Key result
Family-centered empowerment with TCM health education lowers 6-month SBP by ~5 mmHg vs standard education.
Why the study?
Despite evidence for structured self-management education in hypertension, poor blood pressure control remains challenging among older adults with a chance health locus of control.
Does a health education intervention based on the Family-Centered Empowerment Model improve blood pressure control and self-management in community-dwelling older adult hypertensive patients with a chance health locus of control?
RCT (n=60)
Single-blind
Randomized number table method
No
Does a health education intervention based on the Family-Centered Empowerment Model improve blood pressure control and self-management in community-dwelling older adult hypertensive patients with a chance health locus of control?
A family-centered empowerment model combined with traditional Chinese medicine health education significantly improves blood pressure control and self-management in older hypertensive patients with a chance health locus of control.
FCEM-based education improves self-management and BP control in CHLC older adults with HTN; extends empowerment models to this subgroup.
Background Despite much evidence showing the effectiveness of structured self-management education for patients with hypertension (HTN), poor blood pressure control remains a challenge among chance health locus of control (CHLC) older adults with HTN. Objective We explored the effect of a health education intervention based on the Family-Centered Empowerment Model (FCEM) on the self-management of opportunistic older adults with HTN in Lanzhou, China. Methods We conducted a 2-armed, randomized controlled trial using a multistage sampling method in China, Lanzhou, from May 2023 to January 2024. A total of 60 patients were randomly assigned to receive either community nurse–led HTN education based on the FCEM or general community HTN education. Blood pressure, Body Mass Index (BMI), and multidimensional health locus of control (MHLC) Scale Scores, and HTN self-management scores were compared at baseline and at 3 and 6 months after the intervention. Results Analyses were conducted on the 58 patients completing follow-up. In the experimental group, the systolic blood pressure (SBP) ( t = −3.325, P = 0.002), diastolic blood pressure (DBP) ( t = −5.110, P < 0.001), and the Chance control dimension of MHLC Scale scores ( t = −4.781, P < 0.05) decreased; the scores on internal control dimensions ( t = 8.493, P < 0.001) and self-management scores ( t = 4.406, P < 0.001)improved compared with the control group at 6 months postintervention. There was a decrease in patients' BMI ( t = −1.207, P = 0.232), but the difference was not statistically significant. Conclusions This study found that education based on the FCEM was associated with greater improvements in HTN self-management and blood pressure control compared with general health education among CHLC older adults with HTN. Clinical trial registration https://www.chictr.org.cn/showproj.html?proj=194623 , identifier: ChiCTR2300070940.
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Li et al. (2026) conducted an RCT in Hypertension (n=60). Family-Centered Empowerment Model with traditional Chinese medicine health education vs. General community hypertension education was evaluated on Systolic blood pressure at 6 months (p=0.002). A family-centered empowerment model with traditional Chinese medicine health education significantly reduced systolic blood pressure (p=0.002) and improved self-management compared to general education.
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