Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review

Background: Hypertension is a prevalent medical condition associated with cardiovascular and kidney diseases, leading to premature death and disability. Despite medication use, hypertension continues to rise due to unhealthy lifestyles. Self-care strategies play crucial roles in effectively treating...

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Main Authors: Habibeh Barzegar, Sheida Sodagar, Mohammadreza Seirafi, Mostafa Farahbakhsh, Touraj Hashemi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-10-01
Series:Health Promotion Perspectives
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Online Access:https://hpp.tbzmed.ac.ir/PDF/hpp-14-207.pdf
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author Habibeh Barzegar
Sheida Sodagar
Mohammadreza Seirafi
Mostafa Farahbakhsh
Touraj Hashemi
author_facet Habibeh Barzegar
Sheida Sodagar
Mohammadreza Seirafi
Mostafa Farahbakhsh
Touraj Hashemi
author_sort Habibeh Barzegar
collection DOAJ
description Background: Hypertension is a prevalent medical condition associated with cardiovascular and kidney diseases, leading to premature death and disability. Despite medication use, hypertension continues to rise due to unhealthy lifestyles. Self-care strategies play crucial roles in effectively treating hypertension. We aimed to evaluate the effectiveness of interventions based on the transtheoretical model (TTM) in improving self-care, self-efficacy, and health-related quality of life (HRQOL) in hypertensive adults. Methods: A comprehensive search was performed in multiple databases using appropriate search strategies. Two independent reviewers screened articles, and assessed their adherence to the inclusion and exclusion criteria. The risk of bias in randomized controlled trials was assessed by the Cochrane Collaboration tool and quasi-experimental studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Quasi-Experimental Studies. Results: The review included 24 studies with a total of 6553 participants. Most interventions aimed to encourage a healthier lifestyle and improve diet and physical activity. The message was delivered through various methods such as slide/tape messages, individual education/counseling sessions, telephone-delivered interventions, and multimedia training software based on the TTM. Control groups received physician visits or attended lifestyle lectures but did not receive specific behavior change programs like the intervention groups. Conclusion: Our results indicated that the TTM and stage of change model can be an appropriate framework for delivering educational messages to patients.
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spelling doaj-art-cf56703db63b4a6ea2f93b5109f4f0ff2024-11-26T06:15:21ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972024-10-0114320722010.34172/hpp.42814hpp-42814Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic reviewHabibeh Barzegar0Sheida Sodagar1Mohammadreza Seirafi2Mostafa Farahbakhsh3Touraj Hashemi4Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, IranDepartment of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, IranDepartment of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, IranResearch Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, IranBackground: Hypertension is a prevalent medical condition associated with cardiovascular and kidney diseases, leading to premature death and disability. Despite medication use, hypertension continues to rise due to unhealthy lifestyles. Self-care strategies play crucial roles in effectively treating hypertension. We aimed to evaluate the effectiveness of interventions based on the transtheoretical model (TTM) in improving self-care, self-efficacy, and health-related quality of life (HRQOL) in hypertensive adults. Methods: A comprehensive search was performed in multiple databases using appropriate search strategies. Two independent reviewers screened articles, and assessed their adherence to the inclusion and exclusion criteria. The risk of bias in randomized controlled trials was assessed by the Cochrane Collaboration tool and quasi-experimental studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Quasi-Experimental Studies. Results: The review included 24 studies with a total of 6553 participants. Most interventions aimed to encourage a healthier lifestyle and improve diet and physical activity. The message was delivered through various methods such as slide/tape messages, individual education/counseling sessions, telephone-delivered interventions, and multimedia training software based on the TTM. Control groups received physician visits or attended lifestyle lectures but did not receive specific behavior change programs like the intervention groups. Conclusion: Our results indicated that the TTM and stage of change model can be an appropriate framework for delivering educational messages to patients.https://hpp.tbzmed.ac.ir/PDF/hpp-14-207.pdfhypertensionself-careselfmanagementsystematic reviewtranstheoretical model
spellingShingle Habibeh Barzegar
Sheida Sodagar
Mohammadreza Seirafi
Mostafa Farahbakhsh
Touraj Hashemi
Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
Health Promotion Perspectives
hypertension
self-care
selfmanagement
systematic review
transtheoretical model
title Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
title_full Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
title_fullStr Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
title_full_unstemmed Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
title_short Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review
title_sort blood pressure management protocol based on transtheoretical model effectiveness on self care a systematic review
topic hypertension
self-care
selfmanagement
systematic review
transtheoretical model
url https://hpp.tbzmed.ac.ir/PDF/hpp-14-207.pdf
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AT mohammadrezaseirafi bloodpressuremanagementprotocolbasedontranstheoreticalmodeleffectivenessonselfcareasystematicreview
AT mostafafarahbakhsh bloodpressuremanagementprotocolbasedontranstheoreticalmodeleffectivenessonselfcareasystematicreview
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