“A QUASI EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF COMMUNITY-BASED INTERVENTION ON LEVEL OF BLOOD PRESSURE AMONG HYPERTENSIVE CLIENTS IN SELECTED AREA OF PUNE CITY “
Keywords:
Hypertension, community-based intervention, blood pressure, lifestyle modification, non-pharmacological strategies.Abstract
Hypertension is a chronic condition that greatly increases the risk of cardiovascular disease, stroke, and renal complications. Although pharmacological treatments are available, poor adherence, limited awareness, and lifestyle factors often hinder effective control. Community-based interventions focusing on education, lifestyle modification, and regular follow-up offer cost-effective, non-invasive, and accessible strategies to complement medical care.
This quasi-experimental study was conducted among 120 hypertensive clients from selected areas of Pune city, with 60 in the experimental group and 60 in the control group. Participants were above 30 years of age and had been diagnosed with hypertension for more than two months. Non-probability purposive sampling was used for selection. Data were collected using a structured questionnaire and direct blood pressure measurements. Tool validity was established by experts, and reliability was confirmed using the test–retest method (r = 0.8978).
Pre-intervention findings in the experimental group revealed that 43.3% of clients were in Stage 1 hypertension, 40% in Stage 2, and only 16.7% within the normal range, with a mean blood pressure of 148.25 mmHg (SD = 6.42). After intervention, 46.7% achieved normal blood pressure, 36.7% were in Stage 1, and only 16.6% remained in Stage 2, with a reduced mean of 136.85 mmHg (SD = 5.38). Paired t-test analysis showed a highly significant reduction (t = 15.92, p < 0.0001), while the control group showed no significant change. Post-test comparison further confirmed effectiveness (t = 10.42, p < 0.0001). No significant association was found between blood pressure reduction and demographic variables.
The study concludes that community-based interventions are highly effective in reducing blood pressure and should be integrated into routine hypertension management.
