Health promotion interventions for the control of hypertension in Africa, a systematic scoping review from 2011 to 2021

Shin, Jinhee; Konlan, Kennedy Diema; Mensah, Eugenia

doi:10.1371/journal.pone.0260411

Cited by 8 publications

(9 citation statements)

References 52 publications

(139 reference statements)

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“…Prior intervention studies included another modality, for example, health education or health promotion to promote healthy lifestyle and reduce BP in patients in developing countries. [ 34 , 35 , 36 , 37 ] One intervention in developing countries concluded that mobile health interventions can be used as an effective method for hypertension self-management in patients treated at public hospitals. [ 38 ] Further study on a larger sample is needed to assess the psychometric properties of the Arabic version of the H-SCALE including evaluation of construct, convergent, and discriminant validity in addition to test–retest reliability.…”

Section: Discussionmentioning

confidence: 99%

Health coaching for hypertension control in primary care patients with uncontrolled hypertension in Egypt

Abbas,

Salama,

Nour-Eldein

et al. 2024

Journal of Family and Community Medicine

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BACKGROUND: Health coaching effectively improves hypertension self-care activities and the control of blood pressure (BP) in hypertensive patients. Studies on the effects of health coaching on patients in primary care with uncontrolled hypertension in developing countries are limited. In this study, the effectiveness of health coaching on hypertension self-care and BP control was assessed in patients who have uncontrolled hypertension compared to standard care in Egypt. MATERIALS AND METHODS: Our quasi-experimental study included control and intervention groups. The intervention group included 70 participants who received health coaching sessions (face-to-face and by telephone) besides the standard care, whereas the control group included 71 participants who only received the standard care. The study was conducted between July 2020 and November 2021. The participants were recruited from three primary healthcare settings in the Port Said Governorate. Personal and medical history, BP measurements, and hypertension self-care activity level effects (H-SCALE) were obtained. Paired-t-test was used to assess the changes in BP measurement, and H-SCALE score before and after receiving the health coaching. McNemar’s test was used to assess changes in controlled BP and optimal hypertension self-care activities between control and health coached groups. Multiple logistic regression analysis assessed the predictors of better BP control. RESULTS: Health coaching resulted in more controlled BP (51.4%, P < 0.001) compared to the delivery of only usual care (11.3%, P = 0.008). The intervention showed a significant promotion in hypertension self-care activities, including medication usage (P < 0.001), low-salt diet (P < 0.001), and weight management (P < 0.001). The H-SCALE score mean change was the only predictor for BP control (odds ratio 1.057, P = 0.048) in the intervention group after 6 months. CONCLUSION: Intervention including traditional health coaching and phone calls is a beneficial modality for the promotion of hypertension self-care and improvement of BP control in primary care patients with uncontrolled hypertension.

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Section: Discussionmentioning

confidence: 99%

Health coaching for hypertension control in primary care patients with uncontrolled hypertension in Egypt

Abbas,

Salama,

Nour-Eldein

et al. 2024

Journal of Family and Community Medicine

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“…The self-care and home management of hypertension, like other chronic diseases, involve various behavioral changes that require optimal and effective medication adherence, self-efficacy, and prevention of complications [6,8,17]. Recent systematic reviews on self-care management of hypertension focused on the use of electronic-based technologies [18,19,20], the influence of self-care efficacy [6], and health promotion interventions for the prevention of hypertension [16,17,21]. However, to the best of our knowledge, no systematic review in recent times has specifically focused on the factors that influence home-based and self-care management of hypertension.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

