Impact of a multidisciplinary family-integrated educational model on treatment adherence, self-care behaviours and blood pressure control in elderly chinese patients with hypertension

INTERVENTION: Participants will be randomised to an experimental and a control group at a 1:1 ratio using a computer‐generated randomisation sequence created by an independent statistician using SAS 9.4 software (IBM, Armonk, NY, USA). The sequence will stratify by hypertension grade (Grade 1 vs Grades 2 and 3) to ensure balanced disease severity across groups. Allocation concealment will be achieved through the use of sequentially numbered, opaque, sealed envelopes containing group assignments. Control group Patients in the control group will receive routine post‐discharge care, comprising structured telephone follow‐ups and home visits. This included (1) psychological counselling with basic education and success stories; (2) dietary guidance (limit sodium to =6 g/day, reduce animal fat, increase vegetable/protein intake); (3) training on strict medication regimen compliance; (4) lifestyle advice on exercise, smoking cessation, alcohol consumption of =50 g/day and stress management; and (5) 20‐minute phone calls (biweekly) and 60‐minute home visits (monthly) for 6 months. Intervention group The experimental group underwent a 6‐month multidisciplinary MUST enhancement programme. Team composition and roles will be as follows: the manager (physician) will develop personalised treatment plans and supervised collaboration; the urger (family caregiver) will monitor compliance, co‐learn with the patient and reported BP fluctuations; the self‐manager (patient) will collaborate to master disease knowledge and enhance self‐care; and the educator (nurse) will serve as an advanced practice leader, co‐directing care planning, independently monitoring clinical data, evaluating treatment efficacy and dynamically adjusting educational strategies using behavioural change theories (e.g. motivatio CONDITION: Treatment adherence, self‐care behaviours and blood pressure control in elderly chinese patients with hypertension ; Other INCLUSION CRITERIA: 1. Exhibited stabilised BP (<140/90 mmHg for =1 month) while on a consistent antihypertensive medication regimen, defined as no changes in drug class, dosage or frequency during the 4 weeks preceding enrolment and throughout the 6‐month intervention period. 2. Adequate family support was defined as having at least one literate adult family member available for =75% of sessions.