Effect of Modular Training on Self‐Management, Disease, and Treatment Adaptation in Individuals With Hypertension: A Randomized Controlled Trial

ABSTRACT Hypertension requires sustained self‐management, behavioral adaptation, and effective patient education. Individuals often experience insufficient knowledge, low motivation, and difficulty maintaining treatment behaviors. This randomized controlled trial evaluated the effect of nurse‐led modular education on self‐efficacy, medication adherence, and disease adaptation in hypertensive individuals. A pretest/posttest randomized controlled trial was conducted with 46 hypertensive adults (intervention = 23, control = 23) in an internal medicine outpatient clinic. Data were collected using the Hypertension Self‐Efficacy Scale (HSES), Modified Morisky Scale (MMS), and Adaptation to Chronic Illness Scale (ACIS). The intervention group received one face‐to‐face session and four modular educational sessions via telephone over 12 weeks. The control group received routine care and completed the same measurements. Intervention participants demonstrated significant improvements in self‐efficacy ( p = 0.001), medication knowledge ( p = 0.001), motivation ( p = 0.011), and total disease adaptation ( p = 0.001). No significant improvement was observed in psychological adaptation. The control group showed a significant decline in self‐efficacy and total adaptation scores. Nurse‐led modular education significantly improved key hypertension self‐management outcomes, including self‐efficacy, medication knowledge, and physical and social adaptation to chronic illness. However, blood pressure control rates were not assessed as a primary outcome. Trial Registration : ClinicalTrials.gov: NCT06816732.