ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 265
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Effectiveness of community programs to prevent
hypertension: A systematic review of RCTs
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Dr Marshell Timotius Handoko, Darien Alfa Cipta, Jean Andrina Liem, Natalie Debora Devino
Rustiandi, Felix Wijovi, Rivaldo Steven Heriyanto, Bryan Setyoputra, Emanuela Clarisa Karina Sucahyo,
Josephus Regaldo Lake, Celine Aurielle
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Pelita Harapan University
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Hypertension is a significant public health problem that can cause cardiovascular disease and
premature death worldwide. Approximately 46% of adults are unaware of having hypertension.
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To reduce its incidence in the society, community-based programs that include education, selfscreening and family empowerment were proposed. However, there is little to no data regarding the
effectiveness of this program. Thus, this systematic review was designed to acknowledge the effect of
community programs on preventing hypertension.
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Studies used for this systematic review were collected from PubMed, Scopus, ScienceDirect and
Google Scholar databases. Key words that related to hypertension, community program, prevention,
primary care and effectiveness were used for searching in the database.
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The Newcastle–Ottawa Scale (NOS) was used to assess the included studies.
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Fourteen studies of randomised controlled trials (RCTs) were included in this review consisting of
30,970 participants. The results of all RCTs show that community programs may reduce hypertension
through interactive education such as workshops, classes and other sessions (including family
education). Blood pressure monitoring through health workers’ home visits and self-monitoring also
increases the prevention of hypertension. Based on quality assessment using NOS, 10 studies have
good quality and four have moderate quality.
Community programs including interactive education and blood pressure monitoring by healthcare
professionals are effective in preventing hypertension. However, the implementation of the existing
program in primary healthcare settings must be monitored and assessed routinely to ensure the
quality of intervention.
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