The Impact of Peer Support Program on Adherence to the Treatment Regimen in Patients with Hypertension: A Randomized Clinical Trial Study

Ameneh Haidari, Mahin Moeini, Alireza Khosravi

Abstract


Background: High blood pressure is the greatest risk factor of death, and patients should manage to control it. Peer support program is used to control chronic diseases. This study aims to determine the effect of peer support program on adherence to the regimen in patients suffering from hypertension.
Materials and Methods: This study is a clinical trial conducted among 64 patients with hypertension referring to the Hypertension Research Center (Isfahan. Iran). The information was collected in three stages – before the start of intervention, immediately after, and 1 month after the intervention using a questionnaire of adherence to the treatment regimen for high blood pressure. The questionnaires were filled using a questioning method by patients who were not aware of the study. The experimental group attended 6 sessions of the peer support program (1 hour), and the control group attended two sessions held by the researcher. Data were analyzed using the Statistical Package for the Social Sciences version 18 software, and statistical tests were analyzed using independent t‑test and analysis of variance with repeated measures.

 Results: Before the intervention, there was no significant difference in adherence to the treatment regimen score between the two groups regarding the three aspects of medication regimen, diet, and activity program. Increase in scores of control group immediately after and 1 month after peer support program was higher (p < 0.001) compared to before the intervention. Conclusions: This study showed that peer support programs had a positive impact on adherence to the treatment regimen in patients suffering from hypertension.


Keywords


Hypertension; Iran, peer group; support program

Full Text:

PDF

References


Alidosti M, Hemati Z. Educational Intervention on Peers Knowledge and Behaviors of Students with Diabetes Type I. Prev Care Nurs Midwifery J 2013;3:12 21.

Kronish IM, Goldfinger JZ, Negron R, Fei K, Tuhrim S, Arniella G, et al. Effect of Peer Education on Stroke Prevention. Stroke 2014;45:3330 6.

Sachmechi I, Wang A, Kim P, Reich D, Payne H, Salvador VB. Impact of diabetes education and peer support group on the metabolic parameters of patients with diabetes mellitus (type 1 and type 2). Br J Med Pract 2013;6:635 41.

Sadeghi R, Mohseni M, Khanjani N. The effect of an educational intervention according to hygienic belief model in improving care and controlling among patients with hypertension. J Rafsanjan Univ Med Sci 2014;13:383 94.

Azizi K, Sharifi Rad Gh, Mahaki B, Iranpour S, Abdoli R, et al. Psychometric assessment of nutritional knowledge, illness perceptions and dietary adherence in hypertensive patients. J Health Syst Res 2013;2 1774 85.

Dehghani A, Mohammadkhan Kermanshahi S, Memarian R, Baharlou R. The effect of peer group education on anxiety of patients with multiple sclerosis. Iran J Med Educ 2012;12:249 57.

Mosack KE, Patterson L, Brouwer AM, Wendorf AR, Ertl K, Eastwood D, et al. Evaluation of a peer led hypertension intervention for veterans: Impact on peer leaders. Health Educ Res 2013;28:426 36.

Baumann LC, Frederick N, Betty N, Jospehine E, Agatha N. A demonstration of peer support for ugandan adults with type 2 diabetes. Int J Behav Med 2015;22:374 83.

Mohr DC, Burke H, Beckner V, Merluzzi N. A preliminary report on a skills based telephone administered peer support programme for patients with multiple sclerosis. Mult Scler 2005;11:222 6.

Heisler M, Halasyamani L, Cowen ME, Davis MD, Resnicow K, Strawderman RL, et al. Randomized Controlled Effectiveness Trial of Reciprocal Peer Support in Heart FailureClinical Perspective. Circulation Heart Fail 2013;6:246 53.

Ghods R, Gharuni M, Amin Gh, Nazem E, Mokaberinejad R, Nikbakht Nasrabad A. A rapid overview on the causes of hypertension and relationship between Imtila and hypertension in Iranian Traditional Medicine. Journalssbmu 2011;2:11 36.

Masror Roudsari D, Dabiri Golchin M, Haghani H. Relationship between Adherence to Therapeutic Regimen and Health Related Quality of Life in Hypertensive Patients. Iran J Nurs 2013;26:44 54.

Chan Q, Stamler J, Elliott P. Dietary factors and higher blood pressure in african americans. Curr Hypertens Rep 2015;17:1 8.

Sharif F, Abshorshori N, Hazrati M, Tahmasebi S, Zare N. The Effect of Peer Education on Quality of Life in Patient with Breast Cancer After Sergery. Payesh J 2012;11:703 10.

Daugherty SL, Powers JD, Magid DJ, Masoudi FA, Margolis KL, O’Connor PJ, et al. The Association Between Medication Adherence and Treatment Intensification With Blood Pressure Control in Resistant Hypertension Novelty and Significance. Hypertension 2012;60:303 9.

Tang TS, Funnell M, Sinco B, Piatt G, Palmisano G, Spencer MS, et al. Comparative effectiveness of peer leaders and community health workers in diabetes self management support: Results of a randomized controlled trial. Diabetes Care 2014;37:1525 34.

Johansson T, Keller S, Winkler H, Ostermann T, Weitgasser R, Sönnichsen AC. Effectiveness of a peer support programme versus usual care in disease management of diabetes mellitus type 2 regarding improvement of metabolic control: A cluster randomised controlled trial. J Diabetes Res 2015;2016


Refbacks

  • There are currently no refbacks.