{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:20:26Z","timestamp":1793038826147,"version":"4.5.0"},"reference-count":54,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the effects of self\u2010management interventions on systolic blood pressure, diastolic blood pressure, self\u2010efficacy, medication adherence and body mass index in older adults with hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Effective treatment of hypertension may require the practice of self\u2010management behaviours. However, evidence on effects of self\u2010management interventions on blood pressure, self\u2010efficacy, medication adherence and body mass index in older adults with hypertension is lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A systematic review and meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data sources<\/jats:title><jats:p>CINAHL, Cochrane Library, Embase, Ovid\u2010Medline, PubMed, Scopus, Web of Science and other sources were searched to October 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review methods<\/jats:title><jats:p>Data were analysed using Comprehensive Meta\u2010Analysis 2.0 and quality assessment was done using ROB 2.0. The pooled effect sizes were reported as Hedges' g values with corresponding 95% confidence intervals using a random\u2010effects model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve randomized controlled trials met our inclusion criteria. The results revealed that self\u2010management interventions significantly decreased blood pressure and increased self\u2010efficacy and medication adherence in older adult patients with hypertension, with no significant effect on body mass index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Self\u2010management interventions have considerable beneficial effects in older adults with hypertension. Health care providers should implement self\u2010management interventions to strengthen the patient's role in managing their health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.12920","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T08:34:48Z","timestamp":1613723688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Effects of self\u2010management programs on blood pressure, self\u2010efficacy, medication adherence and body mass index in older adults with hypertension: Meta\u2010analysis of randomized controlled trials"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3706-8757","authenticated-orcid":false,"given":"Pham","family":"Van Truong","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Nursing Department Vinmec Times City Hospital, Vinmec HealthCare System  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renny","family":"Wulan Apriliyasari","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Cendekia Utama  Kudus Central Java Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei\u2010Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing Tzu Chi University of Science and Technology  Hualien Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6419-9309","authenticated-orcid":false,"given":"Hsiao\u2010Yean","family":"Chiu","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-574X","authenticated-orcid":false,"given":"Pei\u2010Shan","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing and Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Sleep Research Center Taipei Medical University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.02.022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.02.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114500001112"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03907.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.12"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0000605-200911170-00148"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccl.2010.07.003"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00126097-200106000-00004"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0000000000000045"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001064"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-6-200509200-00007"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9730-1"},{"issue":"444","key":"e_1_2_9_15_1","first-page":"522","article-title":"Addressing barriers to change: An RCT of practice\u2010based education to improve the management of hypertension in the elderly","volume":"49","author":"Cranney M.","year":"1999","journal-title":"British Journal of General Practice"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.028"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2014.44"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12616"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.00455.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2005.10.005"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.09.018"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41043-017-0090-4"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2013.03.1631"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.40046.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12305"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.04.009"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2018.11.007"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b1665"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.111.188409"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.11.007"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-0597.2005.00210.x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.4103\/nms.nms_97_17"},{"issue":"4","key":"e_1_2_9_34_1","first-page":"e29","article-title":"Heart disease and stroke statistics\u20142015 update: A report from the American Heart Association","volume":"131","author":"Mozaffarian D.","year":"2015","journal-title":"Circulation"},{"key":"e_1_2_9_35_1","volume-title":"Chronic physical illness: Self\u2010management and behavioural interventions","author":"Newman S.","year":"2009"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12080"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.04.002"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpv186"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2014.03.004"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(18)32360-X"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2017.05.002"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001867"},{"key":"e_1_2_9_43_1","first-page":"1","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"336","author":"Sterne J. A. C.","year":"2019","journal-title":"BMJ"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/chf.12014"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001191"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-012-0256-9"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9410-6"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.11.005"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu058"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14190"},{"key":"e_1_2_9_51_1","unstructured":"World Health Organization. (2011).Definition of an older or elderly person. Retrieved fromhttp:\/\/www.who.int\/healthinfo\/survey\/ageingdefnolder\/en\/index.html. (accessed October 20 2020)"},{"key":"e_1_2_9_52_1","unstructured":"World Health Organization. (2019).Hypertension. Retrieved from:https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hypertension. (accessed October 20 2020)"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13305"},{"key":"e_1_2_9_54_1","first-page":"52","article-title":"Evidence based care journal effect of an educational program based on health belief model on medication adherence in elderly patients with hypertension","volume":"9","author":"Yazdanpanah Y.","year":"2019","journal-title":"Journal of Evidence\u2010Based Care"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.11.025"}],"container-title":["International Journal of Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.12920","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijn.12920","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.12920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T11:24:03Z","timestamp":1693567443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijn.12920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,16]]},"references-count":54,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1111\/ijn.12920"],"URL":"https:\/\/doi.org\/10.1111\/ijn.12920","archive":["Portico"],"relation":{},"ISSN":["1322-7114","1440-172X"],"issn-type":[{"value":"1322-7114","type":"print"},{"value":"1440-172X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,16]]},"assertion":[{"value":"2020-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12920"}}