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Effectiveness of a Multidisciplinary Approach Intervention to Improve Blood Pressure Control Among Elderly Hypertensive Patients in Rural Thailand: A Quasi-Experimental Study

Authors Woodham NS, Taneepanichskul S, Somrongthong R, Kitsanapun A, Sompakdee B

Received 5 April 2020

Accepted for publication 10 June 2020

Published 3 July 2020 Volume 2020:13 Pages 571—580

DOI https://doi.org/10.2147/JMDH.S254286

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Nanthakan Sungsuman Woodham,1 Surasak Taneepanichskul,1 Ratana Somrongthong,1 Apaporn Kitsanapun,2 Benjapan Sompakdee3

1College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand; 2Sirindhorn College of Public Health Suphanburi, Suphan Buri, Thailand; 3Buengkan District Health Office, Bueng Kan, Thailand

Correspondence: Surasak Taneepanichskul
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
Tel +66-2218-8153
Fax +66-2255-6046
Email academic_cphs@chula.ac.th

Purpose: Uncontrolled blood pressure among Thai elderly hypertensive patients is a significant public health issue in primary health care facilities under the Universal Health Coverage Scheme in Thailand. This study examines the effectiveness of a multidisciplinary approach intervention to improve blood pressure control among elderly persons in rural Thailand.
Patients and Methods: This was quasi-experimental study conducted on 200 elderly persons who receive care for hypertension at primary health care facility in rural areas of Thailand. Participants were assigned to either the intervention or control groups. The intervention group was subjected to a multidisciplinary approach intervention program. This program included community-based care for hypertension, family-supportive care for hypertension, antihypertension medication adherence education program, the use of a reminder electronic pill box, and monthly pill counts and blood pressure measurements. The intervention continued for three months. The control group received care for hypertension at the hypertension clinic of the health center. Three measurements were taken at baseline, one month, and three months after the intervention. Data analysis included descriptive statistics and independent sample t-tests. Repeated-measure analysis of variance (ANOVA) and analysis of covariance (ANCOVA) were used to compare the differences between the two groups.
Results: At one month and three months after the intervention, the multidisciplinary approach intervention controlled blood pressure more effectively compared with the control group. Furthermore, the intervention group had lower systolic and diastolic blood pressure compared with the control group (P-value < 0.001).
Conclusion: These results suggest that the multidisciplinary approach intervention can be effective in controlling blood pressure in elderly hypertensive patients. Future studies should investigate a cost-effective means of integrating multidisciplinary approach interventions in routine hypertension care for elderly hypertensive patients.

Keywords: hypertension, universal health coverage, primary health care, community base intervention

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