Information-based health management combined with the knowledge-attitude-practice (KAP) health education model effectively improved blood pressure control, medication adherence, self-management ability, health behaviors, and quality of life in patients with hypertension, with high patient satisfaction.
Key Findings
Results
The blood pressure control rate was higher in the intervention group (information-based health management plus KAP model) compared to the control group following management.
200 hypertensive patients were randomized into a control group or an intervention group
Control group received conventional health management and health education
Intervention group received information-based health management plus the KAP health education model
Difference in blood pressure control rate between groups was statistically significant (P<0.05)
Results
Both groups showed reductions in systolic and diastolic blood pressures post-management, with lower values observed in the intervention group.
Pre- and post-management systolic and diastolic blood pressures were compared between the two groups
Both groups showed 'noticeable reductions' in systolic and diastolic blood pressures post-management
Post-management blood pressure values were lower in the intervention group compared to the control group (P<0.05)
Results
Medication adherence increased in both groups following management, with higher adherence observed in the intervention group.
Medication adherence was measured and compared between both groups pre- and post-management
Both groups exhibited increased medication adherence post-management
The intervention group demonstrated higher medication adherence than the control group (P<0.05)
Results
Self-management abilities, as assessed by the Hypertension Patient Self-Management Behavior Rating Scale (HPSMBRS), were higher in the intervention group post-management.
Self-management abilities were assessed using the Hypertension Patient Self-Management Behavior Rating Scale (HPSMBRS)
Both groups exhibited increased self-management ability scores post-management
The intervention group scored higher on the HPSMBRS than the control group (P<0.05)
Results
Health behavior scores, measured by the Health-Promoting Lifestyle Profile II (HPLP-II), were higher in the intervention group compared to the control group after management.
Health behaviors were examined using the Health-Promoting Lifestyle Profile II (HPLP-II)
Both groups showed increased health behavior scores post-management
The intervention group had higher HPLP-II scores than the control group (P<0.05)
Results
Quality of life, estimated using the Generic Quality of Life Inventory-74 (GQOLI-74), improved in both groups, with greater improvement in the intervention group.
Quality of life was estimated using the Generic Quality of Life Inventory-74 (GQOLI-74)
Both groups demonstrated increased quality of life scores post-management
The intervention group had higher GQOLI-74 scores than the control group (P<0.05)
Results
Patient satisfaction with management was higher in the intervention group than in the control group.
Patient satisfaction with management was compared between the two groups
The intervention group reported higher patient satisfaction than the control group (P<0.05)
The authors described patient satisfaction in the intervention group as 'high'
What This Means
This research suggests that combining digital/technology-based health management tools with a structured educational approach called the knowledge-attitude-practice (KAP) model can lead to better outcomes for people with high blood pressure compared to standard care. In a study of 200 hypertensive patients split into two equal groups, those who received the combined intervention showed better blood pressure control, greater reductions in both systolic and diastolic blood pressure readings, and were more likely to take their medications as prescribed than those who received conventional care.
Beyond blood pressure numbers, the research suggests that patients in the intervention group also developed better self-management skills, adopted healthier lifestyle behaviors, and reported a higher quality of life. They were also more satisfied with the care they received. These findings point to the potential value of integrating technology-assisted health monitoring with education programs that target not just knowledge, but also patients' attitudes toward their condition and their day-to-day health practices.
This research matters because hypertension is a major global health concern that often requires long-term self-management by patients outside of clinical settings. Approaches that help patients understand their condition, motivate them to care about managing it, and equip them with practical skills may offer an advantage over traditional education-only approaches. The use of information-based tools may also allow for more personalized and continuous support, which could explain the improvements seen across multiple health outcomes in this study.
Duan J, Jin Q. (2026). Application effects of information-based health management combined with knowledge-attitude-practice health education model in hypertensive patients.. Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas. https://doi.org/10.1590/1414-431X2026e15576