The impact of using BASNEF model on self-control behaviors among Patients with hypertension

Abstract

Background: High blood pressure is the most important public health problem in developed countries. It is one reason for early mortality and risk factors for cardiovascular diseases like stroke and kidney failure. This study aimed to determine the effect of educational intervention based on BASNEF in blood pressure control in 1395.Methods and Materials: This study was a quasi-experimental study on 160 patients in two groups (each n = 80) suffering from hypertension in urban health centers of Urmia. Data collection questionnaire included: demographic questions, knowledge base questions, self-control behaviors questions and structures of BASNEF model. Validity and reliability were respectively 80% and 79%. Intervention group had taken three 45 minutes sessions using speeches, questions and answers, posters, booklets, pamphlets and whiteboard. Before training, information collected through questionnaires and after training questionnaires were completed again after 3 months. The data were analyzed in SPSS software with chi-square tests, Fisher, independent and paired sample t-test.Results: The average age of case and control group were 99.11 ± 01.56 and 75.12 ± 66.53 years. That there was no statistically significant difference (p=0.1). After intervention average systolic blood pressure significantly decreased in the intervention group from 43.157 to 24.147 mm Hg and diastolic blood pressure significantly decreased from 21.93 to 52.87 mm Hg (P <0.05)Conclusion: The training program using BASNEF model has provided better results in controlling blood pressure than conventional trainings.

Effectiveness of BASNEF model based intervention program on knowledge and self-care behaviors among hypertensive patients

“…Regarding the total mean score of BASNEF model components before and after the intervention in the experimental and control group, it was shown that the mean total score of the BASNEF model component (Knowledge, normative belief, behavioral outcomes, subjective norms, and enable factors) showed significant improvement in the experimental group post-intervention compared to control group and significant difference between the two groups, which is in accordance with studies conducted by some researchers such as [12], [27], [28] whose all representing the effectiveness of providing the intervention based on the BASNEF model in improving self-care behaviors for the management of hypertension.…”

“…This was consistent with [30] who argued that the lifestyle intervention program anchored on the BASNEF model has considerable advantages and significantly increases medication adherence and changed their behavior to control hypertension. Besides, [28], [31] also reported similar results. This could be due to the implementation of educational intervention that brought improvements in health outcomes.…”

Application of health education and promotion theory-based interventions on patients with cardiovascular disease

“…Systolic and diastolic blood pressure control based on the BAZNEF model,[ 42 44 ] modifications in blood pressure (BP), and body mass index[ 36 ] confirmed the effect of theory-based intervention on clinical outcomes.…”

“…The participants with heart failure (HF),[ 26 27 28 29 30 31 32 33 ] coronary heart disease (CHD),[ 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 ] hypertension (HTN),[ 13 39 40 41 42 43 44 ] coronary artery bypass graft (CABG),[ 20 45 46 47 48 ] myocardial infarctions (MI),[ 17 19 49 50 51 ] patients with pacemaker,[ 52 ] heart valve disease,[ 53 ] and cardiac rehabilitation[ 18 ] were highest and lowest target groups in studied papers, respectively. The detailed characteristics of included studies are revealed in [ Table 2 ].…”

“…In general, study results revealed that theory-based interventions were effective in all types of outcomes among studies target groups. [ 13 14 15 20 26 27 28 29 30 31 32 33 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 ] Improving awareness and information in chronic conditions as CVDs results in achieving practical outcomes such as follow-up, adherence to self-care and self-management behaviors, promoting QoL, and healthy lifestyle. A targeted multimedia educational intervention can be effective in reducing the adverse effects of chronic diseases.…”