Effectiveness of a BCW-based interactive pictorial health education program among patients with hypertension in the urban-rural fringe area in China.

Zhang, Qinghua; Gan, Wei; Pei, Ruqing; Bao, Xuemei; Shimpuku, Yoko; Chen, Sanmei; Song, Li; Yin, Jinyu et al. · Patient Educ Couns · 2025

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Abstract

To evaluate the effects of the interactive pictorial health education (IPHE) program on enhancing high blood pressure-specific health literacy (HBP-HL), controlling blood pressure, and improving self-management behavior (SMB) and Health-related Quality of Life (HRQOL) among hypertensive patients with inadequate HBP-HL (HPIH) in the urban-rural fringe area in China. A quasi-experimental study with repeated measures was used. The intervention group (n = 60) received IPHE program, while the control group (n = 60) received health education lectures. Outcome measures were HBP-HL, systolic blood pressure (SBP), diastolic blood pressure (DBP), SMB and HRQOL evaluated at baseline (T<sub>0</sub>), six months (T<sub>6</sub>), nine months (T<sub>9</sub>), and 12 months (T<sub>12</sub>). The effects of intervention factors on HBP-HL, SBP and HRQOL were stronger over time (P < 0.05), but not on DBP and SMB. The SMB scores were better in the intervention group at T<sub>6,</sub> T<sub>9</sub> and T<sub>12 (</sub>P < 0<sub>.</sub>05)<sub>.</sub> Compared to T<sub>0</sub>, the SBP and DBP in the intervention group decreased by 9.22 and 4.27 mmHg at T<sub>12</sub>. The IPHE program can enhance HBP-HL, control blood pressure, and improve SMB and HRQOL among HPIH. The IPHE program was an active and promising method to manage HPIH.

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