{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T10:05:17Z","timestamp":1783764317938,"version":"3.55.0"},"reference-count":45,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T00:00:00Z","timestamp":1550016000000},"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":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To determine the effectiveness of a community\u2010based health programme grounded on the PRECEDE\u2010PROCEED model, on the knowledge, adherence and blood pressure control of community\u2010dwelling adults with hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Hypertension has consistently been a leading cause of morbidity and mortality in different countries and has continuously increased in prevalence. Albeit manageable with lifestyle modification and anti\u2010hypertensive medications, adequate knowledge and poor adherence to these treatment regimens are issues that have led to poor blood pressure control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Quasi\u2010experimental, one\u2010group pretest\u2013post\u2010test design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The PRECEDE\u2010PROCEED model was used to develop and evaluate the effectiveness of the community\u2010based health programme. From August to October 2017, a total of 50 community\u2010dwelling adults with hypertension participated in the programme which included blood pressure monitoring, targeted health educations, motivational interviews, individualised lifestyle modification plans and house\u2010to\u2010house visits. Knowledge, adherence and blood pressure were assessed at the start and at the end of the 2\u2010month programme. Gathered data were analysed using descriptive statistics and RM\u2010MANOVA. The TREND checklist was followed in reporting this study (See Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 2\u00a0months, the mean adherence, systolic blood pressure and diastolic blood pressure significantly improved, attributing more than 25% of the change. Although knowledge scores were significantly higher after the programme, it only accounted 9% of the improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides evidence on the effectiveness of a community\u2010based health programme grounded on the PRECEDE\u2010PROCEED model on the knowledge, adherence and blood pressure control of community\u2010dwelling adults with hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>The community\u2010based health programme is beneficial to community\u2010dwelling adults with hypertension in promoting knowledge and adherence to treatment regimen and improving BP control. This study also provides a framework for developing new or enhancing existing programmes on hypertension in the Philippines.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14787","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:47:03Z","timestamp":1548290823000},"page":"1879-1888","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Effectiveness of a community\u2010based health programme on the blood pressure control, adherence and knowledge of adults with hypertension: A PRECEDE\u2010PROCEED model approach"],"prefix":"10.1111","volume":"28","author":[{"given":"Benedict Jerome D.","family":"Calano","sequence":"first","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Jane B.","family":"Cacal","sequence":"additional","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian B.","family":"Cal","sequence":"additional","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klein P.","family":"Calletor","sequence":"additional","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances Irah Crichelle C.","family":"Guce","sequence":"additional","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Victoria V.","family":"Bongar","sequence":"additional","affiliation":[{"name":"College of Nursing University of Santo Tomas Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8967-2054","authenticated-orcid":false,"given":"John Rey B.","family":"Macindo","sequence":"additional","affiliation":[{"name":"Faculty of Management and Development Studies University of the Philippines \u2013 Open University Los Ba\u00f1os, Laguna Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2015.01.384"},{"issue":"5","key":"e_1_2_9_3_1","first-page":"16","article-title":"Sources of information and level of knowledge on hypertension among entry level university students in Ajman, UAE","volume":"2","author":"Akter R.","year":"2014","journal-title":"American Journal of Research Communication"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2014.05.005"},{"key":"e_1_2_9_5_1","unstructured":"American Heart Association(2017).2017 Hypertension Clinical Practice Guidelines. Retrieved fromhttp:\/\/hyper.ahajournals.org\/content\/guidelines2017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0000605-200911170-00148"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0575"},{"key":"e_1_2_9_8_1","unstructured":"Center for Disease Control and Prevention(2017).Community Health Workers and Million HeartsTM. Retrieved fromhttps:\/\/www.cdc.gov\/bloodpressure\/docs\/MH_CommHealthWorker_Factsheet_English.pdf"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijge.2017.03.009"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-6-200509200-00007"},{"key":"e_1_2_9_11_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_9_12_1","unstructured":"Department of Health (DOH). (2015).Administrative Order No. 2012\u20130029: Guidelines in the institutionalization of the Philippine package of NCD (PhilPEN) interventions in the management of hypertension and diabetes in the primary health care. Retrieved fromhttps:\/\/vdocuments.site\/doh-philpen-implementing-guidelines.html."