The Effect of The Online Combined Offline Health Education Model on Hypertension Among Floating Elderly Self-Management Enhancement
Abstract
Improving self-management in floating elderly hypertensive patients is especially critical for controlling BP to maintain stability. A multi-center, patient and outcome-assessed blinded, randomized trial was conducted in Ningxia, China, recruiting 200 patients with floating elderly primary hypertension and dividing the randomized blocks into three intervention groups of 50 each and a control group of 50 after controlling for gender using stratification. The main contents of the intervention were regular medication+salt-reduced diet+aerobic exercise; the intervention time was 2 months. The online intervention group used (TikTok+WeChat+Telephone) mode, and the offline intervention group used (Lectures+Brochures+1-on-1 consulting) mode. The online and offline combined intervention group used the mode (TikTok+WeChat+Telephone + Lectures+Brochures+1-on-1 consulting). The primary outcome measure was dominated by blood pressure change, and secondary outcomes were the Medication Adherence Scale scores, Therapeutic Attitudes and Beliefs scores, and Self-management scores. The results shows that the combined online and offline intervention was the most effective at improving self-management, attitudes, practices, and BP control compared to the offline and online interventions alone. The differences between the groups were statistically significant (p < 0.05). The combined approach resulted in the most significant 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 most significant reductions in systolic (-11.46 mm Hg) and diastolic (-7.15 mm Hg) BP. These findings suggest that integrating online and offline health education modalities may be the most effective approach for improving hypertension management in this population.
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References
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