{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T05:05:54Z","timestamp":1780031154249,"version":"3.53.1"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":147,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004071","name":"Khon Kaen University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Hypertension prevalence is rising, particularly among older adults, who are often challenging to manage due to various limitations. Uncontrolled hypertension contributes significantly to complications and disease burdens, including myocardial ischemia and stroke, ultimately impairing functional ability and diminishing overall quality of life. This study aimed to review the components, details, and effects of hypertension management interventions among older adults. The protocol was prospectively registered in PROSPERO for verification and guidance. We searched across eleven databases: PubMed, CINAHL, Scopus, ProQuest, PsycINFO, AgeLine, ScienceDirect, ThaiList, ThaiJO, Cochrane Library, and OneSearch. Studies among older adults published between January 2019 and February 2025 were included in this review. The initial results included 15,024 identified records; 16 studies met the inclusion criteria, comprising 10 randomized controlled trials and six quasi\u2010experimental studies, with a total of 1857 participants. The multicomponent interventions produced the largest and most consistent blood pressure reductions, with SBP decreases up to \u221221.90\u2009mmHg and DBP up to \u22129.46\u2009mmHg. These effects were associated with moderate\u2010duration programs (10\u201316\u2009weeks), repeated structured contact, and reinforcement mechanisms. In contrast, lower\u2010intensity or single\u2010component interventions yielded smaller or inconsistent effects. Therefore, the findings indicate a clear gradient of effectiveness, with greater SBP reduction associated with increasing intervention complexity and integration. These results highlight the importance of designing interventions that move beyond single\u2010component education toward multilevel behavioral systems, particularly for older adults with diverse capabilities and support needs. The secondary outcomes demonstrated a similar but less pronounced gradient compared to blood pressure, with multicomponent interventions consistently producing the most favorable improvements in medication adherence, health behaviors, and hypertension\u2010related knowledge. In conclusion, multicomponent interventions with high\u2010intensity interventions produce the most consistent improvements in blood pressure and related behaviors among older adults, highlighting that effectiveness is driven by integrated strategies, reinforcement, and implementation quality rather than single\u2010component approaches.<\/jats:p>","DOI":"10.1155\/nrp\/7044570","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T04:58:08Z","timestamp":1780030688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle Interventions and Pharmacological Adherence in the Management of Hypertension Among Community\u2010Dwelling Older Adults: A Systematic Review"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9417-8153","authenticated-orcid":false,"given":"Khanisorn","family":"Ransinyo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8315-0263","authenticated-orcid":false,"given":"Samoraphop","family":"Banharak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5563-3689","authenticated-orcid":false,"given":"Chakkarin","family":"Sommana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_2_18_1_2","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.20323.1"},{"key":"e_1_2_18_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010676"},{"key":"e_1_2_18_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-023-01289-7"},{"key":"e_1_2_18_4_2","volume-title":"Nursing Care for Coronary Artery Disease.","author":"Arunsaeng P.","year":"2017"},{"key":"e_1_2_18_5_2","volume-title":"Theories of Aging","author":"Everitt T.","year":"2024"},{"key":"e_1_2_18_6_2","volume-title":"What Is High Blood Pressure?","author":"American Heart Association","year":"2024"},{"key":"e_1_2_18_7_2","first-page":"1","volume-title":"Global Report on Hypertension: The Race Against a Silent Killer","author":"World Health Organization","year":"2023"},{"key":"e_1_2_18_8_2","first-page":"22","article-title":"Anatomy and Physiology of Ageing 1: The Cardiovascular System","volume":"113","author":"Knight J.","year":"2017","journal-title":"Nursing Times"},{"key":"e_1_2_18_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003480"},{"key":"e_1_2_18_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23303"},{"key":"e_1_2_18_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01330-1"},{"key":"e_1_2_18_12_2","volume-title":"The Sustainable Development Goals Report 2022","author":"United