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

Fuente: ERIC Institute of Education Sciences

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Main Authors:	Soltani, Danesh, Azizi, Bayan, Behnoush, Amir Hossein, Meysamie, Alipasha, Aein, Afsaneh, Nayebirad, Sepehr, Vasheghani-Farahani, Ali, Akbari Sari, Ali
Format:	Recurso educativo Open Access
Language:	en
Published:	2023
Subjects:	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
Online Access:	Acceder al recurso
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author	Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali
author_facet	Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali
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contents	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 Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali 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 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.
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institution	ERIC Institute of Education Sciences
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publishDate	2023
record_format	eric
spellingShingle	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 Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali 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 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 Soltani, Danesh Azizi, Bayan Behnoush, Amir Hossein Meysamie, Alipasha Aein, Afsaneh Nayebirad, Sepehr Vasheghani-Farahani, Ali Akbari Sari, Ali 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 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.
title	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
topic	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
url	https://eric.ed.gov/?id=EJ1394732

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