Evaluation of a group-based hypertension self-management education programme among hypertensive community dwellers

Yatim, Hanisah Mohd and Wong, Yuet Yen and Lim, Seng Hock and Hassali, Mohamad Azmi and Hong, Yet Hoi and Dali, Ahmad Fauzi and Neoh, Chin Fen (2018) Evaluation of a group-based hypertension self-management education programme among hypertensive community dwellers. European Journal of Integrative Medicine, 24. pp. 79-84. ISSN 1876-3820, DOI https://doi.org/10.1016/j.eujim.2018.10.016.

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Official URL: https://doi.org/10.1016/j.eujim.2018.10.016


Introduction: Low self-efficacy level among patients with hypertension could be the underlying reason for poor daily disease self-management, leading to suboptimal blood pressure (BP) control. A structured, group-based hypertension self-management education (HSME) programme could be a potential solution to improve BP control; however, impact of HSME programme in the Malaysian setting remain unknown. This study aimed to evaluate the impact of a structured, group-based HSME programme on hypertensive patients’ clinical and psychosocial outcomes. Methods: A pretest-posttest quasi-experimental study design was employed. Participants attended a total of 4-weekly of the HSME programme at a community hall. Participants’ clinical and psychosocial outcomes were assessed at three time-points. Data were analysed using IBM SPSS version 23.0. Results: Forty-five participants consented to join the programme, with 36 (80.0%) attended two or more sessions. At post 1-week of intervention, participants were found to have significant improvement in high-density lipoprotein (HDL) cholesterol (p = 0.001), number of days spent on vigorous physical activity (p = 0.007), motivation (p = 0.005) and self-efficacy (p = 0.005). At 2-month, participants have sustained increased in HDL cholesterol, motivation and self-efficacy, in addition to a significant improvement in self-care behaviour (p = 0.002). Conclusions: The short-term HSME programme elicited certain positive clinical and psychosocial outcomes, a larger scale randomised controlled trial should be carried out to determine the effective elements of the HSME programme that lead to the self-care behavioural changes and to evaluate the long-term impacts of sustained self-care practices among community dwellers with hypertension.

Item Type: Article
Funders: Ministry of Education, Malaysia: Research Acculturation Grant Scheme [600-RMI/RAGS 5/3 (53/2014)], UiTM internal grant [600-IRMI/DANA5/3/BESTARI (015/2017)]
Uncontrolled Keywords: Collaborative; Self-management; Education; Self-efficacy; Community
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Feb 2019 07:18
Last Modified: 13 Feb 2019 07:18
URI: http://eprints.um.edu.my/id/eprint/20296

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