Explore The Impact of a Combined Online and Offline Health Education Approach on Floating Elderly Hypertensive Patients: A Randomised Controlled Trial
List of Authors
Ajau Danis, Wang Ruixiao, Wang Xueyi, Wang Yapeng
Keyword
Health Education, Hypertension, Floating Elderly, Self-Management, Online And Offline
Abstract
Background: The present study evaluated the effect of online combined offline health education on hypertension treatment. Methods: The program focused on diet, exercise, and adherence to treatment. An integrated health education approach was employed by using online (TikTok + WeChat + Telephone) and offline (Lectures + Brochures+ 1-to-1 consulting). A randomized control trial design was used in the study. Two hundred elderly floating hypertensive patients were randomly selected from the health community files, and were equally assigned to four groups. The groups other than the control group received intervention for a period of two months. The primary outcome measure was dominated by blood pressure change, and secondary outcomes were Medication Adherence Scale, Therapeutic Attitudes and Beliefs, and Self-management. Two-sample and self-paired t-tests for measures were used to analyze the results. Results: After 2-month of intervention showed the combined online and offline intervention was the most effective at improving self-management, attitudes, practices, and blood pressure control compared to the offline and online interventions alone. The combined approach resulted in the largest increases in self-management (43.33 point increase), attitudes (39.49 point increase), medication adherence (2.34 point increase), and practices (39.89 point increase) scores. It also led to the greatest reductions in systolic (-11.46 mm Hg) and diastolic (-7.15 mm Hg) blood pressure. The online combined offline health education group showed a decrease of 11.46mmHg (153.09mmHg vs. 141.63mmHg), and low pressure decreased by 7.15mmHg (91.88mmHg vs. 84.73mmHg). And compared to pre-intervention, patients’ physical activity scores increased by 38.98 (78.46 vs. 38.57), attitudes and beliefs about treatment scores increased by 39.49 (72.28 vs. 32.79), self-management skills scores increased by 43.33 (104.59 vs. 61.26), and medication adherence scores increased by 2.34 (4.81 vs. 2.47). Conclusion: The combined online and offline intervention mode not only significantly improved the blood pressure but also adherence to lifestyle recommendations of floating elderly hypertension patients.