The effectiveness of motivational interviewing on self-management in older adults with hypertension and frailty
Study protocol for a randomized controlled trial
Bibliographic Data
| ID | 22085239 |
|---|---|
| Authors | Shi Jia (Jilin University), Shihui Jia (Jilin University), Xinxin Wang (0000-0003-4043-1916, First Hospital of Jilin University), X I A O Y U Wang (Jilin University), Xue Wang (0009-0005-0215-9044, First Hospital of Jilin University), Lishuang Zheng (0000-0001-6722-1498, Hong Kong Polytechnic University), Ranran Wang (0009-0000-7968-7834, Jilin University), Yueru Qi (Jilin University), Tianliang Ji (Jilin University, corresponding author), Guichen Li (0000-0003-3872-5296, Jilin University, corresponding author) |
| Year | 2026 |
| Volume | 14 |
| Pages | 1850484-1850484 |
| Publication date | 2026-06-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2026.1850484 |
| PMID | 42388772 |
| OpenAlex | W7165049891 |
| Language | EN |
| References cited | 44 |
Background: Frailty and hypertension frequently coexist in older adults, posing substantial challenges to self-management and increasing the risk of adverse outcomes. Standard health education has shown limited effects in this population, and motivational interviewing may support sustained behavior change, yet evidence from randomized controlled trials remains scarce. Methods: This prospective, single-blind, parallel-group randomized controlled trial aims to evaluate the effectiveness of a Transtheoretical Model-based motivational interviewing intervention on self-management behaviors and related clinical outcomes in community-dwelling older adults with hypertension and frailty. A total of 72 participants will be recruited in Changchun, China, and randomized 1:1 to receive a 12-week Transtheoretical Model-based motivational interviewing intervention or usual health education. The primary outcome is hypertension self-management behavior, secondary outcomes include blood pressure, frailty status, quality of life, and safety outcomes assessed at five time points over 36 weeks. Intention-to-treat analysis will serve as the primary analytical strategy. Discussion: We hypothesize that the intervention will significantly improve self-management behaviors and produce favorable changes in blood pressure, frailty status, and quality of life. This study will provide practical guidance for self-management in older adults with hypertension and frailty, clarify the value of motivational interviewing in supporting sustained behavior change, and inform the development of more targeted intervention strategies for this population in community settings. Clinical trial registration: Identifier ChiCTR2500114706
Clinical trial · Motivational interviewing · Population · Randomized controlled trial · Transtheoretical model · Blood Pressure and Hypertension Studies · Chronic Disease Management Strategies · Frailty in Older Adults
Motivational Interviewing with Problem Drinkers
Prevalence of frailty in 62 countries across the world
SPIRIT 2013 Statement
The Motivational Interviewing Treatment Integrity Code (Miti 4)
Active Aging and Public Health
The global epidemiology of hypertension
Frailty in Older Adults
Unsung heroes in health education and promotion
Effects of a transtheoretical model - based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease
Association of frailty with quality of life in older hypertensive adults
New Australian population scoring coefficients for the old version of the SF-36 and SF-12 health status questionnaires
| Citation velocity | historical |
|---|---|
| Highly cited | No |