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.
F, L., M, L., S, G., Y, C., Q, Z., T, C., & Y, L. (2026). 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.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1743254
F L, M L, S G, Y C, Q Z, T C, et al. 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.. Frontiers in public health. 2026; doi: 10.3389/fpubh.2026.1743254
F L, M L, S G, et al. 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.[J]. Frontiers in public health. 2026. DOI: 10.3389/fpubh.2026.1743254.
@article{f2026,
author = {Li F and Li M and Guo S and Cao Y and Zhang Q and Cheng T and Li Y},
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.},
journal = {Frontiers in public health},
year = {2026},
doi = {10.3389/fpubh.2026.1743254},
note = {PMID: 42597826},
}
TY - JOUR AU - Li F AU - Li M AU - Guo S AU - Cao Y AU - Zhang Q AU - Cheng T AU - Li Y TI - 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. T2 - Frontiers in public health PY - 2026 DO - 10.3389/fpubh.2026.1743254 AN - PMID:42597826 ER -
BACKGROUND: 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. OBJECTIVE: 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. METHODS: 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-led 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. RESULTS: Analyses were conducted on the 58 patients completing follow-up. In the experimental group, the systolic blood pressure (SBP) (t = -3.325, P = 0.002), diastolic blood pressure (DBP) (t = -5.110, P < 0.001), and the Chance control dimension of MHLC Scale scores (t = -4.781, P < 0.05) decreased; the scores on internal control dimensions (t = 8.493, P < 0.001) and self-management scores (t = 4.406, P < 0.001)improved compared with the control group at 6 months postintervention. There was a decrease in patients' BMI (t = -1.207, P = 0.232), but the difference was not statistically significant. CONCLUSIONS: 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. CLINICAL TRIAL REGISTRATION: https://www.chictr.org.cn/showproj.html?proj=194623, identifier: ChiCTR2300070940.