Hypertension is rarely improved without involvement of the entire family (even if only spouse).
You want "the tools" ?
First, which of the below don't already qualify as tools?
Step 1 (perceive the threat) This step was taken in two 1-2 hour sessions. During these sessions, some information related to the heart failure was presented to the patient and his attendant by group discussion and training manual. Session 1: during the first session, cases like the nature of disease, pathophysiology, etiology and clinical demonstrations were educated by group discussion and training manual. Session 2: during the second session, by asking 2-3 questions from the patients, what reserved from the previous session was assessed. Then, in this session, items like the side effects of disease, drug and food therapy were trained by group discussion and training manual.
Step 2 (self-efficacy) Session 3: this step was taken within a 1-2 hour session. At the beginning of this session, what was acquired from the previous session was assessed by asking 2-3 questions of the patients. In this step, the problems were resolved by group study aiming at increasing the selfefficacy, self-esteem and self- control. For this purpose, the problem solving sessions were held in 3-5 person groups for the patients and their attendants, the patients practically faced with their problems and the process of problem solving, discussed their status and what they had done for solving similar problem, and then they chose solutions.
Step 3 (self-belief) Session 4: this step was taken in a single one-hour session. In this step, the patients were asked to represent the discussed topics and what they’d learned in the previous sessions to the active members of family.
Step 4 (assessment) Session 5: finally the assessment was done in this step. The control group received the routine and common trainings. After the completion of the intervention in experimental group, heart failure training pamphlets were handed out among them. Then, six weeks after the completion of intervention, an illness perception questionnaire