Is Lifestyle Modification with Individual Face-to-Face Education and Counseling More Effective than Usual Care for Controlling Hypertension? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Autor/inn/en	Soltani, Danesh; Azizi, Bayan; Behnoush, Amir Hossein; Meysamie, Alipasha; Aein, Afsaneh; Nayebirad, Sepehr; Vasheghani-Farahani, Ali; Akbari Sari, Ali
Titel	Is Lifestyle Modification with Individual Face-to-Face Education and Counseling More Effective than Usual Care for Controlling Hypertension? A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Quelle	In: Health Education Research, 38 (2023) 5, S.490-512 (23 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Soltani, Danesh) ORCID (Azizi, Bayan)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyad028
Schlagwörter	Hypertension; Risk; Health Behavior; Meta Analysis; Patients; Health Education; Counseling Techniques; Research Reports; Intervention; Behavior Change; Comparative Analysis; Outcomes of Treatment; Health Services; Life Style + Suchen Sie Ihr Suchwort? Bluthochdruck; Hypertonie; Risiko; Health behaviour; Gesundheitsverhalten; Meta-analysis; Metaanalyse; Patient; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Research report; Forschungsbericht; Health service; Gesundheitsdienst; Gesundheitswesen; Lebensstil
Abstract	Hypertension (HTN) management continues to be a concern due to challenges with behavioral risk factors. Patient education to modify unhealthy behaviors appears to be effective in managing HTN. Therefore, this meta-analysis aimed to determine whether individualized face-to-face education and counseling have a beneficial effect on systolic and diastolic blood pressure (SBP and DBP) in hypertensive patients. Studies were extracted from PubMed, Scopus, Cochrane Library, and Web of Science databases. Nine studies, comprising 2627 participants, were included. Random effects models were used to pool estimates of mean differences (MDs) with 95% confidence intervals (CIs) in SBP and DBP between the intervention and usual care groups. SBP and DBP were significantly reduced at the 6-month (MD = -4.38 mmHg, 95% CI: -6.95 to -1.81; MD = -2.09 mmHg, 95% CI: -3.69 to -0.50, respectively) and 12-month time points (MD = -2.48 mmHg, 95% CI: -3.96 to -1.01; MD = -1.71 mmHg, 95% CI: -2.88 to -0.55, respectively) with intervention. At the 24-month time point, there was a significant change in SBP (MD = -2.13 mmHg, 95% CI: -3.94 to -0.32) with intervention compared with the usual care group. This study showed that individualized face-to-face education and counseling add significant benefits to usual care for lowering blood pressure in hypertensive patients. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01