Key result
Individualized face-to-face education and counseling lowers SBP by ~4 mmHg vs usual care.
Why the study?
Hypertension management remains challenging due to behavioral risk factors, prompting an assessment of whether individualized face-to-face education and counseling improve blood pressure control.
Does individualized face-to-face education and counseling reduce systolic and diastolic blood pressure in hypertensive patients compared to usual care?
Meta-Analysis (n=2,627)
Does individualized face-to-face education and counseling reduce systolic and diastolic blood pressure in hypertensive patients compared to usual care?
Mean Difference: -4.38 (95% CI -6.95–-1.81)
Individualized face-to-face education and counseling provides significant, sustained reductions in blood pressure when added to usual care for hypertensive patients.
Supports adding individualized face-to-face counseling to usual care in hypertension; confirms efficacy for 6-month SBP reduction in meta-analysis.
Hypertension (HTN) management continues to be a concern due to challenges with behavioral risk factors. Patient education to modify unhealthy behaviors appears to be effective in managing HTN. Therefore, this meta-analysis aimed to determine whether individualized face-to-face education and counseling have a beneficial effect on systolic and diastolic blood pressure (SBP and DBP) in hypertensive patients. Studies were extracted from PubMed, Scopus, Cochrane Library, and Web of Science databases. Nine studies, comprising 2627 participants, were included. Random effects models were used to pool estimates of mean differences (MDs) with 95% confidence intervals (CIs) in SBP and DBP between the intervention and usual care groups. SBP and DBP were significantly reduced at the 6-month (MD = -4.38 mmHg, 95% CI: -6.95 to -1.81; MD = -2.09 mmHg, 95% CI: -3.69 to -0.50, respectively) and 12-month time points (MD = -2.48 mmHg, 95% CI: -3.96 to -1.01; MD = -1.71 mmHg, 95% CI: -2.88 to -0.55, respectively) with intervention. At the 24-month time point, there was a significant change in SBP (MD = -2.13 mmHg, 95% CI: -3.94 to -0.32) with intervention compared with the usual care group. This study showed that individualized face-to-face education and counseling add significant benefits to usual care for lowering blood pressure in hypertensive patients.
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Soltani et al. (2023) conducted a meta-analysis in Hypertension (n=2,627). Individualized face-to-face education and counseling vs. Usual care was evaluated on Systolic blood pressure at 6 months (MD -4.38, 95% CI -6.95 to -1.81). Individualized face-to-face education and counseling significantly reduced systolic blood pressure at 6 months compared to usual care (MD -4.38 mmHg; 95% CI -6.95 to -1.81).
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