Date of Completion

2026

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Health Sciences

Keywords

adult, community participation, effectiveness, hypertension, hypertension management

Abstract

Community participation has been recognized as a crucial aspect of public health programs; however, its role in hypertension management for adults remains underdeveloped due to the lack of standardized frameworks. No prior studies have identified, mapped, and analyzed the characteristics of, or categorized the elements of, effective community participation in hypertension management. A scoping review of elements of effective community participation in hypertension management for adults is needed to establish a foundation for a research agenda that supports global communities and organizations, as well as Local Government Units (LGUs). This review also categorizes study designs and methodological approaches further to guide future investigations and evidence synthesis. This scoping review adheres to Arksey and O'Malley's framework and the Joanna Briggs Institute Methodology for Scoping Reviews. The search encompasses several databases, including Scopus, PubMed, CINAHL, the Cochrane Database of Systematic Reviews, Web of Science Core Collection, and Google Scholar, from February 29, 2024, to March 12, 2024. The search results have been exported to EndNote 21 and Covidence for identification, screening, and inclusion by two reviewers. The findings are presented in figures and tables, accompanied by a narrative description. The data analysis incorporates inductive qualitative approaches supported by Copilot with validation.

The comprehensive search has yielded 2,587 records and reports, ultimately narrowing to 66 studies. The findings report the volume and characteristics of included studies relating to the six categories of elements of effective community participation in hypertension management for adults: active engagement and ownership (n=8), culturally sensitive and inclusive empowerment (n=10), team-based collaborative care (n=7), holistic adaptive health transformation (n=4), ongoing health enhancement program (n=5), and equitable and trust-driven engagement (n=32).  This review advocates for further research to investigate the application of elements of effective community participation, particularly in low- and middle-income settings. Additionally, public health professionals and community volunteers are called to consider various contextual factors when designing interventions for the management of hypertension for adults.

First Advisor

Celso P. Pagatpatan, Jr.

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