RT  - Journal Article
A1  - Siagian, Heriviyatno Julika
A1  - Tukatman, Tukatman
A1  - Lilis, Dewi Nopiska
A1  - Alifariki, La Ode
T1  - Comparative Effectiveness of Self-Management, Telemonitoring, and Multicomponent Interventions on Blood Pressure Control in Hypertension: A Systematic Review
JF  - Journal of Biosciences and Public Health
JO  - J. Biosci. Public Health
YR  - 2026
VO  - 2
IS  - 3
SP  - 215-237
DO  - 10.5455/JBPH.2026.09
AB  - Background: Hypertension remains a major global risk factor for cardiovascular disease, yet blood pressure (BP) control rates are suboptimal. Self-management, telemonitoring, and combined multicomponent interventions have emerged as promising strategies, but their relative effectiveness and mechanisms require synthesis. Objective: This systematic review compared the effectiveness of self-management, telemonitoring, and multicomponent interventions on BP control in adults with hypertension and explored their behavioral and clinical mechanisms. Methods: Following PRISMA 2020 guidelines, PubMed, Scopus, CINAHL, ScienceDirect, and ProQuest were searched from inception to December 2025. Eligible studies were randomized controlled trials and quasi-experimental studies evaluating self-management, telemonitoring, or combined interventions in hypertensive adults. Primary outcome was systolic blood pressure (SBP). Methodological quality and risk of bias were assessed using JBI tools, RoB 2, and ROBINS-I. Narrative synthesis with visual summaries was conducted due to heterogeneity. Results: Nineteen studies (16 RCTs, 3 quasi-experimental; total participants ≈5,000) were included. Self-management interventions (n=11) consistently improved behavioral outcomes (adherence, self-efficacy, self-care) with variable SBP reductions. Telemonitoring interventions (n=4) showed more consistent and clinically meaningful SBP reductions through enhanced clinical feedback. Combined multicomponent interventions (n=4), integrating self-monitoring, behavioral support, and treatment adjustment, produced the largest and most sustained BP improvements (typically 5–9 mmHg SBP reduction) and highest control rates. Visual syntheses confirmed superior consistency and magnitude of effects in combined and telemonitoring approaches. Conclusion: Multicomponent interventions integrating self-management with telemonitoring and clinical support yield the greatest BP control benefits. Future programs should prioritize integrated, patient-centered strategies.
K1  - Blood Pressure Control; Self-Management; Telemonitoring; mHealth; Digital Health; Multicomponent Interventions; Systematic Review
SN  - 3104-8749
PB  - 4Green Research Society
LA  - English
LK  - https://www.jbph.org/article/details/comparative-effectiveness-of-self-management-telemonitoring-and-multicomponent-interventions-on-blood-pressure-control-in-hypertension-a-systematic-review