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Volume 2, Issue 2 (2021)
J Clinic Care Skill 2021, 2(2): 69-76 |
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Received: 2021/01/5 | Accepted: 2021/04/5 | Published: 2021/05/25
Received: 2021/01/5 | Accepted: 2021/04/5 | Published: 2021/05/25
How to cite this article
Alamdari A, Hosseini N, Ranjbar S, Roustaei N. Comparison of the Effect of Training by Peers and Health Care Staffs on Adherence to Treatment in Patients with Hypertension. J Clinic Care Skill 2021; 2 (2) :69-76
URL: http://jccs.yums.ac.ir/article-1-101-en.html
URL: http://jccs.yums.ac.ir/article-1-101-en.html
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1- Nursing Department, Nursing School, Yasuj University of Medical Sciences, Yasuj, Iran
2- Student Research Committee, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
3- Department of Biostatistics and Epidemiology, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
2- Student Research Committee, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
3- Department of Biostatistics and Epidemiology, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract (2180 Views)
Aims: Hypertension is one of the major problems in the world. Adherence to treatment of patients with hypertension is insufficient, and there are conflicting results regarding the effect of peer education. Therefore, this study was conducted to compare the effect of training by peers and health care staff on adherence to treatment in patients with hypertension.
Materials & Methods: This clinical trial was done on patients with hypertension in Yasuj, Iran, in 2017. Two hundred sixty-four eligible individuals were selected using convenience sampling and randomly assigned to three peers, health center staff, and control groups (88 people in each group). The data collection tool was a researcher-made questionnaire assessing adherence to treatment of patients with hypertension, psychometrically evaluated. The questionnaire was completed by three groups before, after, and two months after the intervention by participants. Five education sessions were conducted weekly by the peer group for intervention group 1 and the health care personnel for intervention group 2. Data were analyzed by SPSS 24, using Repeated Measures Analysis of Variance, Chi-square test, and Bonferroni test.
Findings: Both educational interventions by peers and health care personnel effectively increased adherence to treatment of patients with hypertension (p<0.05). Although at the end of the intervention, education by peers and health care staff had the same effect on increasing treatment adherence, two months after the intervention, peer education on adherence to treatment was greater than education by health center staff.
Conclusion: Peer education also increases adherence to treatment in patients with hypertension; thus, due to its cost-effectiveness and the lack of special equipment, peer education is recommended as a suitable approach.
Materials & Methods: This clinical trial was done on patients with hypertension in Yasuj, Iran, in 2017. Two hundred sixty-four eligible individuals were selected using convenience sampling and randomly assigned to three peers, health center staff, and control groups (88 people in each group). The data collection tool was a researcher-made questionnaire assessing adherence to treatment of patients with hypertension, psychometrically evaluated. The questionnaire was completed by three groups before, after, and two months after the intervention by participants. Five education sessions were conducted weekly by the peer group for intervention group 1 and the health care personnel for intervention group 2. Data were analyzed by SPSS 24, using Repeated Measures Analysis of Variance, Chi-square test, and Bonferroni test.
Findings: Both educational interventions by peers and health care personnel effectively increased adherence to treatment of patients with hypertension (p<0.05). Although at the end of the intervention, education by peers and health care staff had the same effect on increasing treatment adherence, two months after the intervention, peer education on adherence to treatment was greater than education by health center staff.
Conclusion: Peer education also increases adherence to treatment in patients with hypertension; thus, due to its cost-effectiveness and the lack of special equipment, peer education is recommended as a suitable approach.