Konlan

Shin

2023

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Introduction:Patients with hypertension should perform diverse self-care activities that incorporate medication adherence and lifestyle modification, such as no smoking or alcohol, weight reduction, a low-salt diet, increased physical activity, increased selfmonitoring, and stress reduction, for effective management at home. Aim:This systematic review assessed and synthesized the factors that are associated with self-care and home-based management of hypertension. Methods:The search of the articles incorporated the population, intervention, comparison, and outcome (PICO) framework. The literature was searched in four databases (PubMed, the Cumulative Index to Nursing and Allied Health Literature [CINAHL], Embase, and Web of Science) until 2022. The articles retrieved and searched from the reference list (531) were transported to EndNote version 20, and duplicates (19) were identified and removed to produce 512 titles. Following the eventual title, abstracts, and full-text screening, 13 articles were appropriate for this study. The narrative and thematic data analysis were used to analyze and integrate the data. Results:The analysis showed five themes were associated with home-based self-care and blood pressure (BP) control among patients diagnosed with hypertension. These themes that emerged were (1) the prevalence of control of BP, (2) sociodemographic factors, (3) treatment-related factors, (4) knowledge of management, and (5) knowledge of the prevention of risk factors of hypertension. The demographic factors influencing home-based self-care for hypertension were gender, age, and socioeconomic status. In contrast, the treatment factors were duration of hypertension treatment, medication burden, and medication adherence. Other factors that influenced self-care were inadequate knowledge of BP management, follow-up care, and risk factors of hypertension. Conclusion:Hypertension self-care interventions must incorporate individual, societal, and cultural perspectives in increasing knowledge and improving homebased hypertension management. Therefore, well-designed clinical and communitydwelling interventions should integrate personal, social, and cultural perspectives to improve behavior in the home management of hypertension by increasing knowledge and self-efficacy.

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“…It is, therefore, necessary to identify those young individuals who are at high-risk to implement the necessary intervention strategies for the early prevention of CVD. It is believed that these strategies are sufficient models for tackling CVD through prevention and health promotion, aimed at altering an individual’s lifestyle and behavioural habits [ 8 ]. Several meta-analyses for the prevention of hypertension found that interventions to reduce salt intake [ 9 ] and encourage weight loss through physical activity [ 10 ] and a low-calorie diet [ 11 ] showed small statistical reductions in BP over time.…”

Section: Introductionmentioning

confidence: 99%

A comparison of paediatric hypertension clinical practice guidelines and their ability to predict adult hypertension in an African birth cohort

et al. 2022

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It remains unclear which paediatric hypertension clinical practice guideline (CPG) should be applied in an African population. We, therefore, aimed to compare commonly used CPG (2017 AAP, 2016 ESH, 2004 Fourth Report) developed in high-income countries for use in South African children at four paediatric ages (children: 5 years, 8 years; adolescents: 13 years, 17 years) to determine which best predicts elevated blood pressure (BP) in adulthood (22 years, 28 years). Moreover, the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for each specific paediatric CPG was calculated across the age points. The 2017 AAP definition identified more children and adolescents with hypertension when compared to the 2004 Fourth Report and 2016 ESH guidelines. In computed hazards ratios, ages 8 years to 17 years, all three paediatric CPG significantly predicted the risk of elevated BP in young adulthood (p ≤ 0.032). However, sensitivity to predict elevated BP at age 22 years for all CPG was generally low (17.0%–33.0%) with higher specificity (87.4%–93.1%). Sensitivity increased at age 28 years (51.4%–70.1%), while specificity decreased (52.8%–65.1%). Both PPV and NPV at both adult age points varied widely (17.9%–79.9% and 29.3%–92.5% respectively). The performance of these paediatric CPG in terms of AUC were not optimal at both adult age points, however, the 2017 AAP definition at age 17 years met an acceptable level of performance (AUC = 0.71). Our results, therefore, highlight the need for more research to examine if an African-specific CPG would better identify high-risk children to minimise their trajectory towards adult hypertension.

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Health promotion interventions for the control of hypertension in Africa, a systematic scoping review from 2011 to 2021

Cited by 8 publications

References 52 publications

Health coaching for hypertension control in primary care patients with uncontrolled hypertension in Egypt

Health coaching for hypertension control in primary care patients with uncontrolled hypertension in Egypt

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

A comparison of paediatric hypertension clinical practice guidelines and their ability to predict adult hypertension in an African birth cohort

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