title: Community-based interventions in hypertensive patients: a comparison of three health education strategies.
abstract: BACKGROUND
  Community-based health education programs may be helpful in improving health outcomes in patients with chronic illnesses. This study aimed to evaluate community-based health education strategies in the management of hypertensive patients with low socioeconomic status in Dongguan City, China.
  
  
  METHODS
  This was a randomized, non-blinded trial involving 360 hypertensive patients enrolled in the community health service centre of Liaobu Town, Dongguan City, China. Participants were randomized to receive one of the three community-based health education programs over 2 years: self-learning reading (Group 1), monthly regular didactic lecture (Group 2), monthly interactive education workshop (Group 3). Outcomes included the changes in the proportion of subjects with normalized blood pressure (BP), hypertension-related knowledge score, adherence to antihypertensive treatment, lifestyle, body mass index and serum lipids.
  
  
  RESULTS
  After the 2-y intervention, the proportion of subjects with normalized BP increased significantly in Group 2 (from 41.2% to 63.2%, p<0.001), and increased more substantially in Group 3 (from 40.2% to 86.3%, p<0.001), but did not change significantly in Group 1. Improvements in hypertension-related knowledge score, adherence to regular use of medications, appropriate salt intake and regular physical activity were progressively greater from group 1 to group 2 to group 3. Group 3 had the largest reductions in body mass index and serum LDL cholesterol levels.
  
  
  CONCLUSIONS
  Interactive education workshops may be the most effective strategy in community-based health promotion education programs for hypertensive patients in improving patients' knowledge on hypertension and alleviating clinical risk factors for preventing hypertension-related complications.
authors: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. chuhong688@163.com.|Community Health Services Center of Liaobu, Dongguan, China. chuhong688@163.com.
authors: Chu-Hong
authors: CH
authors: Lu
authors: Community Health Services Center of Liaobu, Dongguan, China. tst666@139.com.
authors: Song-Tao
authors: ST
authors: Tang
authors: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. gz-leizeng@163.com.
authors: Yi-Xiong
authors: YX
authors: Lei
authors: Community Health Services Center of Liaobu, Dongguan, China. mianqiu168@163.com.
authors: Mian-Qiu
authors: MQ
authors: Zhang
authors: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. linweiquan0503@163.com.
authors: Wei-Quan
authors: WQ
authors: Lin
authors: Community Health Services Center of Liaobu, Dongguan, China. dglb1@sina.com.
authors: Sen-Hua
authors: SH
authors: Ding
authors: Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China. peixi001@163.com.
authors: Pei-Xi
authors: PX
authors: Wang
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002681:China; D003151:Community Health Centers / Q000458:organization & administration*; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006801:Humans; D006973:Hypertension / Q000517:prevention & control / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000706:statistics & numerical data*; D015397:Program Evaluation
chemical_list: D000959:Antihypertensive Agents
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