The purpose of this study was to examine the effect of family involvement in the educational sessions and follow-up meetings on compliance with the low-salt diet for hypertensive older adults.
Randomized controlled trial was used in this study with a total of 30 hypertensive older adults divided into two groups (n = 15). The intervention group involved one family member during the educational sessions and follow-up meetings. Conversely, no family member was involved in the control group.
The intervention group showed a significant (p < 0.05) increase in compliance level on the attitude (knowledge) and subjective norm (psychomotor and family support) subscales. The perceived obstacle subscale and the salt concentration in food and urine excretion significantly decreased both after educational sessions and follow-up meetings (p < 0.05). However, the control group did not.
A relatively small number of samples would have affected the results, but in this study, randomization was applied in sample collection.
By encouraging the involvement of family members in the educational sessions and follow-up meetings, it could enhance compliance of low-salt diet among hypertensive older adults.
The findings and outputs provide a combination of family involvement and the Geragogy learning model through educational sessions and follow-up meetings that could enhance a low-salt diet adherence among older adults with hypertension in the community.
Suharno Usman is supported by the Sawerigading Nursing Academy as funding sponsor. The researcher also acknowledged the important contribution of Mr Anggi Lukman Wicaksana for his willingness to permit researchers to use the questionnaire instrument in the Indonesian version and Dr Nugroho Abikusno from Universitas Trisakti for his help to proofread the final version of this manuscript. The Kanazawa University is thanked for granting permission to use instruments for measuring salt concentrates in food, urine and portable blood pressure measurement. This RCT study has been registered with the organization the American Economic Association’s Registry (AEARCTR-0004600).Declaration of conflicting interests: The authors declare no potential conflict of interests regarding the research authorship and/or publication of this article.All authors listed fulfill the authorship requirement according to the recent guidelines of the International Committee of Medical Journal Editors and approved the content before submission.
Usman, S., Irwan, A.M. and Arafat, R. (2023), "Family involvement in low-salt diet for hypertensive older adults", Working with Older People, Vol. 27 No. 1, pp. 1-14. https://doi.org/10.1108/WWOP-05-2021-0022
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