The effect of training on knowledge, attitude, and practice in patients with hypertension; the application of the expanded chronic care model : a clinical trial study

Abstract EN

Background: Patients have a significant role in controlling and treating hypertension.

Improving patients’ Knowledge, Attitude, and Practice (KAP) is a crucial step in controlling hypertension.

Objectives: This study aimed to examine the effect of training based on the Expanded Chronic Care Model (ECCM) on KAP in patients with hypertension residing in Isfahan, Iran.

Methods: The clinical trial was conductedon 190 hypertensive patients aged 36 to 80 in 2015 - 2016.

Patients were randomly assigned toaninterventionanda controlgroup.

The intervention plan basedonECCMwasfour 2-hour education sessions for the intervention group and a family member.

Then, follow-ups were done by a phone call for six months.

Meanwhile; there was no intervention in the control group.

The data collection was done using KAP (a valid researcher-made questionnaire), before and after intervention in both groups.

Results: In the intervention group, there was a statistically significant difference between the mean score of KAP before and six months after the ECCM training (P < 0.05).

No significant differences were observed in the control group.

The two groups were not significantly different in terms of the Mean SD of KAP scores before the intervention.

Six months after implementing the care model, however, the MeanSD of KAP scores were significantly higher in the intervention group compared to in the controls (P < 0.05).

Conclusions: Based on the results, a training program based on the ECCM is effective in improving the knowledge, attitude, and practice of patients.

The ECCM could therefore be used as a framework for designing educational interventions for patients with hypertension.