Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care

ABSTRACT Self‐efficacy is tightly intertwined with person‐centered care and correlates with engaging in self‐care behaviors, an important part of hypertension treatment. Evidence indicates that e‐Health‐based self‐management interventions could increase self‐efficacy. The objectives of this study we...

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Main Authors: Rasmus Hermansson‐Borrebaeck, Andreas Fors, Ulrika Bengtsson, Karin Kjellgren, Susanna Calling, Patrik Midlöv
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:The Journal of Clinical Hypertension
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Online Access:https://doi.org/10.1111/jch.14981
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author Rasmus Hermansson‐Borrebaeck
Andreas Fors
Ulrika Bengtsson
Karin Kjellgren
Susanna Calling
Patrik Midlöv
author_facet Rasmus Hermansson‐Borrebaeck
Andreas Fors
Ulrika Bengtsson
Karin Kjellgren
Susanna Calling
Patrik Midlöv
author_sort Rasmus Hermansson‐Borrebaeck
collection DOAJ
description ABSTRACT Self‐efficacy is tightly intertwined with person‐centered care and correlates with engaging in self‐care behaviors, an important part of hypertension treatment. Evidence indicates that e‐Health‐based self‐management interventions could increase self‐efficacy. The objectives of this study were to investigate whether an intervention with a person‐centered approach supported by e‐Health technology can impact self‐efficacy. Furthermore, to examine the impact of self‐efficacy on hypertension management, and assess if self‐efficacy can indicate which patients might see the greatest improvement on blood pressure from an e‐Health‐based self‐management intervention for hypertension. This multicenter randomized controlled trial included 949 primary healthcare patients with hypertension. After exclusions, data was analyzed for 862 patients. The intervention group used an e‐Health‐based self‐management system for 8 weeks. Self‐efficacy was measured with the general self‐efficacy (GSE) scale at inclusion, 8‐week follow‐up and 1‐year follow‐up. A significant increase in the mean GSE score in the intervention group was identified (p 0.042). No significant association between self‐efficacy and blood pressure control was found. GSE scores did not significantly differ between the patients that had the best effect on blood pressure and those that had none. This study showed a significant increase in self‐efficacy after the intervention. Self‐management‐based e‐Health interventions might have a role in clinical practice to increase self‐efficacy and improve general health. We found no association between self‐efficacy and achieving a blood pressure below 140/90. Furthermore, no support was found to claim that self‐efficacy would be an indicator of which patients might have the greatest effect from a self‐management‐based e‐Health intervention for hypertension.
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spelling doaj-art-7e973f45171f48f28aa0af314560aed72025-01-31T05:38:37ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-01-01271n/an/a10.1111/jch.14981Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary CareRasmus Hermansson‐Borrebaeck0Andreas Fors1Ulrika Bengtsson2Karin Kjellgren3Susanna Calling4Patrik Midlöv5Center for Primary Health Care Research Department of Clinical Sciences Malmö Lund University Malmö SwedenInstitute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg SwedenInstitute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg SwedenCentre for Person‐Centred Care (GPCC) University of Gothenburg Gothenburg SwedenCenter for Primary Health Care Research Department of Clinical Sciences Malmö Lund University Malmö SwedenCenter for Primary Health Care Research Department of Clinical Sciences Malmö Lund University Malmö SwedenABSTRACT Self‐efficacy is tightly intertwined with person‐centered care and correlates with engaging in self‐care behaviors, an important part of hypertension treatment. Evidence indicates that e‐Health‐based self‐management interventions could increase self‐efficacy. The objectives of this study were to investigate whether an intervention with a person‐centered approach supported by e‐Health technology can impact self‐efficacy. Furthermore, to examine the impact of self‐efficacy on hypertension management, and assess if self‐efficacy can indicate which patients might see the greatest improvement on blood pressure from an e‐Health‐based self‐management intervention for hypertension. This multicenter randomized controlled trial included 949 primary healthcare patients with hypertension. After exclusions, data was analyzed for 862 patients. The intervention group used an e‐Health‐based self‐management system for 8 weeks. Self‐efficacy was measured with the general self‐efficacy (GSE) scale at inclusion, 8‐week follow‐up and 1‐year follow‐up. A significant increase in the mean GSE score in the intervention group was identified (p 0.042). No significant association between self‐efficacy and blood pressure control was found. GSE scores did not significantly differ between the patients that had the best effect on blood pressure and those that had none. This study showed a significant increase in self‐efficacy after the intervention. Self‐management‐based e‐Health interventions might have a role in clinical practice to increase self‐efficacy and improve general health. We found no association between self‐efficacy and achieving a blood pressure below 140/90. Furthermore, no support was found to claim that self‐efficacy would be an indicator of which patients might have the greatest effect from a self‐management‐based e‐Health intervention for hypertension.https://doi.org/10.1111/jch.14981e‐Healthhypertensionperson‐centered careprimary healthcareself‐efficacy
spellingShingle Rasmus Hermansson‐Borrebaeck
Andreas Fors
Ulrika Bengtsson
Karin Kjellgren
Susanna Calling
Patrik Midlöv
Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
The Journal of Clinical Hypertension
e‐Health
hypertension
person‐centered care
primary healthcare
self‐efficacy
title Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
title_full Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
title_fullStr Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
title_full_unstemmed Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
title_short Self‐Efficacy in Hypertension Management Using e‐Health Technology: A Randomized Controlled Trial in Primary Care
title_sort self efficacy in hypertension management using e health technology a randomized controlled trial in primary care
topic e‐Health
hypertension
person‐centered care
primary healthcare
self‐efficacy
url https://doi.org/10.1111/jch.14981
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