},{"key":"e_1_2_9_13_1","unstructured":"Department of Health (DOH)(2013).Mortality. Retrieved fromhttp:\/\/www.doh.gov.ph\/mortality"},{"key":"e_1_2_9_14_1","unstructured":"Department of Health (DOH)(2014).Morbidity. Retrieved fromhttp:\/\/www.doh.gov.ph\/morbidity."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9031018"},{"key":"e_1_2_9_16_1","first-page":"875","article-title":"Educational and organisational interventions used to improve the management of hypertension in primary care: A systematic review","volume":"55","author":"Fahey T.","year":"2005","journal-title":"British Journal of General Practice"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2012.00622.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2174\/157340211001141111160653"},{"issue":"3","key":"e_1_2_9_19_1","first-page":"144","article-title":"Prevalence of hypertension and controlled hypertension \u2014 United States, 2007\u20132010","volume":"62","author":"Gillespie C. D.","year":"2013","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_9_20_1","volume-title":"Health education planning: A diagnostic approach","author":"Green L. W.","year":"1980"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2013.03.1631"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2012.04.002"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.522193"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcac.2016.01.003"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7117.2000.tb00211.x"},{"key":"e_1_2_9_26_1","first-page":"613","article-title":"Treatment of prehypertension: Lifestyle and\/or medication","volume":"8","author":"Landram M. J.","year":"2012","journal-title":"Vascular Health and Risk Management"},{"issue":"33","key":"e_1_2_9_27_1","first-page":"2","article-title":"Community\u2010based interventions in hypertensive patients: A comparison of three health education strategies","volume":"15","author":"Lu C. H.","year":"2015","journal-title":"BMC Public Health"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2017.10.007"},{"issue":"2","key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"176","DOI":"10.47203\/IJCH.2017.v29i02.009","article-title":"Adherence to treatment among hypertensive individuals in a rural population of North India","volume":"29","author":"Misra P.","year":"2017","journal-title":"Indian Journal of Community Health"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartasia-2016-010864"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/20786190.2014.953887"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.04.002"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000020190.45892.75"},{"key":"e_1_2_9_34_1","unstructured":"Philippine Council for Health Research and Development (PCHRD)(2012).Prevalence of hypertension among Filipinos increasing \u2013 PSH. Retrieved fromhttp:\/\/www.pchrd.dost.gov.ph\/index.php\/news\/2806-prevalence-of-hypertension-among-filipinos-increasing-psh"},{"key":"e_1_2_9_35_1","unstructured":"Philippine Heart Association(2013).BP and Heart Disease. Retrieved fromhttps:\/\/www.philheart.org\/index.php\/aboutpha\/the-president-s-page\/131-heartline\/579-bp-and-heart-disease"},{"key":"e_1_2_9_36_1","volume-title":"Nursing research: Generating and assessing evidence for nursing","author":"Polit D. F.","year":"2017"},{"key":"e_1_2_9_37_1","volume-title":"Measurement and the measurement change: A primer for the health professions","author":"Polit D. F.","year":"2016"},{"key":"e_1_2_9_38_1","doi-asserted-by":"crossref","DOI":"10.4324\/9780203809532","volume-title":"Introduction to Applied Multivariate Analysis","author":"Raykov T.","year":"2008"},{"key":"e_1_2_9_39_1","volume-title":"Methods of multivariate statistics","author":"Rencher A. C.","year":"2002"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.02.007"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2013.08.023"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvdpc.2010.11.001"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200320030-00006"},{"key":"e_1_2_9_44_1","unstructured":"World Health Organization (WHO)(2003).Adherence to long\u2010term therapies: Evidence for action. Retrieved fromhttp:\/\/whqlibdoc.who.int\/publications\/2003\/9241545992.pdf"},{"key":"e_1_2_9_45_1","unstructured":"World Health Organization (WHO)(2017).Philippines embraces efforts to step up cardiovascular disease care. Retrieved fromhttp:\/\/www.who.int\/news-room\/feature-stories\/detail\/philippines-embraces-efforts-to-step-up-cardiovascular-disease-care"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2018.2011.00675.x"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.14787","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14787","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.14787","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T12:58:34Z","timestamp":1694350714000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,13]]},"references-count":45,"journal-issue":{"issue":"9-10","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1111\/jocn.14787"],"URL":"https:\/\/doi.org\/10.1111\/jocn.14787","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,13]]},"assertion":[{"value":"2018-06-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}