BASNEF Model intervention on blood pressure modification among hypertensive diabetic patients

BACKGROUND Prevalence of hypertension in patients with type 2 diabetes is two to three times more than nondiabetic patients. This study aimed at assessing the impacts of an educational program based on BASNEF Model on blood pressure modification among diabetic patients with hypertension. MATERIALS AND METHODS Two hundred patients with type 2 diabetes were recruited in an educational intervention study among two groups. The intervention group attended a 3-month self-care educational program regarding hypertension control in addition to the regular care presented for both the groups. Another group received no extra program except regular treatment. To collect information about demographic characteristics, type 2 diabetes-related variables, and BASNEF Model construct items, a self-designed questionnaire was utilized. Data analyzed by SPSS version 16 using Chi-square, independent t-test, and paired t-test. RESULTS Knowledge, behavioral beliefs, attitude to action, enabling factors, subjective norms, and practice were significantly higher in intervention group as compared to the controls (P < 0.001). In addition, blood pressure revealed significant differences in intervention group before and after program using paired t-test (P = 0.001) while in the control group, there was no significant difference in blood pressure (P = 0.54). DISCUSSION The study results revealed a significant change in blood pressure and model constructs in intervention group compared to control. This research suggested intervention program based on BASNEF Model has essentially effectiveness in blood pressure modification among diabetic patients. CONCLUSION BASNEF Model has effectiveness to high blood modification among diabetic patients with hypertension.