{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:01:45Z","timestamp":1785391305443,"version":"3.55.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Despite much evidence showing the effectiveness of structured self-management education for patients with hypertension (HTN), poor blood pressure control remains a challenge among chance health locus of control (CHLC) older adults with HTN.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We explored the effect of a health education intervention based on the Family-Centered Empowerment Model (FCEM) on the self-management of opportunistic older adults with HTN in Lanzhou, China.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a 2-armed, randomized controlled trial using a multistage sampling method in China, Lanzhou, from May 2023 to January 2024. A total of 60 patients were randomly assigned to receive either community nurse\u2013led HTN education based on the FCEM or general community HTN education. Blood pressure, Body Mass Index (BMI), and multidimensional health locus of control (MHLC) Scale Scores, and HTN self-management scores were compared at baseline and at 3 and 6 months after the intervention.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Analyses were conducted on the 58 patients completing follow-up. In the experimental group, the systolic blood pressure (SBP) (\n t<\/jats:italic>\n = \u22123.325,\n P<\/jats:italic>\n = 0.002), diastolic blood pressure (DBP) (\n t<\/jats:italic>\n = \u22125.110,\n P<\/jats:italic>\n &lt; 0.001), and the Chance control dimension of MHLC Scale scores (\n t<\/jats:italic>\n = \u22124.781,\n P<\/jats:italic>\n &lt; 0.05) decreased; the scores on internal control dimensions (\n t<\/jats:italic>\n = 8.493,\n P<\/jats:italic>\n &lt; 0.001) and self-management scores (\n t<\/jats:italic>\n = 4.406,\n P<\/jats:italic>\n &lt; 0.001)improved compared with the control group at 6 months postintervention. There was a decrease in patients' BMI (\n t<\/jats:italic>\n = \u22121.207,\n P<\/jats:italic>\n = 0.232), but the difference was not statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study found that education based on the FCEM was associated with greater improvements in HTN self-management and blood pressure control compared with general health education among CHLC older adults with HTN.<\/jats:p>\n <\/jats:sec>\n \n Clinical trial registration<\/jats:title>\n \n https:\/\/www.chictr.org.cn\/showproj.html?proj=194623<\/jats:ext-link>\n , identifier: ChiCTR2300070940.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1743254","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:40:00Z","timestamp":1785390000000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of a family-centered empowerment model with traditional Chinese medicine health education on self-management in community-dwelling older adult hypertensive patients with a chance health locus of control"],"prefix":"10.3389","volume":"14","author":[{"given":"Fang","family":"Li","sequence":"first","affiliation":[{"name":"College of Nursing, Gansu University of Chinese Medicine","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengwei","family":"Li","sequence":"additional","affiliation":[{"name":"College of Nursing, Gansu University of Chinese Medicine","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaofan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzhong","family":"Cao","sequence":"additional","affiliation":[{"name":"Gansu Provincial Maternity and Child-Care Hospital\/Gansu Provincial Central Hospital","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingjin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Affiliated Hospital of Gansu University of Chinese Medicine","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tengteng","family":"Cheng","sequence":"additional","affiliation":[{"name":"College of Nursing, Gansu University of Chinese Medicine","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Li","sequence":"additional","affiliation":[{"name":"College of Nursing, Gansu University of Chinese Medicine","place":["Lanzhou, Gansu, 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