Geriatric Nursing · Jul 15, 2025

Effectiveness of health education based on Behavior Change Wheel theory combined with teach-back method for self-management of community-dwelling empty nesters with hypertension combined with type 2 diabetes mellitus: a randomized controlled trial

By Li F, Cao Y, Li M et al.

This study aimed to investigate the effects of a health education intervention based on the Behaviour Change Wheel (BCW) theory and Teach-Back method on the self-management of older adults empty nesters with comorbid hypertension and type 2 diabetes mellitus (HTN-T2DM). 76 patients were divided into two groups: the text group received health education based on the BCW theory and Teach-Back method, and the control group received general health education. After the intervention, statistically significant differences were found between the two groups in fasting blood glucose levels and diabetes self-management scores at time points, intergroups, and time-group interactions. The text group had better blood pressure levels and hypertension self-management scores than the control group. Our findings suggested that an educational approach based on the BCW Theory and Teach-Back method proved more effective than a general health education program in improving the self-management skills of older adult empty nesters with comorbid HTN-T2DM.

doi.org/10.1016/j.gerinurse.2025.103458PubMed 40669130Interventions