Effect of Teaching Intervention Based on Health Action Process Approach on Self-care behavior in Older People with Hypertension: A Quasiexperimental Study.

Background: Aging is considered a natural developmental process in which physical, psychological, and social changes occur; hypertension can be one of these problems. Structured teaching, like the Health Action Process Approach (HAPA), may improve self-care and health in chronic conditions. This stu...

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Publicado en:International Journal of Community Based Nursing & Midwifery Vol. 13; no. 2; pp. 138 - 149
Autores principales: Zamani, Fahimeh, Dehghani, Ali, Akbar, Rasool Eslami, Heydari, Heshmatolah
Formato: clinical trial equations & formulas research tables/charts Journal Article
Publicado: Shiraz University of Medical Sciences Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
      vid: 13
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      pub: Shiraz University of Medical Sciences
      place: Shiraz, <Blank>
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        10.30476/ijcbnm.2025.50727.
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        atl: Effect of Teaching Intervention Based on Health Action Process Approach on Self-care behavior in Older People with Hypertension: A Quasiexperimental Study.
      aug:
        au:
          Zamani, Fahimeh
          Dehghani, Ali
          Akbar, Rasool Eslami
          Heydari, Heshmatolah
        affil: Department of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran
      sug:
        subj:
          Hypertension Education
          Teaching Methods
          Self Care
          Health Behavior Evaluation
          Health Promotion Methods
          Outcomes of Education
          Human
          Iran
          Female
          Male
          Aged
          Quasi-Experimental Studies
          Clinical Trials
          Control Group
          Scales
          Sociodemographic Factors
          Convenience Sample
          Questionnaires
          Disease Management
          Chi Square Test
          Fisher's Exact Test
          Wilcoxon Rank Sum Test
          Mann-Whitney U Test
          Comparative Studies
          Confidence Intervals
          Effect Size
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Aged: 65+ years
          Female
          Male
      ab: Background: Aging is considered a natural developmental process in which physical, psychological, and social changes occur; hypertension can be one of these problems. Structured teaching, like the Health Action Process Approach (HAPA), may improve self-care and health in chronic conditions. This study aimed to examine the effect of teaching intervention based on HAPA on self-care behavior in older people with hypertension. Methods: This quasi-experimental study was performed from October 2023 to March 2024 at Valiasr health services center affiliated with Jahrom University of Medical Sciences; 70 older people were divided into an intervention group (35 subjects) and a control group (35 subjects). Teaching intervention was carried out based on HAPA for the intervention group through seven teaching sessions over seven weeks. Data were collected using demographic and Hypertension Self-care Profile at baseline and 2 months post-intervention. Data were analyzed using SPSS 21 with the Chi-square test, Fisher test, Wilcoxon, and Mann-Whitney tests. Statistical significance was considered for P value<0.05. Results: The median of self-care was not significantly different between the control (median: 51(IQR: 54-45)) and intervention groups (median: 50(IQR: 58-47)) before the intervention (P=0.26). Two months after the intervention, the median of self-care was significantly different between the intervention (median: 73(IQR: 74-71)) and control groups (median: 50(IQR: 54-45)) (P<0.001). Conclusions: The HAPA could improve self-care behavior in older people with hypertension. It is suggested that healthcare authorities should pay attention to HAPA in teaching and preventive programs for self-care behavior in older people with hypertension.
      pubtype: Academic Journal
      doctype:
        clinical trial
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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