Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
BMC Public Health. 2024 Nov 25;24(1):3268. doi: 10.1186/s12889-024-20807-z.
Peer education is an effective approach for promoting medication adherence in hypertensive patients, but there is limited evidence on its cost-effectiveness analysis. This study aimed to evaluate the cost -effectiveness of peer education for improving medication adherence in the elderly with hypertension.
This randomized clinical trial involved 74 elderly individuals with hypertension who were referred to health centers affiliated to Mashhad University of Medical Sciences in 2019. Educational content was presented over six sessions across six weeks by a peer in the intervention group, and a health center nurse in the control group. Data was collected before the intervention, immediately after intervention, and at 3 and 6 weeks post-intervention using the Morisky Medication Adherence Scale. Data analysis was performed by SPSS (Ver. 23) with both descriptive and statistical test. Cost-effectiveness analysis of the educational methods measured the impact on medication adherence scores for each group.
The medication adherence score was 7.33 ± 0.41 and 6.37 ± 0.76 at 6 weeks post educational sessions in the intervention and control groups, respectively. There was a significant difference in mean score of medication adherence at the end of the intervention, as well as at 3 and 6 weeks post-intervention between the groups (p < 0.001). Additionally, the results indicated that peer education approach was more cost-effective than routine education.
Peer education programs promote medication adherence in elderly with hypertension and are more cost-effective than routine education in health centers. Healthcare managers can improve medication adherence and reduce costs with employing peers to educate older individuals with hypertension.
This study was registered in the Iranian Registry of Clinical Trials (registration number: IRCT20180519039710N1). Registration date: July 29, 2018.
同伴教育是促进高血压患者服药依从性的有效方法，但关于其成本效益分析的证据有限。本研究旨在评估同伴教育对提高老年高血压患者服药依从性的成本效益。
这是一项随机临床试验，涉及 2019 年马什哈德医科大学附属医院的 74 名老年高血压患者。干预组由同伴在 6 周内通过 6 次课程提供教育内容，对照组由健康中心护士提供。在干预前、干预后立即以及干预后 3 周和 6 周使用 Morisky 药物依从性量表收集数据。使用 SPSS（版本 23）进行数据分析，采用描述性和统计检验。对教育方法的成本效益分析衡量了对每组药物依从性评分的影响。
干预组和对照组在教育课程结束后 6 周的药物依从性评分分别为 7.33±0.41 和 6.37±0.76。干预结束时、干预后 3 周和 6 周，两组的药物依从性评分均值均存在显著差异（p<0.001）。此外，结果表明同伴教育方法比常规教育方法更具成本效益。
同伴教育计划可促进老年高血压患者的服药依从性，并且在健康中心比常规教育更具成本效益。医疗保健管理人员可以通过雇佣同伴来教育老年高血压患者，提高药物依从性并降低成本。
本研究在伊朗临床试验注册中心（注册号：IRCT20180519039710N1）注册。注册日期：2018 年 7 月 29 日。
Zotero 插件