.

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“…Hasil penelitian ini sejalan dengan penelitian Haidari et al (2017), menyatakan bahwa melalui intervensi dukungan sebaya selama 6 sesi terhadap 64 pasien hipertensi memberikan dampak positif terhadap kepatuhan minum obat hipertensi dengan nilai p = 0,001. Penelitian Sari et al (2020) (Isiguzo et al, 2022).…”

Section: B Analisa Bivariatunclassified

Pengaruh Intervensi Kelompok Swabantu (Self Help Group) Terhadap Kepatuhan Minum Obat Hipertensi Pada Lansia

Sesra,

Sabri,

Banowo

et al. 2023

j. mitra raflesia

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ABSTRAKLatar Belakang: Peningkatan populasi lansia membuat berbagai masalah kesehatan diantaranya adalah: hipertensi, jantung, diabetes mellitus, stroke, rematik dan cidera. Hipertensi menempati urutan pertama dengan prevalensi hipertensi global sebesar 22% dari seluruh penduduk dunia. Wilayah Asia tenggara termasuk Indonesia berada di posisi ke-3.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kelompok swabantu terhadap kepatuhan minum obat hipertensi pada lansiaMetode:Jenis penelitian ini adalah kuantitatif dengan menggunakan desain Quasy Experimental With Control Group Design dengan populasi lansia hipertensi di Kabupaten Solok. Sampel dalam penelitian ini sesuai kriteria inklusi dan ekslusi berjumlah 36 orang yang terdiri atas 18 orang kelompok intervensi dan 18 orang kelompok kontrol. Pengambilan sampel menggunakan teknik purposive sampling.Hasil: Hasil analisis univariat menunjukkan karakteristik responden paling banyak berjenis kelamin perempuan, status menikah dan lama menderita hipertensi 5-10 tahun. Hasil analisis bivariat menunjukkan p value kepatuhan = 0,000.Kesimpulan: Intervensi kelompok swabantu efektif meningkatkan kepatuhan minum obat hipertensi pada lansia. Kelompok swabantu direkomendasikan menjadi intervensi keperawatan untuk meningkatkan kepatuhan sehingga tekanan darah dapat terkontrol.Kata Kunci : Kepatuhan, Lansia, Kelompok Swabantu ABSTRACTBackground: The increase in the elderly population creates various health problems if they do not get good welfare. Diseases commonly experienced by the elderly are non-communicable diseases, degenerative in nature, caused by age such as hypertension, heart disease, diabetes mellitus, stroke, rheumatism and injuries. Hypertension ranks first in health problems in the elderly. Global prevalence of hypertension is 22% of the world's population. The Southeast Asia region including Indonesia is in 3rd position.Purpose : This study aims to determine the effect of self-help groups on adherence to taking hypertension medication in the elderlyMethods: This research is a type of quantitative research using a Quasy Experimental With Control Group Design. This research was conducted on elderly people with hypertension in Solok Regency. The sample in this study according to the inclusion and exclusion criteria was 36 people consisting of 18 people in the intervention group and 18 people in the control group. Sampling using purposive sampling technique. Collecting data through a survey using a questionnaire. Data were analyzed univariately and bivariately with the paired sample t-test.Results: The results of the univariate analysis showed that most of the respondents were mostly female with married status and 5-10 years and had suffered from hypertension for 5-10 years. The results of bivariate analysis showed p value = 0.000<h1>Conclusion: Self-help group intervention is effective in increasing adherence to taking hypertension medication in the elderly. Self help groups can be recommended as a nursing intervention to improve medication adherence so that blood pressure can be controlled.</h1>Keyword: Adherence, Erderly, Self help group

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Adherence Clubs to Improve Hypertension Management in Nigeria: Clubmeds, a Feasibility Study

Cited by 5 publications

References 32 publications

Stakeholder’s perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique

Stakeholder’s perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique

Lay advisor interventions for hypertension outcomes: A Systematic Review, Meta-analysis and a RE-AIM evaluation

Pengaruh Intervensi Kelompok Swabantu (Self Help Group) Terhadap Kepatuhan Minum Obat Hipertensi Pada Lansia

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