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Behavioural and self-management in hypertension: A scoping review Eulalia Marcia de Lima Amaral; Abdul Wakhid
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.4286

Abstract

Background: Despite strong guideline support for non-pharmacological hypertension management, evidence on the behavioural and self-management strategies most consistently implemented and reported across original studies remains fragmented. Purpose: To map behavioural and self-management strategies for adult hypertension, identify well-researched approaches, and highlight underrepresented populations and intervention delivery models requiring further investigation. Method: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) framework. Original research articles published in English between 2016 and 2026 that examined behavioural and self-management interventions for adults with hypertension were systematically identified, screened, and mapped. Results: Twenty-nine original studies from 19 countries were included. The interventions were predominantly digital or mobile health (mHealth) coaching, dietary counselling, and stress-management approaches. Multicomponent interventions combining professional support with digital delivery demonstrated the most consistent improvements in blood pressure outcomes. Discussion: The findings indicate that professionally supported, multicomponent digital interventions may provide a promising approach to improving blood pressure control and supporting self-management among adults with hypertension. However, substantial variation in intervention components, delivery models, and study populations limits direct comparison across studies. Conclusion: Future research should prioritise longer follow-up periods, standardised intervention reporting, and adaptation of behavioural and self-management interventions to low-resource settings to improve their applicability and sustainability.
Factors Influencing Treatment Adherence Patients with Tuberculosis: A Sytematic Review Josue Celestino da Costa Ximenes; Abdul Wakhid
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2798

Abstract

Tuberculosis (TB) remains a major global health challenge, and adherence to anti-tuberculosis treatment is essential for treatment success and prevention of treatment interruption and drug resistance. Adherence is influenced by interacting individual, social, economic, treatment-related, and health-system conditions. This systematic review aimed to identify and synthesize evidence published between 2021 and 2026 regarding factors influencing adherence to TB treatment, with particular attention to socioeconomic, health-system, patient-related, social, stigma-related, and technology-related determinants. A PRISMA-guided systematic review searched PubMed, Scopus, and Web of Science for studies published from January 2021 to August 2026. Of 72 articles identified, 8 eligible quantitative, qualitative, or mixed-methods studies were included to synthesize barriers and facilitators of tuberculosis (TB) treatment adherence using a multidimensional framework. Twenty-four studies were reported as meeting the inclusion criteria, comprising 10 cross-sectional studies, 6 cohort studies, 5 qualitative studies, and 3 randomized trials. Five major domains emerged: socioeconomic factors; health-system factors; patient-related factors; social support and stigma; and technology-based adherence approaches. Reported barriers included poverty, transportation costs, food insecurity, prolonged waiting times, medication stock-outs, poor provider–patient communication, forgetfulness, adverse effects, comorbidities, substance use, and stigma. Family support was repeatedly identified as a facilitator, whereas digital adherence interventions demonstrated heterogeneous effects across settings. TB treatment adherence is multidimensional and requires interventions that address practical access barriers, quality of health services, treatment-related difficulties, social support, and stigma in addition to patient education.