Original Article
Effectiveness evaluation of health belief model-based health education intervention for patients with hypertension in community settings
Shen Ying, Wang Taotao, Gao Min, Hu Kang, Zhu Xiaorou, Zhang Xing, Wang Fengbin, He Chao, Sun Xinying
Published 2020-02-06
Cite as Chin J Prev Med, 2020, 54(2): 155-159. DOI: 10.3760/cma.j.issn.0253-9624.2020.02.008
Abstract
ObjectiveTo evaluate the effectiveness of health belief model-based health education intervention in improving blood pressure control of patients with hypertension in community settings.
MethodsFrom September 2016 to September 2017, 400 newly diagnosed patients with hypertension were recruited from 6 community healthcare centers with comparable population size and health services in the Shunyi District of Beijing. All community healthcare centers were randomly assigned to the intervention group (206 patients) and the control group (194 patients). Patients in the intervention group received 3 lectures (20-30 min for each) of health belief model-based health education. Patients in the control group received usual care. The basic characteristics, health beliefs, and health literacy were collected, and blood pressure was measured before and after the intervention, respectively. The difference-in-difference model was used to analyze the change of blood pressure and the influencing factors between two groups before and after the intervention.
ResultsA total of 134 patients in the intervention group and 129 patients in the control group completed the study. After adjusting for the age, gender, family income, medical insurance, chronic diseases and family history, the score of perceived barriers was increased by 1.65 (P=0.016), and perceived seriousness was decreased by 0.73 (P=0.018). The systolic blood pressure of patients was decreased by 7.37 mmHg (1 mmHg=0.133 kPa, P=0.001) and diastolic blood pressure was decreased by 4.07 mmHg (P=0.014), respectively. The β (95 %CI) values were -7.37 (-11.88,-2.86) and -4.07 (-7.30, -0.84). The perceived susceptibility and self-efficacy had a significant influence on the blood pressure of patients (P<0.05).
ConclusionHealth belief model-based health education intervention could significantly improve the blood pressure control of patients with hypertension in the community settings.
Key words:
Health knowledge, attitudes, practice; Hypertension; Community medicine; Intervention studies
Contributor Information
Shen Ying
School of Public Health, Peking University, Beijing 100191, China
Wang Taotao
School of Public Health, Peking University, Beijing 100191, China
Gao Min
School of Public Health, Peking University, Beijing 100191, China
Hu Kang
School of Public Health, Peking University, Beijing 100191, China
Zhu Xiaorou
School of Public Health, Peking University, Beijing 100191, China
Zhang Xing
School of Public Health, Peking University, Beijing 100191, China
Wang Fengbin
School of Public Health, Peking University, Beijing 100191, China
He Chao
Health Education Department, Shunyi District Center for Disease Control and Prevention of Beijing, Beijing 101300, China
Sun Xinying
School of Public Health, Peking University, Beijing 100191, China