Keywords:
Hypertension [MeSH], Compliance [MeSH], Education [MeSH], Peer Group [MeSH], Health Personnel [MeSH]
References
1. World health organization. Clinical guidelines for the management of hypertension [Internet]. Geneva: World Health Organization; 2005 [Unknown Cited]. Available from: https://apps.who.int/iris/handle/10665/119738. [link]
2. Najafipour H, Nasri HR, Rostamzadeh F, Amirzadeh R, Shadkam M, Mirzazadeh A. Prevalence and incidence of pre-hypertension and hypertension (awareness/control) in Iran: Findings from Kerman coronary artery diseases risk factors study 2 (KERCADRS). J Hum Hypertens. 2020 Sep:1-12. [link] [DOI:10.1038/s41371-020-00392-5] [PMID]
3. Bolivar JJ. Essential hypertension: An approach to its etiology and neurogenic pathophysiology. Int J Hypertens. 2013;2013:547809. [link] [DOI:10.1155/2013/547809] [PMID] [PMCID]
4. Pan J, Lei T, Hu B, Li Q. Post-discharge evaluation of medication adherence and knowledge of hypertension among hypertensive stroke patients in northwestern China. Patient Prefer Adherence. 2017;11:1915-22. [link] [DOI:10.2147/PPA.S147605] [PMID] [PMCID]
5. Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: A systematic review and meta-analysis. Medicine. 2017;96(4):5641. [link] [DOI:10.1097/MD.0000000000005641] [PMID] [PMCID]
6. Oori MJ, Mohammadi F, Norouzi-Tabrizi K, Fallahi-Khoshknab M, Ebadi A. Prevalence of medication adherence in patients with hypertension in Iran: A systematic review and meta-analysis of studies published in 2000-2018. ARYA Atheroscler. 2019;15(2):82-92. [link] [DOI:10.2174/1573402115666190118142818] [PMID] [PMCID]
7. Pires GE, Peuker AC, Castro EK. Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: Pilot study and protocol. Psicol Reflex Crit. 2017;30:26. [link] [DOI:10.1186/s41155-017-0080-x] [PMID] [PMCID]
8. Elbur AI. Level of adherence to lifestyle changes and medications among male hypertensive patients in two hospitals in Taif; Kingdom of Saudi Arabia. Int J Pharm Pharm Sci. 2015;7(4):168-72. [link]
9. Hacihasanoglu R, Gozum S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011;20(5‐6):692-705. [link] [DOI:10.1111/j.1365-2702.2010.03534.x] [PMID]
10. Marcum J, Ridenour M, Shaff G, Hammons M, Taylor M. A study of professional nurses' perceptions of patient education. J Contin Educ Nurs. 2002;33(3):112-8. [link] [DOI:10.3928/0022-0124-20020501-05]
11. Haidari A, Moeini M, Khosravi A. The impact of peer support program on adherence to the treatment regimen in patients with hypertension: A randomized clinical trial study. Iran J Nurs Midwifery Res. 2017;22(6):427-30. [link] [DOI:10.4103/ijnmr.IJNMR_16_16] [PMID] [PMCID]
12. Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N, Masoumi S. The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 2010;8:74. [link] [DOI:10.1186/1477-7525-8-74] [PMID] [PMCID]
13. Aty YMVB. The influence of peer group support on the compliance of life-style management and drug taking in mild hypertensive patients using pre-experiment health promotion model in community health center, Ruteng. J Info Kesehat. 2014;12(1):566-91. [link]
14. Graziano SC. Randomized surgical training for medical students: Resident versus peer-led teaching. Am J Obstet Gynecol. 2011;204(6):542. [link] [DOI:10.1016/j.ajog.2011.01.038] [PMID]
15. Tang TS, Funnell M, Sinco B, Piatt G, Palmisano G, Spencer MS, et al. Comparative effectiveness of peer leaders and community health workers in diabetes self-management support: Results of a randomized controlled trial. Diabetes Care. 2014;37(6):1525-34. [link] [DOI:10.2337/dc13-2161] [PMID] [PMCID]
16. Heisler M, Vijan S, Makki F, Piette JD. Diabetes control with reciprocal peer support versus nurse care management: A randomized trial. Ann Intern Med. 2010;153(8):507-15. [link] [DOI:10.7326/0003-4819-153-8-201010190-00007] [PMID] [PMCID]