Nations","year":"2022"},{"key":"e_1_2_18_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-52009-3"},{"key":"e_1_2_18_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.118.313236"},{"key":"e_1_2_18_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/v12040372"},{"key":"e_1_2_18_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-021-06190-0"},{"key":"e_1_2_18_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.118.313220"},{"key":"e_1_2_18_18_2","volume-title":"Cardiovascular Diseases (CVDs)","author":"World Health Organization","year":"2018"},{"key":"e_1_2_18_19_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.46486"},{"key":"e_1_2_18_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40885-022-00198-2"},{"key":"e_1_2_18_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.987526"},{"key":"e_1_2_18_22_2","doi-asserted-by":"publisher","DOI":"10.2196\/24527"},{"key":"e_1_2_18_23_2","doi-asserted-by":"crossref","unstructured":"AromatarisE.andMunnZ. 2020 JBI Manual for Evidence Synthesis https:\/\/synthesismanual.jbi.global https:\/\/doi.org\/10.46658\/JBIMES-20-01.","DOI":"10.46658\/JBIMES-20-01"},{"key":"e_1_2_18_24_2","volume-title":"Systematic Reviews of Effectiveness","author":"Tufanaru C.","year":"2017"},{"key":"e_1_2_18_25_2","volume-title":"Systematic Reviews of Effectiveness","author":"Tufanaru C.","year":"2020"},{"key":"e_1_2_18_26_2","volume-title":"GRADE Handbook","author":"Sch\u00fcnemann H.","year":"2013"},{"key":"e_1_2_18_27_2","first-page":"655","article-title":"Effects of Long-Message Service and Coaching on Hypertension","volume":"48","author":"Kim M.","year":"2019","journal-title":"Iranian Journal of Public Health"},{"key":"e_1_2_18_28_2","first-page":"299","article-title":"Health Care Promoting Program and BP Control","volume":"30","author":"Anantasaran D.","year":"2019","journal-title":"The Region 11 Medical Journal"},{"key":"e_1_2_18_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.028"},{"key":"e_1_2_18_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14068"},{"key":"e_1_2_18_31_2","volume-title":"Nutritional Education and BP Control [Thesis]","author":"Kitrungrote T.","year":"2020"},{"key":"e_1_2_18_32_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S254286"},{"key":"e_1_2_18_33_2","first-page":"525","article-title":"Patient-Centered Communication Program","volume":"25","author":"Audthiya P.","year":"2021","journal-title":"Pacific Rim International Journal of Nursing Research"},{"key":"e_1_2_18_34_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-2803"},{"key":"e_1_2_18_35_2","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2021.2406"},{"key":"e_1_2_18_36_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.41137"},{"key":"e_1_2_18_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003202"},{"key":"e_1_2_18_38_2","first-page":"690","article-title":"Self-Management Education Program","volume":"26","author":"Ongkulna K.","year":"2022","journal-title":"Pacific Rim International Journal of Nursing Research"},{"key":"e_1_2_18_39_2","doi-asserted-by":"publisher","DOI":"10.1108\/JHR-12-2020-0626"},{"key":"e_1_2_18_40_2","doi-asserted-by":"publisher","DOI":"10.2478\/fon-2022-0009"},{"key":"e_1_2_18_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-023-02504-w"},{"key":"e_1_2_18_42_2","doi-asserted-by":"publisher","DOI":"10.2196\/53006"},{"key":"e_1_2_18_43_2","volume-title":"Guidelines in the Treatment of Hypertension 2019","author":"Thai Hypertension Society","year":"2019"},{"key":"e_1_2_18_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2024.101123"},{"key":"e_1_2_18_45_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1911965"},{"key":"e_1_2_18_46_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-084029"},{"key":"e_1_2_18_47_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.11358"},{"key":"e_1_2_18_48_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004026"},{"key":"e_1_2_18_49_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.45439"},{"key":"e_1_2_18_50_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2024.1355037"},{"key":"e_1_2_18_51_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2024.1449"}],"container-title":["Nursing Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/7044570","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/nrp\/7044570","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/7044570","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T04:58:13Z","timestamp":1780030693000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/nrp\/7044570"}},"subtitle":[],"editor":[{"given":"Harleen","family":"Khatra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/nrp\/7044570"],"URL":"https:\/\/doi.org\/10.1155\/nrp\/7044570","archive":["Portico"],"relation":{},"ISSN":["2090-1429","2090-1437"],"issn-type":[{"value":"2090-1429","type":"print"},{"value":"2090-1437","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7044570"}}