Objective:

To evaluate the impact of the E-Coach chronic disease management model integrated with WeChat on self-management capabilities in patients with hypertension.

Approach:

• Study Design: Single-center randomized controlled trial involving 250 middle-aged and elderly hypertension patients.
• Groups: Participants were divided into a control group (conventional management) and an intervention group (E-Coach model via WeChat).
• Outcomes: Primary outcomes included CDSMS and PACIC scores; secondary outcomes included SBP, DBP, hospital visits, medication adherence, and BP control rates.

Key Findings:

• Intervention group showed higher CDSMS scores in all dimensions compared to control group (P < 0.001).
• PACIC scores were significantly higher in the intervention group across all dimensions (P < 0.001).
• SBP and DBP levels were lower in the intervention group (P < 0.001).
• Intervention group reported fewer outpatient visits, emergency visits, and hospitalizations (P < 0.001).
• Higher medication adherence and BP control rates were observed in the intervention group (P < 0.001).

Interpretation:

The E-Coach chronic disease management model combined with WeChat improves self-management ability in hypertension patients and demonstrates effective chronic disease management.

Limitations:

• Single-center study may limit generalizability.
• Focus on short-term outcomes (6 months) may not reflect long-term effectiveness.

Conclusion:

The E-Coach chronic disease management model integrated with WeChat enhances self-management skills in hypertension patients.