A cross-sectional analysis of associations between lifestyle advice and behavior changes in patients with hypertension or diabetes: NHANES 2015–2018

Williams, April; Wilson‐Genderson, Maureen; Thomson, Maria D.

doi:10.1016/j.ypmed.2021.106426

Cited by 10 publications

(5 citation statements)

References 33 publications

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“…Reasons provided for the diverging effects in favor of lower SEP groups were, for example, ‘our study encouraged social capital and exercises that could be conducted near participants’ homes without causing a financial burden’ (Saito et al, 2021 , p. 5) and ‘low-SEP individuals potentially respond to cigarette excise taxes in a disproportionately strong manner’ (Parks et al, 2017 , p. 213). The increased effectiveness among higher SEP groups was explained by some studies in terms of financial disparities: e.g.‘healthy foods are more costly and less available in low-income communities, thus limited financial resources can be a significant barrier to making diet-related lifestyle changes’ (Williams et al, 2021 , p. 5) and ‘because financial concerns make life even more stressful, activities other than those related to basic needs are not likely to be a priority for low-income participants’ (Nour et al, 2006 , p. 10). Thus, limited studies examine the moderating effect of SEP and when tested, studies report diverging effects and various explanations in terms of tailoring, access and adoption.…”

Section: Resultsmentioning

confidence: 99%

Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness

van den Bekerom,

van Gestel,

Schoones

et al. 2024

Health Psychology and Behavioral Medicine

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Section: Resultsmentioning

confidence: 99%

Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness

van den Bekerom,

van Gestel,

Schoones

et al. 2024

Health Psychology and Behavioral Medicine

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“…An American cross‐sectional study published in 2021 confirmed the benefits of therapeutic education on hypertensive and diabetic patients in terms of health behaviors. 42 A randomized controlled trial published in 2016 proved that therapeutic education leads to a better level of knowledge and empowerment of hypertensive patients, as well as better adherence to lifestyle recommendations. 43 …”

Section: Discussionmentioning

confidence: 99%

“…An American cross-sectional study published in 2021 confirmed the benefits of therapeutic education on hypertensive and diabetic patients in terms of health behaviors. 42 A randomized controlled trial published in 2016 proved that therapeutic education leads to a better level of knowledge and empowerment of hypertensive patients, as well as better adherence to lifestyle recommendations. 43 Given that less than half of aware hypertensive adults in our study had the disease under control in 2015, patient involvement and therapeutic adherence must become a priority in French HTN management.…”

Section: Hypertension Managementmentioning

confidence: 99%

Underuse of lifestyle recommendations in hypertension management in France: The Esteban study

Vay-Demouy

Lelong

Neudorff

et al. 2022

J of Clinical Hypertension

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Lifestyle recommendations are first-line elements in the management of arterial hypertension. This cross-sectional study aimed to analyze the level to which lifestyle recommendations are used in hypertension management in France, using data from the Esteban study, which was implemented by Santé Publique France, France's public health agency, from 2014 to 2016 on a representative sample of the French population. The study sample comprised 440 adult Esteban participants who were aware they had hypertension and were aged 18-74 years old. The main outcomes were the proportion of participants who received lifestyle recommendations in their hypertension management plan, and the proportion of recommendations according to the three following dimensions: physical activity, weight loss, and changes in diet. Over half (57.0%) of the 440 participants declared they did not receive lifestyle recommendations as part of their hypertension management plan in the year preceding the study.Of these, 39.0% did not receive pharmacological treatment either. Physical activity was recommended to 31.8% of sedentary participants and weight loss to 26.8% of participants with overweight or obesity. One-fifth of the study sample (20.1%) received dietary recommendations. Of these, 69% and 10.7% were advised to limit their salt and alcohol intake, respectively. Lifestyle interventions are too rarely recommended in hypertension management plans in France. Adherence to lifestyle recommendations needs in-depth discussion not only at the time of diagnosis but also throughout follow-up.

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“…Increasing physical activity and controlling dietary supplements are widely applied behavioral strategies for chronic diseases, such as hypertension and diabetes. 16 , 24 , 25 According to studies from the American College of Cardiology, 5 aerobic exercise could reduce systolic blood pressure (SBP) by 5–8 mm Hg in adults with hypertension, and lifestyle modifications have been evaluated to contribute to a reduction in daily sodium intake by approximately 25%, which can have positive effects on blood pressure control. In addition, studies demonstrated that the Dietary Approaches to Stop Hypertension (DASH) diet is an effective plan for lowing blood pressure, 26 which could reduce SBP by around 11 mm Hg for hypertensive patients.…”

Section: Introductionmentioning

confidence: 99%

Developing cue-behavior association for habit formation: A qualitative study to explore the role of avatar in hypertension

Zhu,

Long,

Wei

et al. 2024

DIGITAL HEALTH

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Background Electronic health (eHealth) has been widely adopted in chronic disease management. Prior studies focused on time-based reminders as a cue to facilitate behavior change intentions, ignoring the development of automatic cue-behavior associations via other cue types. Objective Hence, this study utilized avatar appearance as a visual-based cue to help establish the automatic association between appearance transformation and health behavior to form habits without intention. Methods To better understand users’ attitudes and experiences toward applying changes in avatar appearance to develop cue-behavior associations for hypertensive patients. Fifteen participants were recruited in a 14-day experiment. After excluding one participant who dropped out of the experiment, others were randomly assigned to two groups. One group consisted of a visual-based cue (a virtual plant) and basic behavior change techniques (BCTs). The other group only included basic BCTs. Attitudes and experience outcomes were collected by interview, and qualitative data were analyzed using thematic analysis. Results 57% of participants had been diagnosed with hypertension for more than five years, and more than 50% of participants have experience using mobile apps or wearables. 66% of participants did physical activity more than three times every week. The result shows that tailored time-based reminders, blood pressure monitoring, and daily dietary intake were the most attractive features. Additionally, hypertensive participants have positive attitudes toward avatar appearance as a visual-based cue to develop cue-behavior association, which enhances self-management motivation. Conclusion This study proposes a visual-based cue design for habit formation and conducts a qualitative method to explore hypertensive patients’ perceptions. The findings offer insights from user's perspectives into hypertensive patients’ attitudes toward visual-based cues and perception of the connection between avatar appearance and health behavior for self-management. Subsequent discussions present eHealth design guidelines of habit formation from intention, automatic cue-behavior association, and self-management perspectives.

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A cross-sectional analysis of associations between lifestyle advice and behavior changes in patients with hypertension or diabetes: NHANES 2015–2018

Cited by 10 publications

References 33 publications

Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness

Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness

Underuse of lifestyle recommendations in hypertension management in France: The Esteban study

Developing cue-behavior association for habit formation: A qualitative study to explore the role of avatar in hypertension

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