Volume 12, Issue 4 (2024)
Health Educ Health Promot 2024, 12(4): 1001-1028 |
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Roza E, Rusdi M, Guspianto G, Hasibuan M H E. An Educational Intervention Model to Improve Hypertension Self-Management in the Elderly: A Systematic Review. Health Educ Health Promot 2024; 12 (4) :1001-1028
URL: http://hehp.modares.ac.ir/article-5-77913-en.html
URL: http://hehp.modares.ac.ir/article-5-77913-en.html
1- Concentration in Public Health Education, University Jambi, Indonesia , elviroza947@gmail.com
2- Concentration in Public Health Education, University Jambi, Indonesia
2- Concentration in Public Health Education, University Jambi, Indonesia
Abstract: (98 Views)
Aims: This systematic review aimed to evaluate the effectiveness of educational interventions designed to improve hypertension self-management among elderly populations.
Method: The review was conducted in accordance with the PRISMA 2020 guidelines. Eligible studies were selected based on the PICOs framework and included randomized controlled trials, quasi-experimental studies, and pre-post designs published between 2000 and 2024. Six electronic databases—PubMed, Scopus, Web of Science, ScienceDirect, JSTOR, and Cochrane Library—were systematically searched. Study quality was assessed using the Critical Appraisal Skills Program (CASP), and the Risk of Bias (RoB 2) tool was used to assess bias in randomized studies.
Results: This review included 15 studies, primarily RCTs, with sample sizes ranging from 20 to 253 participants. The studies revealed that educational interventions significantly enhanced self-management in elderly individuals with hypertension. Interventions such as mobile application-based support, face-to-face group education, and telephone-based guidance led to improvements in key outcomes, including blood pressure control, medication adherence, and lifestyle modifications. These programs also boosted participants' knowledge and self-efficacy in managing their condition. Notably, interventions targeting adherence to the DASH diet showed significant improvements in both dietary habits and physical activity, contributing to better overall hypertension management.
Conclusion. Educational and self-management interventions, especially those integrating digital tools, effectively improve hypertension management in older adults. These findings support the use of tailored, multifaceted approaches to enhance self-care behaviors and blood pressure control, with implications for future research on long-term and scalable interventions.
Method: The review was conducted in accordance with the PRISMA 2020 guidelines. Eligible studies were selected based on the PICOs framework and included randomized controlled trials, quasi-experimental studies, and pre-post designs published between 2000 and 2024. Six electronic databases—PubMed, Scopus, Web of Science, ScienceDirect, JSTOR, and Cochrane Library—were systematically searched. Study quality was assessed using the Critical Appraisal Skills Program (CASP), and the Risk of Bias (RoB 2) tool was used to assess bias in randomized studies.
Results: This review included 15 studies, primarily RCTs, with sample sizes ranging from 20 to 253 participants. The studies revealed that educational interventions significantly enhanced self-management in elderly individuals with hypertension. Interventions such as mobile application-based support, face-to-face group education, and telephone-based guidance led to improvements in key outcomes, including blood pressure control, medication adherence, and lifestyle modifications. These programs also boosted participants' knowledge and self-efficacy in managing their condition. Notably, interventions targeting adherence to the DASH diet showed significant improvements in both dietary habits and physical activity, contributing to better overall hypertension management.
Conclusion. Educational and self-management interventions, especially those integrating digital tools, effectively improve hypertension management in older adults. These findings support the use of tailored, multifaceted approaches to enhance self-care behaviors and blood pressure control, with implications for future research on long-term and scalable interventions.
Article Type: Systematic Review |
Subject:
Health Promotion Approaches
Received: 2024/11/10 | Accepted: 2024/12/6 | Published: 2024/10/19
Received: 2024/11/10 | Accepted: 2024/12/6 | Published: 2024/10/19
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