Key result
A community-based hypertension self-management model significantly increased the proportion of patients with health literacy compared to the control group (71.6% vs 59.6%, P < 0.05).
Why the study?
Self-management plays an indispensable role in chronic disease management, but innovative models for community-based hypertension self-management required development and evaluation.
Does a community-based hypertension self-management model improve health literacy and disease management abilities in patients with hypertension?
Does a community-based hypertension self-management model improve health literacy and disease management abilities in patients with hypertension?
Absolute Event Rate: 71.6% vs 59.6%
p-value: p=< .05
A community-based self-management model involving general practitioners significantly improves health literacy and disease management behaviors in hypertensive patients.
Supports community hypertension self-management for literacy gains; hypothesis-generating and requires RCTs before practice change.
BACKGROUND: Preventive interventions of hypertension and health care activities are often performed in the community and at home. Studies have shown that self-management plays an indispensable role in the management of chronic diseases. This study aimed to explore an innovative community-based hypertension self-management model and to evaluate its effects. METHODS: The study involved qualitative and quantitative research methods. A community-based hypertension self-management model was developed using consultation with experts and qualitative interviews. The intervention was executed in the communities of Pudong New Area in Shanghai, China. We enrolled 1080 patients with hypertension in the intervention group and 588 similar patients in the control group. A questionnaire was administered before and after the intervention to collect information on patients' health status, self-management skills, and disease management abilities. Analyses were conducted to evaluate changes in the health-related outcomes. RESULTS: There was a significant difference in general health and health literacy after the intervention for the intervention patients group (P < .05). Furthermore, the proportion of health literacy was higher in the intervention group than in the control group (71.6% vs 59.6%). The significant differences were demonstrated in the comparison of the disease management ability data between the intervention and control group, especially in drug compliance, physical activity, regulate diet, and smoking. In addition, there is other evidence of the successful applicability and effectiveness of the community-based hypertension self-management program in 2007-2013, such as self-management teams formation and blood pressure control rate. CONCLUSIONS: The community-based self-management hypertension model, which involved the participation of general practitioners, is suitable for the management of hypertension disease in Pudong of Shanghai and could provide a reference for its large-scale promotion and application.
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Zhang et al. (2019) studied Hypertension (n=1,668). Community-based hypertension self-management model vs. Control group was evaluated on Proportion of health literacy (p=< .05). A community-based hypertension self-management model significantly increased the proportion of patients with health literacy compared to the control group (71.6% vs 59.6%, P < 0.05).
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