ArticleJournal of education and health promotion2025
The impact of educational intervention based on the constructs of the developed Pender health promotion model on medication adherence and adherence to a low-salt diet in patients with uncontrolled hypertension: A randomized controlled clinical trial.
Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundUncontrolled hypertension is a critical preventable risk factor for cardiovascular events. This study evaluated the impact of educational interventions based on the constructs of the enhanced Pender health promotion model (EPHPM) on medication adherence and low-salt diet adoption in patients with uncontrolled hypertension in Ahvaz, Iran. MATERIALS AND
methodsThe present study is a randomized clinical trial conducted from April to October 2024 among 130 patients with uncontrolled hypertension, who were covered by the health centers of East, West, and Karun districts in the city of Ahvaz. Participants were selected from men and women aged 18-70 years who had electronic health records in the Sib system and did not have controlled blood pressure (blood pressure <140/90 mmHg). They were chosen using simple random sampling and divided into two groups: the intervention group (65 participants) and the control group (65 participants). In the intervention group, educational content was delivered through group training sessions, group discussion sessions, and face-to-face question-and-answer sessions, as well as in group meetings (17-23 participants). For the delivery of educational content (short videos and text messages) during the follow-up phase, participants in the intervention group were divided into two groups: WhatsApp (40 participants) and Eita (25 participants). During the period between the educational sessions and the post-test, necessary reminders and follow-ups regarding medication adherence and the consumption of healthy, low-salt foods were conducted based on the constructs of the EPHPM. Data were collected using a researcher-developed questionnaire in two stages: pre-test and post-test (3 months after the intervention). Independent
resultsThe findings of the study revealed that, after the educational intervention, a significant difference was observed in the mean scores of the following constructs between the intervention and control groups regarding adherence to a healthy, low-salt diet: perceived susceptibility (
conclusionThe educational intervention based on the constructs of the EPHPM led to the promotion of treatment adherence, the adoption of a healthy, low-salt diet, and blood pressure control among patients with hypertension.
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