Effects of a health education intervention on hypertension-related knowledge, prevention and self-care practices in Nigerian retirees: a quasi-experimental study

Ozoemena, Eyuche Lawretta; Iweama, Cylia Nkechi; Agbaje, Olaoluwa Samson; Umoke, Prince Christian Ifeanachor; Ene, Osmond C.; Ofili, Perpetua C.; Agu, Benedicta N.; Orisa, Charity U.; Agu, Michael A.; Anthony, Enejoh

doi:10.1186/s13690-019-0349-x

Cited by 46 publications

(47 citation statements)

References 68 publications

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“…For instance, one meta-analysis of 13 studies conducted in middle-income countries showed that group education and other supportive methods improved the adherence to lifestyle modification [ 28 ]. Similarly, another study revealed group counselling and home visits encourage the participants to adopt healthy self-care practices [ 29 ]. Therefore, health education is a tool to improve patient engagement and to begin and maintain adherence to lifestyle modification and compliance with medications [ 30 ] which is ultimately one of the strongest tools for the prevention of cardiovascular disease [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

Khanal

Bhandari²,

Dhungana

et al. 2021

PLoS ONE

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Background Hypertension is a major global public health problem. Elevated blood pressure can cause cardiovascular and kidney diseases. We assessed the effectiveness of health education sessions and home support programs in reducing blood pressure among patients with uncontrolled hypertension in a suburban community of Nepal. Methods We conducted a community-based, open-level, parallel-group, cluster randomized controlled trial in Birendranagar municipality of Surkhet, Nepal. We randomly assigned four clusters (wards) into intervention and control arms. We provided four health education sessions, frequent home and usual care for intervention groups over six months. The participants of the control arm received only usual care from health facilities. The primary outcome of this study was the proportion of controlled systolic blood pressure (SBP). The analysis included all participants who completed follow-up at six months. Results 125 participants were assigned to either the intervention (n = 63) or the control (n = 62) group. Of them, 60 participants in each group completed six months follow-up. The proportion of controlled SBP was significantly higher among the intervention participants compared to the control (58.3% vs. 40%). Odds ratio of this was 2.1 with 95% CI: 1.01–4.35 (p = 0.046) and that of controlled diastolic blood pressure (DBP) was 1.31 (0.63–2.72) (p = 0.600). The mean change (follow-up minus baseline) in SBP was significantly higher in the intervention than in the usual care (-18.7 mmHg vs. -11.2 mmHg, p = 0.041). Such mean change of DBP was also higher in the intervention (-10.95 mmHg vs. -5.53 mmHg, p = 0.065). The knowledge score on hypertension improved by 2.38 (SD 2.4) in the intervention arm, which was significantly different from that of the control group, 0.13 (1.8) (p<0.001). Conclusions Multiple health education sessions complemented by frequent household visits by health volunteers can effectively improve knowledge on hypertension and reduce blood pressure among uncontrolled hypertensive patients at the community level in Nepal. Trial registration ClinicalTrial.gov: NCT02981251

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Section: Discussionmentioning

confidence: 99%

Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

Khanal

Bhandari²,

Dhungana

et al. 2021

PLoS ONE

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“…Given the level of knowledge after an average intervention was able to answer some of the indicators include a definition of hypertension, treatment of hypertension, treatment adherence, lifestyle, healthy diet and complications that are suffered by people with hypertension. Ozoemena et al 26…”

Section: Discussionmentioning

confidence: 99%

“…Ozoemena et al. 26 explain give health education interventions hypertension increase knowledge includes a healthy diet, medication adherence, prevention and treatment practices hypertension.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Educational Program on Hypertension Management Toward Knowledge and Attitude Among Uncontrolled Hypertension Patients in Rural Area of Indonesia

Kurnia

Melizza

Ruhyanudin

et al. 2020

Community Health Equity Research & Policy

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Background Hypertension is a major public health threat affecting adults worldwide. The low hypertension management knowledge causes uncontrolled high blood pressure and it’s a complication. It requires patients with uncontrolled hypertension to increase adherence to either pharmacological therapy or nonpharmacological therapy aimed at achieving normal blood pressure. Purpose The purpose of this study was to examine the effectiveness of a short-term educational program on hypertension management related knowledge and attitude among uncontrolled hypertension patients in Malang, Indonesia. Methods The research design used a Quasi-Experimental study with the design of one group pre-post-test. The participants were 41 uncontrolled hypertension patients chosen by purposive sampling at the Ciptomulyo Public Health Center. The questionnaires were used to collect the data. The Hypertension Knowledge-Level Scale (HK-LS) questionnaire was used to determine the knowledge of uncontrolled hypertension patients. KAP questionnaire was used to determine the attitude of the participants. The data were analyzed statistically using the Wilcoxon Signed Rank Test. Results The majority of respondents were aged 55–65 (54%), female (83%), housewife (76%), graduated elementary school (71%), and long suffered from hypertension >1 year (68%). The result showed that the provision of the educational program increases knowledge (p = 0,000) and attitude (p = 0,008) of patients on the management of hypertension. Conclusion Health education could improve hypertension management knowledge and attitude among uncontrolled hypertension in the rural area. Furthermore, Health providers should consider giving the education among uncontrolled hypertension.

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“…Hypertension is a major risk factor for cardiovascular disease and a cause of premature death globally [1]. The prevalence of hypertension is projected to increase to 29.2% in 2025 [2].…”

Section: Introductionmentioning

confidence: 99%

Intervention Based on Integration of Health Literacy and Health Outcomes in Hypertension “A Systematic Review”

Samsiana

Russeng

Amiruddin

2021

Open Access Maced J Med Sci

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BACKGROUND: Hypertensive patients with low health literacy rarely visit health services, therefore, they have more chances of being hospitalized in comparison with those having a more adequate health literacy. AIM: This article aims to identify intervention based on integration of health literacy and its outcome in hypertensive patients. METHODS: Articles were searched using four bibliographic databases, namely, ProQuest, Science Direct, PubMed, and Google Scholar. PRISMA 2015 is used as a guideline for determining which articles are selected, one of the criteria being published on 2011–2021. RESULTS: A total of 25,264 articles were obtained from the four databases. Seven articles were selected after the extraction and incorporation of the inclusion criteria. The health outcomes of hypertension sufferers after receiving intervention based on integration of health literacy were divided into three groups; medical health outcomes, health literacy skills, and hypertension self-management behavioral. CONCLUSION: An intervention integrated with health literacy and considering the hypertensive patient health literacy in its own will increase the health outcomes of hypertensive patient.

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Effects of a health education intervention on hypertension-related knowledge, prevention and self-care practices in Nigerian retirees: a quasi-experimental study

Cited by 46 publications

References 68 publications

Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

The Effect of Educational Program on Hypertension Management Toward Knowledge and Attitude Among Uncontrolled Hypertension Patients in Rural Area of Indonesia

Intervention Based on Integration of Health Literacy and Health Outcomes in Hypertension “A Systematic Review”

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