EFFECTIVENESS OF A COMMUNITY-BASED HYPERTENSION SELF-MANAGEMENT EDUCATION (HSME) PROGRAMME IN THE STATE OF PENANG, MALAYSIA

Author(s)

Mohd Yatim H1, Wong YY2, Neoh CF1, Lim SH2, Hassali MA3
1Universiti Teknologi MARA, Puncak Alam, Malaysia, 2Universiti Teknologi MARA, Penang, Malaysia, 3Universiti Sains Malaysia, Penang, Malaysia

OBJECTIVES:  To evaluate the impact of a structured, group-based Hypertension Self-management Education (HSME) programme on participant’s clinical and psychosocial outcomes. METHODS:  A pre-post study design was employed. With the help of community leaders from non-governmental organisations in the state of Penang, adults diagnosed with hypertension and treated with anti-hypertensive(s) were recruited to participate in the study. Participants attended a total of 4-weekly (2-hour each session) of HSME programme. The programme was developed locally based on Bandura’s self-efficacy theory. Participant’s clinical (i.e. blood pressure, lipids, weight, body mass index, waist circumference, percentage body fat and percentage skeletal muscle) and psychosocial (hypertension self-care behaviour, self-care motivation, self-efficacy and quality-of-life) outcomes were assessed at baseline, post 1-week and post 2-month of HSME programme. RESULTS: A total of 45 participants consented to join the programme, with 36 (80.0%) attended two or more sessions. Most participants (68.9%) were female with a mean age 60±7.72 years old. Post 1-week of intervention, participants were found to have significant improvement in high-density lipoprotein (HDL) cholesterol (p = 0.001), day spent on vigorous physical activity (p = 0.007), self-care motivation (p = 0.001) and self-efficacy (p = 0.005). At 2-month, participants sustained some of the aforementioned positive outcomes include HDL cholesterol, self-care motivation and self-efficacy with other significant improvement reported in hypertension self-care behaviour (p = 0.002). However, a significant decrease in percentage skeletal muscle (p = 0.002) was found between post-1 week and post-2 month. No significant differences were found in other outcomes between baseline, post 1-week and post 2-month of HSME programme. CONCLUSIONS:  This short term HSME though had limited impact on participants’ blood pressure but was found to improve other clinical and psychosocial outcomes. Therefore, a well-structured educational programme should be in place to support hypertensive patient in sustaining daily self-care activities.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCV13

Topic

Clinical Outcomes

Topic Subcategory

Comparative Effectiveness or Efficacy

Disease

Cardiovascular Disorders

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