Villarino Resti Tito, Arcay Christopher Asuncion, Temblor Maria Concepcion, Villarino Maureen Lorence, Bagsit Rosita, Ocampo Lanndon, Bernard Paquito
Cebu Technological University, Moalboal Campus, Cebu, Philippines.
National Research Council of the Philippines, Manila, Philippines.
JMIR Cardio. 2021 Sep 24;5(2):e20297. doi: 10.2196/20297.
Hypertension is a serious health issue and a significant risk factor for cardiovascular disease and stroke. Although various health education models have been used to improve lifestyle in patients with hypertension, the findings have been inconsistent.
This study aims to assess the effects of a lifestyle intervention program using a modified Beliefs, Attitude, Subjective Norms, Enabling Factors (BASNEF) model among nonadherent participants with hypertension in managing elevated blood pressure (BP) levels.
This study reports a quantitative quasi-experimental research work, particularly using a repeated-measures design of the within-subjects approach on the 50 nonadherent patients who received a diagnosis of essential hypertension in Cebu, Philippines. The research participants received 5 sessions of training based on a modified BASNEF model. An adherence instrument was used as an evaluation platform. The first phase gathers participants' relevant profiles and background, and the final phase gathers participants' systolic BP, diastolic BP, heart rate, and adherence scores.
The results indicate that the phase 1 mean systolic readings (146.50, SD 19.59) differ significantly from the phase 4 mean systolic readings (134.92, SD 15.24). They also suggest that the lifestyle intervention based on session III or phase IV behavioral intention in the BASNEF model microgroup sessions positively affects BP readings among the research participants.
This study has established that the BASNEF model approach can be a good BP management technique.
高血压是一个严重的健康问题，也是心血管疾病和中风的重要风险因素。尽管已采用各种健康教育模式来改善高血压患者的生活方式，但结果并不一致。
本研究旨在评估一种生活方式干预项目对菲律宾宿务市未坚持治疗的高血压患者控制血压升高水平的效果，该项目采用了改良的信念、态度、主观规范、促成因素（BASNEF）模型。
本研究报告了一项定量准实验研究工作，特别是对菲律宾宿务市50名被诊断为原发性高血压的未坚持治疗患者采用了受试者内重复测量设计。研究参与者接受了基于改良BASNEF模型的5次培训课程。使用一种依从性工具作为评估平台。第一阶段收集参与者的相关资料和背景，最后阶段收集参与者的收缩压、舒张压、心率和依从性得分。
结果表明，第一阶段的平均收缩压读数（146.50，标准差19.59）与第四阶段的平均收缩压读数（134.92，标准差15.24）有显著差异。结果还表明，在BASNEF模型小组课程中，基于第三阶段或第四阶段行为意图的生活方式干预对研究参与者的血压读数有积极影响。
本研究证实，BASNEF模型方法可以成为一种良好的血压管理技术。
