Effects of Customized Long-Message Service and Phone-Based Health-Coaching on Elderly People with Hypertension
Background: We aimed to develop long-message services (LMS) and phone-based health-coaching for community-dwelling seniors diagnosed with hypertension and assess the effects of the programs implemented both separately and together. These programs are easily applicable to seniors diagnosed with hypertension and will help control their blood pressure (BP) in a practical manner.
Methods: We conducted a single-blinded, randomized, controlled pragmatic trial. Individuals aged 65 years or older with hypertension at two senior welfare centers in Seoul, South Korea, who were able to take phone calls and check text messages were enrolled. The study included 124 participants: 31 in the control group, 30 in the health-coaching group, 32 in the LMS group, and 31 in the health-coaching-with-LMS group.
Results: Phone-based health-coaching with LMS was effective in improving medication adherence, hypertension self-efficacy, and self-management behavior and decreasing systolic BP as compared to LMS only. There were also improvements in medication adherence, hypertension-related knowledge, hypertension self-efficacy, self-management behavior, and systolic BP in the LMS group as compared to the control group.
Conclusion: Using phone-based health-coaching with LMS was effective for managing hypertension in community-dwelling seniors diagnosed with hypertension and could become a useful intervention method.
2. Korea Ministry of Health & Welfare (2018). 2017 health behaivor and chronic disease statistics (in Korean). Korea Ministry of Health & Welfare.
3. Greenfield DM, Snowden JA (2019). Cardiovascular Diseases and Metabolic Syndrome. The EBMT Handbook: Springer.
4. Rojas NA, Dobell E, Lacey B, et al (2019). Burden of hypertension and associated risks for cardiovascular mortality in Cuba: a prospective cohort study. Lancet Public Health 2019;4: e107–15.
5. Wang JG, Staessen JA, Franklin SS, et al (2005). Systolic and diastolic blood pressure lowering as determinants of cardiovascular outcome. Hypertension, 45(5):907-913.
6. James PA, Oparil S, Carter BL, et al (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA, 311(5):507-520.
7. Yoo Y, Cho O, Park S, et al (2005). Development of a web-based hypertensive patient management system using short message service (SMS): pilot study (in Korean). J Korean Cinic Nurs Res, 11(1):57-70.
8. Vargas G, Cajita MI, Whitehouse E, et al (2017). Use of short messaging service for hypertension management: a systematic review. J Cardiovasc Nurs, 32(3):260-70.
9. Thom DH, Willard-Grace R, Hessler D, et al (2015). The impact of health coaching on medication adherence in patients with poorly controlled diabetes, hypertension, and/or hyperlipidemia: a randomized controlled trial. J Am Board Fam Med, 28(1):38-45.
10. Lee JA, Kim WS, Bae MJ, et al (2014). The effectiveness of short term mobile phone text reminders in improving compliance among hypertensive patients (in Korean). Korean J Health Promot, 14(1):1-8.
11. Kim OR. Effects of self care program on hypertensive control in hypertensive patient (in Korean). J Korean Acad Community Health Nurs, 14(4):568-578.
12. Márquez EC, Gil VG, Ylla-Catalá A, et al (2004). Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert). Aten Primaria, 34(8):399-405.
13. Haramiova Z, Stasko M, Hulin M, et al (2017). The effectiveness of daily SMS reminders in pharmaceutical care of older adults on improving patients’ adherence to antihypertensive medication (SPPA): study protocol for a randomized controlled trial. Trials, 18(1):334.
14. Bobrow K, Farmer A, Cishe N, et al (2018). Using the Medical Research Council framework for development and evaluation of complex interventions in a low resource setting to develop a theory-based treatment support intervention delivered via SMS text message to improve blood pressure control. BMC Health Serv Res, 18(1):33.
15. Margolius D, Bodenheimer T, Bennett H, et al (2012). Health coaching to improve hypertension treatment in a low-income, minority population. Ann Fam Med, 10(3):199-205.
16. Kim HS, Lee KH, Kim H, et al (2014). Using mobile phones in healthcare management for the elderly. Maturitas, 79(4):381-388.
17. Cox CL (1982). An interaction model of client health behavior: theoretical prescription for nursing. Adv Nurs Sci, 5(1):41-56.
18. Park Y, Hong Y (1994). An effect of the self-regulation program for hypertensives: synthesis & testing of Orem and Bandura's theory (in Korean). J Korean Acad Community Health Nurs, 5(2):109-129.
19. Lee YW (1995). A study of the effect of an efficacy expectation promoting program on self-efficacy and self-care (in Korean). Korean J Adult Nurs, 7(2):212-227.
20. Morisky DE, Green LW, Levine DM (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 24(1):67-74.
21. Han J (2007). The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people (in Korean). Unpublished master's thesis, Ewha Womans University, Seoul, Republic of Korea.
22. Oh JH (2015). The study on health literacy, hypertension-related knowledge, self-efficacy and self-care behavior among elderly patients with hypertension in a community (in Korean). Unpublished master's thesis, Jeju University, Jeju, Republic of Korea.
23. Kiselev AR, Gridnev VI, Shvartz VA, et al (2012). Active ambulatory care management supported by short message services and mobile phone technology in patients with arterial hypertension. J Am Soc Hypertens, 6(5):346-355.
24. Hall AK, Cole-Lewis H, Bernhardt JM (2015). Mobile text messaging for health: a systematic review of reviews. Annu Rev of Public Health, 36:393-415.
25. Fjeldsoe BS, Marshall AL, Miller YD (2009). Behavior change interventions delivered by mobile telephone short-message service. Am J Prev Med, 36(2):165-173.
26. Palileo-Villanueva L (2014). Effectiveness of SMS text reminders to improve blood pressure among patients with hypertension. ClinicalTrials gov Bethesda, MD: National Library of Medicine(US).
27. Bull FC, Holt CL, Kreuter MW, et al (2001). Understanding the effects of printed health education materials: which features lead to which outcomes? J Health Commun, 6(3):265-280.
28. Suggs LS (2006). A 10-year retrospective of research in new technologies for health communication. J Health Commun, 11(1):61-74.
29. Ryan P, Lauver DR (2002). The efficacy of tailored interventions. J Nurs Scholarsh, 34(4):331-337.
30. Willard-Grace R, Chen EH, Hessler D, et al (2015). Health coaching by medical assistants to improve control of diabetes, hypertension, and hyperlipidemia in low-income patients: a randomized controlled trial. Ann Fam Med, 13(2):130-138.
|Issue||Vol 48 No 4 (2019)|
|Hypertension Medication adherence Self-efficacy Self-management|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|