Published online May 26, 2024. doi: 10.12998/wjcc.v12.i15.2578
Revised: March 11, 2024
Accepted: April 8, 2024
Published online: May 26, 2024
Processing time: 85 Days and 1 Hours
Hypertension is a major risk factor for cardiovascular disease and stroke, and its prevalence is increasing worldwide. Health education interventions based on the health belief model (HBM) can improve the knowledge, attitudes, and behaviors of patients with hypertension and help them control their blood pressure.
To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.
Between 2021 and 2023, 140 patients with hypertension were randomly assigned to either the intervention or control group. The intervention group received health education based on the HBM, including lectures, brochures, videos, and coun
The intervention group had significantly lower systolic blood pressure [mean difference (MD): -8.2 mmHg, P < 0.001] and diastolic blood pressure (MD: -5.1 mmHg, P = 0.002) compared to the control group at six months. The intervention group also had higher medication adherence (MD: 1.8, P < 0.001), self-efficacy (MD: 12.4, P < 0.001), perceived benefits (MD: 3.2, P < 0.001), lower perceived barriers (MD: -2.6, P = 0.001), higher perceived susceptibility (MD: 2.8, P = 0.002), and higher perceived severity (MD: 3.1, P < 0.001) than the control group at six months.
Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.
Core Tip: Health education interventions based on the health belief model (HBM) significantly improve blood pressure control and health beliefs in patients with hypertension. This study, conducted in China from 2021 to 2023, demonstrated that patients who received HBM-based education had lower blood pressure, better medication adherence, and improved self-efficacy than those who received routine care. Implementing such interventions in clinical and community settings can effectively help patients with hypertension manage their condition and enhance their overall health outcomes.