Children as change agents in enhancing adherence to Hypertension management in adults

Abstract

Hypertension or high blood pressure (HBP) is a globally acknowledged warning cry for attention towards one s most important facets of survival, i.e., the functioning of the cardiovascular system. The estimated rates of prevalence and lack of hypertension control despite diagnosis is exponential in imminent cardiovascular mortality and functional disability. A strictly followed medically prescribed regimen along with lifestyle changes through diet and exercise is the key to optimal adherence and hypertension management. Owing to the overwhelming doctor-patient ratio especially in developing countries, hypertension treatment plans fail to create a surge in self-management. Previous studies have established that the right kind of social support and a strong cognitive foundation can solidify the conviction that culminates into adherence behaviour. This research study taps into both these spheres of influence and implements a hypertension knowledge intervention module and monitoring activity directed at children who are capable of being change agents in influencing hypertensive adults towards optimal hypertension adherence and HBP management. This delivery of a cognitive intervention supplies a logical foundation that is expected to latently dissipate to the hypertensive adult family members. This vision was conceptualised and implemented through a quasi experimental interrupted time series design. Foremostly, hypertensive adults were identified in the families of 181 school going children recruited through purposive sampling. Each hypertensive adult was assessed prior to the intervention module (meant for children) for their hypertension knowledge using the Hypertension Knowledge Test (HKT) and their hypertension compliance level using Hypertension Compliance Scale (HyCompS). Their blood pressure was recorded in accordance with medical norms using a digital sphygmomanometer. The systolic and diastolic numbers were converted into mean arterial pressure using standard formula. They were also assessed for personality Ty