Effect of Modular Training on Self-Management, Disease, and Treatment Adaptation in Individuals With Hypertension: A Randomized Controlled Trial.

The intervention group demonstrated significant improvements in self-efficacy following nurse-led modular education.

• Improvement in self-efficacy was statistically significant (p = 0.001)
• The study used the Hypertension Self-Efficacy Scale (HSES) to measure this outcome
• The intervention consisted of one face-to-face session and four modular educational sessions via telephone over 12 weeks
• Sample size was 23 participants in the intervention group

The intervention group showed significant improvements in medication knowledge and motivation.

• Medication knowledge improvement was statistically significant (p = 0.001)
• Motivation improvement was statistically significant (p = 0.011)
• These outcomes were measured using the Modified Morisky Scale (MMS)
• The control group received routine care and completed the same measurements for comparison

Total disease adaptation significantly improved in the intervention group but not psychological adaptation.

• Total disease adaptation improvement was statistically significant (p = 0.001)
• No significant improvement was observed in psychological adaptation
• Adaptation was measured using the Adaptation to Chronic Illness Scale (ACIS)
• Physical and social adaptation to chronic illness were among the components that improved

The control group showed a significant decline in self-efficacy and total adaptation scores during the study period.

• The control group received only routine care during the 12-week study period
• Decline was observed in both self-efficacy scores and total adaptation scores
• This contrasted with significant improvements seen in the intervention group
• The control group comprised 23 participants, equal in size to the intervention group

The randomized controlled trial was conducted with 46 hypertensive adults in an internal medicine outpatient clinic using a pretest/posttest design.

• Total sample size was 46 participants, equally divided: intervention = 23, control = 23
• Data were collected using three instruments: Hypertension Self-Efficacy Scale (HSES), Modified Morisky Scale (MMS), and Adaptation to Chronic Illness Scale (ACIS)
• The intervention included one face-to-face session and four modular educational sessions delivered via telephone
• The intervention duration was 12 weeks
• Blood pressure control rates were not assessed as a primary outcome