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Promotion of behavioural change in people with hypertension: an intervention study

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Abstract

Objective To assess the efficacy of a comprehensive motivational approach in reducing blood pressure in Italian patients with hypertension. Method Two hundred and ninety-two first visit patients with hypertension without diabetes and dyslipidemia and with BMI < 28 were enrolled. One hundred and forty-two were randomly assigned to a Control group (C) and 150 to an Intervention group (I). A ten-multiple-choice questionnaire was developed to evaluate the effect of the intervention on lifestyle modification. Patients were given the questionnaire, had their BP measured and drug therapy registered before educational intervention and 12 months later. Group I patients participated in the focus group and in the role play 2 and 4 months, respectively, after recruitment. Group C patients received the oral information. Main outcome measure Blood pressure values and lifestyle modification. An intention to treat analysis was undertaken. Analysis was performed using SPSS version 15.0. Results Of the 150 group I patients, 58 participated in both focus group and role play, 30 participated only in focus group and the remaining 62 never participated. After 12 months, there was a significant reduction of BP for group I (P < 0.001) and a significant reduction only for systolic BP in group C (P = 0.01). Diastolic BP and systolic BP decreased more markedly in group I than in group C, with P < 0.001 for both. We found a significant improvement of lifestyle modification after 12 months of follow-up concerning some aspects in both groups. Conclusion Our findings show that a motivational approach is a powerful tool for achieving better blood pressure control and is an essential skill for all healthcare professionals.

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Acknowledgements

We wish to thank Rosaria Orsini, head nurse, Ornella Gallinaro, nurse, Centre of Biotechnologies, Cardarelli Hospital, and Alessandra Izzo, head nurse, Centre for the Diagnosis and Treatment of Hypertension, Cardarelli Hospital, Naples, Italy, for the practical and unlimited support they gave to the study.

Conflicts of interest

The authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Centre of Biotechnologies, Cardarelli Hospital, A.O. Cardarelli Via Cardarelli, 9, 80131, Naples, Italy

    Daniela Scala, Santolo Cozzolino, Antonio Mancini & Barbara Andria

  2. Centre for the Diagnosis and Treatment of Hypertension, Cardarelli Hospital, Naples, Italy

    Maria D’Avino, Giuseppe Caruso & Domenico Caruso

  3. Department of Pharmacautical Science, University of Salerno, Salerno, Italy

    Gianfranco Tajana

Authors
  1. Daniela Scala
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  2. Maria D’Avino
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  3. Santolo Cozzolino
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  4. Antonio Mancini
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  5. Barbara Andria
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  6. Giuseppe Caruso
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  7. Gianfranco Tajana
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  8. Domenico Caruso
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Correspondence to Daniela Scala.

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Scala, D., D’Avino, M., Cozzolino, S. et al. Promotion of behavioural change in people with hypertension: an intervention study. Pharm World Sci 30, 834–839 (2008). https://doi.org/10.1007/s11096-008-9235-2

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  • DOI: https://doi.org/10.1007/s11096-008-9235-2

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