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...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14981 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832576416296730624 |
|---|---|
| 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. |
| format | Article |
| id | doaj-art-7e973f45171f48f28aa0af314560aed7 |
| institution | Kabale University |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| 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 |
| work_keys_str_mv | AT rasmushermanssonborrebaeck selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare AT andreasfors selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare AT ulrikabengtsson selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare AT karinkjellgren selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare AT susannacalling selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare AT patrikmidlov selfefficacyinhypertensionmanagementusingehealthtechnologyarandomizedcontrolledtrialinprimarycare |