The Impact of Community Empowerment in Self-Management Education on Medication Adherence Among Hypertension Patients: A Systematic Review
Nunuk Windariyanti1, Dwi Sarwani Sri Rejeki1, 2 Siwi Pratama Mars Wijayanti, 1, 2

Faculty of Health Sciences, Jenderal Soedirman University

Abstract

Hypertension is a chronic non-communicable disease that contributes significantly to the global burden of morbidity and mortality. Poor medication adherence among hypertensive patients remains a critical barrier to effective management. This study aims to systematically review the influence of community empowerment and self-management education on medication adherence among patients with hypertension. The research used the Systematic Literature Review (SLR) method and followed the PRISMA guidelines. Articles were identified through Google Scholar, PubMed, and Scopus using keywords such as ^hypertension,^ ^self-care,^ ^self-management,^ ^medication adherence,^ and ^community empowerment.^ Of the initial 443 articles found, 336 were screened after removing duplicates. Through a rigorous selection process, only six articles met the inclusion criteria and were included in the final analysis. The selected studies were analyzed under two focus areas: (1) the effect of education and self-care management on treatment adherence, and (2) the role of community empowerment in improving adherence and patient education. Findings from Focus Study 1 highlight that structured educational interventions and enhanced self-care behaviors significantly improve adherence among hypertensive patients, mainly when supported by personalized interactions and social support. Focus Study 2 emphasizes the importance of community-based empowerment strategies, including family and social network involvement, which are critical in improving knowledge, motivation, and long-term adherence to hypertension treatment. This review concludes that self-management education and community empowerment strategies are essential in enhancing treatment adherence among patients with hypertension. Integrating these approaches into public health strategies could lead to improved health outcomes and reduced burden of hypertensive complications at the population level.

Keywords: Comunity Enpowerment, Hypertension, Medical Adherence, Self-management Education

Topic: Public Health Sciences