The Effect of Education Based on BASNEF Model on Lifestyle in Patients with Hypertension

Abstract

Background: Hypertension is a major health problem in all communities that is closely associated with lifestyle. Different educational models have been used to improve the lifestyle in these patients. However, inconsistent results have been reported. Objectives: This study aimed to investigate the effect of education based on the BASNEF model on lifestyle in patients with essential hypertension. Methods: This single-blind randomized controlled clinical trial was conducted in 2015 on 80 patients with essential hypertension. The intervention group received five sessions of training based on the BASNEF model, while the control group received routine care. A two-part instrument was used in this study. The first part included a demographic questionnaire and the second part comprised the life style questionnaire (LSQ). The LSQ was responded in two times, i.e. before and one month after the intervention. Descriptive statistics, independent sample t-test, and analysis of covariance were used to analyze the data. Results: The mean score of lifestyle in the intervention group was 121.80 at the start of the study that changed to 149.60 (with an increase of 27.8) after the intervention (P < 0/001). However, the mean score of lifestyle did not significantly change in the control group (126.55 vs. 122.78). The greatest improvements were observed in the areas of nutrition and weight management, sports and fitness, physical health, disease prevention, and mental health, in sequence. Conclusions: Using a training program based on the BASNEF model was effective in improving the lifestyle in patients with hypertension. Thus, this model of behavior modification can be used as an inexpensive and applicable method in modification of lifestyle and behavior change in patients with hypertension.

Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An Integrative Review

“…Regarding the educational intervention, seven studies were nurse-led [28,30,32,34,[36][37][38]. The role of nursing in health promotion has been advocated by the International Council of Nurses for decades [42].…”

“…The included studies were published from 2010 to 2019. According to the classification from The World Bank Group [27], five were from high-income economies [26,[28][29][30][31] and eight from middle-income economies [32][33][34][35][36][37][38][39]. Of the 13 included studies, two were three-arm RCTs [31,32], and, in seven studies, their educational interventions were delivered by nurses [28,30,32,34,[36][37][38].…”

“…All studies were conducted in a community or primary health setting, except one, which was conducted in hospital wards [38]. The end-point assessment was usually conducted in the same month of the last intervention delivered; only three studies stated the end-point assessment was conducted one month after the last intervention [30,33,37]. The sample size in each study ranged from 28 to 533, with an overall attrition rate from 0% to 22.7%.…”

“…Three studies were excluded in the analysis since the SBP or DBP was not presented [36,37,39]. Therefore, ten studies were pooled in the meta-analysis to examine the effect of lifestyle modification educational interventions on SBP and DBP.…”

A Comparison between Multimedia and Traditional Education in Encouraging Adherence to Treatment Regimen in Patients with Hypertension

“…According to WHO, nearly 40% of adults worldwide aged over 25 years suffer from hypertension. In Iran, 27% of the adult population is reported to have hypertension [5].…”