ArticleFrontiers in cardiovascular medicine2024
The effect of trans-theoretical model stage-matched intervention on medication adherence in hypertensive patients.
Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- The impact of training based on the transtheoretical model on increasing physical activity in overweight and obese housewives.BMC women's health · 2025Trial
- The effectiveness of innovative educational techniques based on the Transtheoretical Model on the self-care ability of patients with colorectal cancer undergoing ostomy: A randomized controlled trial.International journal of nursing sciences · 2026Article
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Authors and funding
5 authors.
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Abstract
Introduction: Hypertension is a chronic condition that requires active patient management and awareness of treatment strategies. This study aimed to evaluate the effectiveness of an intervention program grounded in the Transtheoretical Model (TTM) of behavior change for improving treatment adherence among hypertensive patients. Materials and methods: This study conducted at the Nukan Comprehensive Rural Health Center in Kermanshah, Iran, 120 participants were selected according to specific inclusion criteria. Demographic data and responses to 20 hypertension-related behavior questions were collected via a questionnaire. Participants were categorized into non-adherence (pre-contemplation, contemplation, preparation stages) and adherence categories (action and maintenance stages) based on self-reported medication adherence, with 60 individuals in each group. Each group was then randomly divided into intervention and control subgroups. The educational intervention consisted of four 45 min sessions grounded in TTM constructs regarding to health-related behaviors including Physical activity, salt and oil intake, and fruit and vegetable consumption, and medication adherence. Three months post-intervention, a follow-up questionnaire evaluated the educational impact on treatment adherence. The McNemar test and Chi-square test were utilized to analyze effects across the intervention, control, and pre- and post-intervention groups. Results: The participants had a mean age of 58.09 years (SD = 11.85). Three months after the intervention, the non-adherence intervention group showed significant progress in transitioning to the action and maintenance stages across all physical activity behaviors, as well as in salt, oil, fruit and vegetable intake, and medication adherence ( Conclusion: This research highlights the potential benefits of applying the TTM to tailor interventions for hypertensive patients with poor treatment adherence, suggesting that such an approach can enhance the efficacy of health education interventions.
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