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Tactiques pour questions épineuses L’électricité est un vecteur doté d’une magnitude et d’une direction. Il est soumis aux changements de la société et des gouvernements. Dans cet article, City Mine(d) considère l’électricité comme un vecteur de changement social. Nous fournissons un point de vue sur les défis auxquels la société est confrontée (les « problèmes épineux » que nous rencontrons), puis nous proposons un aperçu de notre approche de l’innovation sociale avant de l’appliquer au secteur de l’électricité. Tactics for tough  issues Electricity is a vector with a magnitude and a direction. It is subject to the changes in society and government. In this article, City Mine(d) looks at electricity as a vector for social change. We provide a lens by which to look at the challenges society is faced with, referred to as the “tough issues” we meet, and then offer some insights into our approach of social innovation, before applying this to the electricity sector.

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Hypertension is among the most important modifiable risk factors contributing to cardiovascular disease. Nowadays, poor adherence to the treatment of chronic diseases such as hypertension is still a global problem. Against this background, the study assessed the effectiveness of a home-based educational program on treatment adherence among individuals with hypertension. It was conducted as a randomized controlled trial using a pretest–posttest design with a parallel control arm. A total of 72 hypertensive patients attending comprehensive health service centers in Qaen County, Iran, were recruited through convenience sampling based on the eligibility criteria and then allocated to the intervention or control arm using a random-number table. Treatment adherence was assessed in both groups before and after the training using the Treatment Adherence Perception Questionnaire (TAPQ). The mean age was 64.10 years (standard deviation [SD]=15.04) in the intervention group and 63.86 years (SD=13.45) in the control group (P<0.05). Before the intervention, the mean total treatment-adherence score did not differ significantly between the intervention and control groups (P=0.977). After training, however, a significant between-group difference was observed (P=0.002). In the multiple linear regression analysis, treatment adherence was significantly associated with insurance type and higher monthly income (P<0.05). Home care training interventions can increase treatment adherence and improve its internal components. Therefore, teaching these behaviors can be a low-cost, effective way to improve the health of patients with high blood pressure.