Effectiveness of a hybrid model education program for hypertension management: a secondary analysis of healthy community clinic records in Jordan

BACKGROUND: Uncontrolled hypertension contributes substantially to the burden of noncommunicable diseases and poses a significant threat to public health. Despite the high prevalence of hypertension in Jordan, gaps remain in effective management strategies and community awareness. OBJECTIVE: To evaluate the effectiveness of the Hybrid Model Education Program implemented in Healthy Community Clinics (HCCs) in Jordan. METHODS: This study was designed as a prospective longitudinal secondary analysis of the HCCs' database. Data were collected from April 2024 through December 2024. Of the 17 519 adult beneficiaries who attended HCCs across Jordan, 9193 adults with a documented diagnosis of hypertension and complete clinical data were analyzed. Descriptive statistics and repeated measures analyses were performed to assess changes across five educational sessions in blood pressure, weight, dietary habits, and physical activity. RESULTS: The analytic sample included 9193 hypertensive adults (mean age 55.6 years; 63.9% female). Most participants resided in the Middle region (63.8%), and 25.5% were current smokers. Across sessions, statistically significant improvements were observed in mean weight (-3.0 kg, 95% CI: -3.9 to -2.1), systolic BP (-8.1 mmHg, 95% CI: -9.5 to -6.7), diastolic BP (-3.0 mmHg, 95% CI: -3.8 to -2.2), vegetable meal consumption (+0.39 meals/day, 95% CI: +0.31 to +0.47), and proportion classified as physically active (+9.8%, P < 0.001). CONCLUSION: This study, based on a census of available HCCs' records, provides evidence that the Hybrid Model Education Program can effectively improve lifestyle behaviors and hypertension control in a large community-based Jordanian population.