Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An Integrative Review.
Hon-Lon TamEliza Mi Ling WongCheung KinPublished in: International journal of environmental research and public health (2020)
Controlling blood pressure is a global concern as it is a major risk factor for cardiometabolic diseases and stroke. A flattened control rate was noted in recent decades, which highlighted an issue of adherence to medications and lifestyle modifications. Effectiveness of educational intervention on medication adherence and blood pressure control had been reviewed, but reviews on lifestyle modifications are lacking. This review with meta-analysis aimed to identify the effect of educational interventions on blood pressure control and adherence to lifestyle modifications. In accordance with the PRISMA statement, a search of CINAHL Complete, PubMed, Medline, Embase and Scopus for randomized control trials published between 2009 and 2019 was conducted. Data were extracted for quality synthesis and meta-analysis. Thirteen studies were included. Two forms of educational intervention, individual and group education, were commonly used. Phone calls, message reminders and reading materials after education were identified in the studies as supportive methods, which showed a moderate to large effect on adherence to lifestyle modifications and blood pressure control. Monthly group education lasting 45 min was suggested. Health professionals could integrate the education with supportive methods into community health promotion to improve and reinforce the adherence behavior on medications and lifestyle modifications among hypertensive patients.
Keyphrases
- hypertensive patients
- blood pressure
- physical activity
- metabolic syndrome
- healthcare
- randomized controlled trial
- weight loss
- systematic review
- cardiovascular disease
- heart rate
- quality improvement
- meta analyses
- glycemic control
- mental health
- case control
- double blind
- high intensity
- clinical trial
- phase iii
- adipose tissue
- study protocol
- placebo controlled