{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:42:05Z","timestamp":1787938925525,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T00:00:00Z","timestamp":1564531200000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Preventive interventions of hypertension and health care activities are often performed in the community and at home. Studies have shown that self\u2010management plays an indispensable role in the management of chronic diseases. This study aimed to explore an innovative community\u2010based hypertension self\u2010management model and to evaluate its effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study involved qualitative and quantitative research methods. A community\u2010based hypertension self\u2010management model was developed using consultation with experts and qualitative interviews. The intervention was executed in the communities of Pudong New Area in Shanghai, China. We enrolled 1080 patients with hypertension in the intervention group and 588 similar patients in the control group. A questionnaire was administered before and after the intervention to collect information on patients' health status, self\u2010management skills, and disease management abilities. Analyses were conducted to evaluate changes in the health\u2010related outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant difference in general health and health literacy after the intervention for the intervention patients group (<jats:italic>P<\/jats:italic> &lt; .05). Furthermore, the proportion of health literacy was higher in the intervention group than in the control group (71.6% vs 59.6%). The significant differences were demonstrated in the comparison of the disease management ability data between the intervention and control group, especially in drug compliance, physical activity, regulate diet, and smoking. In addition, there is other evidence of the successful applicability and effectiveness of the community\u2010based hypertension self\u2010management program in 2007\u20102013, such as self\u2010management teams formation and blood pressure control rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The community\u2010based self\u2010management hypertension model, which involved the participation of general practitioners, is suitable for the management of hypertension disease in Pudong of Shanghai and could provide a reference for its large\u2010scale promotion and application.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.2867","type":"journal-article","created":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T03:29:58Z","timestamp":1564630198000},"page":"960-974","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Evaluation of a community\u2010based hypertension self\u2010management model with general practitioners"],"prefix":"10.1002","volume":"34","author":[{"given":"Yimin","family":"Zhang","sequence":"first","affiliation":[{"name":"Health Development Research Center, Pudong Institute for Health Development  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanshan","family":"Liu","sequence":"additional","affiliation":[{"name":"Health Development Research Center, Pudong Institute for Health Development  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinchun","family":"Sheng","sequence":"additional","affiliation":[{"name":"General Office, Pudong New Area Center for Patriotic Sanitation Campaign and Health Promotion Counsel  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiquan","family":"Lou","sequence":"additional","affiliation":[{"name":"Health Development Research Center, Pudong Institute for Health Development  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Fu","sequence":"additional","affiliation":[{"name":"School of Public Health Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoming","family":"Sun","sequence":"additional","affiliation":[{"name":"Health Development Research Center, Pudong Institute for Health Development  Shanghai China"},{"name":"School of Public Health Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,31]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization (WHO).\u2009Package of essential NCD interventions for primary health care: cancer diabetes heart disease and stroke chronic respiratory disease.2014."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-17047-0"},{"key":"e_1_2_8_4_1","first-page":"701","article-title":"China guideline for hypertension prevention and treatment in 2010","volume":"8","author":"Liu LS","year":"2011","journal-title":"Chinese Journal of Hypertension"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"212","article-title":"Research progress in self\u2010management of diabetic patients","volume":"16","author":"Liu X","year":"2008","journal-title":"Chinese Journal of Prevention and Control of Chronic Non\u2010Communicable Diseases"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2014.5"},{"key":"e_1_2_8_7_1","volume-title":"Preventive Medicine","author":"Fu H","year":"2008"},{"key":"e_1_2_8_8_1","unstructured":"MaW.\u2009The British national health system and its enlightenment to the reform of China's basic medical and health system.Zhejiang University;2009. 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