Five-year blood pressure control and mortality following health education for hypertensive patients

D. E. Morisky, David Levine, L. W. Green, S. Shapiro, R. P. Russell, C. R. Smith

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Abstract

Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) and exit interview to increase understanding of an compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous evaluation of the initial two-year experience demonstrated a positive effect of the educational program on compliance with the medical treatment and blood pressure control. Data accumulated over an addition three years, including mortality analysis, are now presented. The study group consisted of the same cohort of 400 ambulatory hypertensive outpatients in the eight experimental and control groups. The five-year analysis shows a continuing positive effect on appointment keeping, weight control, and blood pressure control. All-cause life table mortality rate was 57.3 per cent less for the experimental group compared to the control group (12.9/100 vs 30.2/100, p <.05), while the hypertension-related mortality rate was 53.2 per cent less (8.9/100 vs 19.0/100, p <.01). The results from this longitudinal study provide evidence to encourage health practitioners to utilize such educational programs in the long-term management and control of high blood pressure.

Original languageEnglish (US)
Pages (from-to)153-162
Number of pages10
JournalAmerican Journal of Public Health
Volume73
Issue number2
Publication statusPublished - 1983

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Morisky, D. E., Levine, D., Green, L. W., Shapiro, S., Russell, R. P., & Smith, C. R. (1983). Five-year blood pressure control and mortality following health education for hypertensive patients. American Journal of Public Health, 73(2), 153-162.