Health education interventions for older adults with hypertension: A systematic review and meta‐analysis

Abstract

Objective The study aimed to evaluate the effectiveness of health education intervention for the control of blood pressure (BP) in older adults with hypertension. Methods Five databases were searched in March 2018 for randomized controlled trials to manage hypertension in older adults by health education. The primary outcomes were changes in systolic and diastolic BP. RevMan5 was used for meta‐analysis. Results Seven articles with 1,105 participants were included. In them, 393 (35.56%) older adults participated in health education interventions in the form of courses, and 226 (20.45%), in health education sessions. The meta‐analysis suggested an overall reduction in systolic BP after health education courses (SMD, standardized mean difference = 4.80, 95% CI: 7.01–2.59, p < .05). Similar results were observed after health education sessions (SMD = 11.73, 95% CI: 17.63–5.82, p < .05). The diastolic BP reduction showed no difference after the health education course (p = .09). The random effects meta‐analysis suggested an overall reduction in diastolic BP after health education sessions (SMD = 5.39, 95% CI: 7.98–2.79, p < .05). Conclusion Although different health education methods had different effects on hypertension control, overall, educational interventions can potentially lead to improved BP control.

Demand analysis of an intelligent medication administration system for older adults with chronic diseases based on the Kano model

“…It also reminds us of an innovative method for health education of older adults with CNCDs. Although there are multiple modalities to conduct health education, the effectiveness among older adults is mixed [ 33 ]. ICT can intensify memory and help with the retention of information through visual, auditory and tactile stimuli [ 34 ], and it is critically important to consider older adults’ individual demands to prompt changes in their behavior.…”

Hypertension perspectives and health behaviors of African youth: The effect of health education and employment

“…While studies reporting the positive effect of health education on health behavior are prevalent in older people. [30][31][32]57,58 Other research suggests younger adults on prolonged health education interventions are more prone to adopt healthier lifestyles. 59 While supportive methods (i.e.…”

“…In South Africa between 1998 and 2016, hypertension rates in young adults (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) years) more than doubled calling for preventive interventions. However, with many youth unemployed, young adults struggle to prioritize health or implement healthy behaviors.…”

“…29 Health education particularly has shown some success in improving health behaviors and modifying CVD risk factors in other regions. [30][31][32][33] Therefore, our aim was to compare HTN related beliefs and health behaviors between NEET youth and previously NEET youth undertaking a health-education training initiative (HETI).…”

Integration of text messaging interventions into hypertension management among older adults: A systematic review and meta‐analysis

“…Therefore, the hypertension education manual was developed at the international level (WHO Regional Office for the Western Pacific, 2017). Although an educational intervention could improve BP significantly among older adults with hypertension (OAwHTN), a wide variety of study durations, frequencies, and durations of each education session have been reported (Chen et al, 2020). The integration of supportive interventions into educational interventions has also been suggested.…”