Volume 31, Issue 3 (9-2025)
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Miri M, Ghaljeh M, Khojasteh F, Saadatifar B. Comparison of the effect of mHealth and face-to-face education on treatment adherence among patients with hypertension. Journal of Hayat 2025; 31 (3) :265-278
URL: http://hayat.tums.ac.ir/article-1-5625-en.html
URL: http://hayat.tums.ac.ir/article-1-5625-en.html
1- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
2- Dept. of Nursing Management, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran ,ghaljeh.m@gmail.com
3- Dept. of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Pregnancy Health Research Center ,Zahedan University of Medical Sciences, Zahedan, Iran
4- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Dept. of Nursing Management, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran ,
3- Dept. of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Pregnancy Health Research Center ,Zahedan University of Medical Sciences, Zahedan, Iran
4- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract: (1450 Views)
Background & Aim: Hypertension is a common, often asymptomatic chronic disease that can lead to severe complications if not properly controlled. Patient education plays a vital role in improving blood pressure management and preventing related complications. This study aimed to compare the effects of mobile health (mHealth) and face-to-face education on treatment adherence among patients with hypertension.
Methods & Materials: This quasi-experimental study was conducted on 110 patients with hypertension referred to teaching hospitals in Zahedan, Iran. Participants were selected using convenience sampling and randomly assigned to two groups. Data were collected using a demographic questionnaire and the Hypertension Treatment Adherence Questionnaire. In the mHealth group, patients received educational content via the Eitaa messaging application, and the adherence questionnaire was completed six weeks after the final message. In the face-to-face group, educational sessions were held once a week for three consecutive weeks, and the same questionnaire was administered six weeks after the last session. Data were analyzed using SPSS version 26 with independent and paired t-tests, chi-square test, Fisher’s exact test, and analysis of covariance (ANCOVA). A P-value<0.05 was considered statistically significant.
Results: Before the intervention, there were no significant differences between the two groups in total adherence scores and most of its subdimensions (except for dietary adherence). After the intervention, however, the difference between the two groups became statistically significant (P=0.001).
Conclusion: Both mHealth-based and face-to-face education effectively improved treatment adherence among patients with hypertension. However, mHealth-based education provides the additional advantage of flexible and continuous access to educational materials anytime and anywhere, making it a practical alternative for patient education.
Methods & Materials: This quasi-experimental study was conducted on 110 patients with hypertension referred to teaching hospitals in Zahedan, Iran. Participants were selected using convenience sampling and randomly assigned to two groups. Data were collected using a demographic questionnaire and the Hypertension Treatment Adherence Questionnaire. In the mHealth group, patients received educational content via the Eitaa messaging application, and the adherence questionnaire was completed six weeks after the final message. In the face-to-face group, educational sessions were held once a week for three consecutive weeks, and the same questionnaire was administered six weeks after the last session. Data were analyzed using SPSS version 26 with independent and paired t-tests, chi-square test, Fisher’s exact test, and analysis of covariance (ANCOVA). A P-value<0.05 was considered statistically significant.
Results: Before the intervention, there were no significant differences between the two groups in total adherence scores and most of its subdimensions (except for dietary adherence). After the intervention, however, the difference between the two groups became statistically significant (P=0.001).
Conclusion: Both mHealth-based and face-to-face education effectively improved treatment adherence among patients with hypertension. However, mHealth-based education provides the additional advantage of flexible and continuous access to educational materials anytime and anywhere, making it a practical alternative for patient education.
Type of Study: Research |
Subject:
Nursing Care
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