17. Masror Roudsari DD, Dabiri Golchin M, Parsa Yekta Z, Haghani H. Relationship between adherence to therapeutic regimen and health related quality of life in hypertensive patients. Iran J Nurs. 2013;26(85):44-54. [Persian] [link]
18. Kim H, Andrade FCD. Diagnostic status of hypertension on the adherence to the dietary approaches to stop hypertension (DASH) diet. Prev Med Rep. 2016;4:525-31. [link] [DOI:10.1016/j.pmedr.2016.09.009] [PMID] [PMCID]
19. Juraschek SP, Gelber AC, Choi HK, Appel LJ, Miller ER. Effects of the dietary approaches to stop hypertension (DASH) diet and sodium intake on serum uric acid. Arthritis Rheumatol. 2016;68(12):3002-9. [link] [DOI:10.1002/art.39813] [PMID] [PMCID]
20. Blumenthal JA, Sherwood A, Smith PJ, Mabe S, Watkins L, Lin PH, et al. Lifestyle modification for resistant hypertension: The triumph randomized clinical trial. Am Heart J. 2015;170(5):986-94. [link] [DOI:10.1016/j.ahj.2015.08.006] [PMID] [PMCID]
21. Fernandes T, Nakamuta JS, Magalhaes FC, Roque FR, Lavini-Ramos C, Schettert IT, et al. Exercise training restores the endothelial progenitor cells number and function in hypertension: Implications for angiogenesis. J Hypertens. 2012;30(11):2133-43. [link] [DOI:10.1097/HJH.0b013e3283588d46] [PMID]
22. Chan L, Chin LM, Kennedy M, Woolstenhulme JG, Nathan SD, Weinstein AA, et al. Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest. 2013;143(2):333-43. [link] [DOI:10.1378/chest.12-0993] [PMID] [PMCID]
23. Bochkareva EV, Butina EK, Kim IV, Kontsevaya AV, Drapkina OM, Leon D, et al. Adherence to antihypertensive medication in Russia: A scoping review of studies on levels, determinants and intervention strategies published between 2000 and 2017. Arch Public Health. 2019;77:43. [link] [DOI:10.1186/s13690-019-0366-9] [PMID] [PMCID]
24. Chiu CW, Wong FKY. Effects of 8 weeks sustained follow-up after a nurse consultation on hypertension: A randomized trial. Int J Nurs Stud. 2010;47(11):1374-82. [link] [DOI:10.1016/j.ijnurstu.2010.03.018] [PMID]
25. Magadza C, Radloff SE, Srinivas SC. The effect of an educational intervention on patients' knowledge about hypertension, beliefs about medicines, and adherence. Res Soc Adm Pharm. 2009;5(4):363-75. [link] [DOI:10.1016/j.sapharm.2009.01.004] [PMID]
26. Krishnamoorthy Y, Sakthivel M, Sarveswaran G, Eliyas SK. Effectiveness of peer led intervention in improvement of clinical outcomes among diabetes mellitus and hypertension patients-a systematic review and meta-analysis. Prim Care Diabetes. 2019;13(2):158-69. [link] [DOI:10.1016/j.pcd.2018.11.007] [PMID]
27. Khoshraftar RE, Ildarabadi E, Behnam Voshani HR, Emami Moghaddam Z. The effect of peer education on the mental aspect of quality of life of elderly patients with hypertension. J North Khorasan Univ Med Sci. 2015;7(3):585-95. [Persian] [link] [DOI:10.29252/jnkums.7.3.585]
28. Conner KO, McKinnon SA, Ward CJ, Reynolds CF, Brown C. Peer education as a strategy for reducing internalized stigma among depressed older adults. Psychiatr Rehabil J. 2015;38(2):186-93. [link] [DOI:10.1037/prj0000109] [PMID]
29. Karayurt O, Dicle A, Malak AT. Effects of peer and group education on knowledge, beliefs and breast self-examination practice among university students in Turkey. Turk J Med Sci. 2009;39(1):59-66. [link]
30. Sachmechi I, Wang A, Kim P, Reich D, Payne H, Salvador VB. Impact of diabetes education and peer support group on the metabolic parameters of patients with diabetes mellitus (type 1 and type 2). Br J Med Pract. 2013;6(4):635. [link]
31. Helgeson VS, Cohen S, Schulz R, Yasko J. Long-term effects of educational and peer discussion group interventions on adjustment to breast cancer. Health Psychol. 2001;20(5):387-92. [link] [DOI:10.1037/0278-6133.20.5.387]