Effectiveness of patient education and psychosocial counseling in promoting compliance and control among hypertensive patients

J Fam Pract. 1980 Jun;10(6):1047-55.

Abstract

Compliance with physician recommendations among long-term hypertensive patients can be a chronic and difficult treatment problem. This study evaluated the relative effectiveness of additional patient education and psychosocial counseling in improving patient compliance. At a family practice clinic, 123 low income, rural, black hypertensive patients were pretested on several psychological characteristics and randomly assigned to one of three groups: vigorous, group patient education and family physician appointments; supportive, individualized psychosocial counseling and family physician appointments; or family physician appointments only, which was the baseline medical care. Intervention and follow-up each lasted three months, and the intervention was in addition to the patients' baseline medical care. Compliance was measured by: keeping follow-up appointments; bringing antihypertension medications to each appointment; consuming these medications; and diastolic blood pressure. Analysis of variance of group mean and change scores, t tests, and chisquare analysis indicated that neither additional patient education nor additional psychosocial counseling improved compliance or blood pressure control significantly better than regular family physician visits alone.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • African Americans
  • Aged
  • Blood Pressure
  • Counseling*
  • Evaluation Studies as Topic
  • Female
  • Florida
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / psychology
  • Internal-External Control
  • Male
  • Middle Aged
  • Patient Compliance*
  • Patient Education as Topic / methods*
  • Random Allocation
  • Sampling Studies
  • Socioeconomic Factors