Lifestyle behaviors and receipt of preventive health care services among hypertensive Americans aged 45 years or older in 2007

Fan, Arthur Yin; Mallawaarachchi, Dona Stephnie Virginie; Gilbertz, David A.; Li, Yan; Mokdad, Ali H.

doi:10.1016/j.ypmed.2009.12.007

Cited by 19 publications

(22 citation statements)

References 36 publications

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“…5,10,16 The HBP SCP-Behavior scale was sensitive in detecting differences among persons with and without adequate HBP control. The scale also had good concurrent validity against two of the most popular HBP self-care measures: Hill-Bone and Morisky scales.…”

Section: Discussionmentioning

confidence: 97%

“…21 The items for the HBP SCP encompassed self-care behaviors in the following areas which are crucial to control BP: medication taking and lifestyle factors such as physical activity, low-sodium and low-fat diet, restricting alcohol consumption, non-smoking, self-monitoring of BP, weight control, regular doctor visits, and stress reduction. 5,10–15 Subsequently, an expert panel (N = 12) of clinicians, researchers, and community health workers with extensive experience in HBP care rated each item for its relevance using a 4-point scale, with 1 being “not relevant” and 4 being “very relevant.” 22 A content validity index was calculated by the proportion of experts who gave an item a rating of 3 or 4. Items with at least 80% of endorsement rates were retained, 22 yielding 20 HBP self-care behavior items.…”

Section: Methodsmentioning

confidence: 99%

“…4 In addition, more than one-third (38%) of people with HBP are obese compared to 20% of non-hypertensives. 5 …”

Section: Introductionmentioning

confidence: 99%

“…The major areas of self-care for HBP care and management include medication taking and a number of lifestyle factors such as non-smoking, weight management, low-sodium and low-fat diet, physical activity, moderation in alcohol consumption, self-monitoring of BP, regular doctor visits, and stress reduction. 5,10–15 Studies have shown that problems with these self-care behaviors are key elements in explaining the episodes of stroke and early death from HBP. 5,16 …”

Section: Introductionmentioning

confidence: 99%

“…5,10–15 Studies have shown that problems with these self-care behaviors are key elements in explaining the episodes of stroke and early death from HBP. 5,16 …”

Section: Introductionmentioning

confidence: 99%

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Development and Validation of the Hypertension Self-care Profile

Han

Lee

Commodore‐Mensah

et al. 2014

Journal of Cardiovascular Nursing

117

133

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Background Adequate self-care is crucial for blood pressure (BP) control. A number of hypertension (HBP) self-care instruments are available, but existing tools do not capture all the critical domains of HBP self-care and have limited evidence of reliability and validity. Objective The purpose of this study was to develop and validate a new tool—the HBP Self-Care Profile (HBP SCP)—in a sample of inner-city residents. Methods The HBP SCP encompasses comprehensive domains of HBP self-care behaviors. Guided by two validated theoretical approaches—Orem’s self-care model and Motivational Interviewing—the HBP SCP includes three scales that can be used together or independently: Behavior, Motivation, and Self-Efficacy. The sample included 213 English-speaking inner-city residents with HBP (mean age = 68.6 years; 76.1% female; 81.7% African American). Results Item-total correlations ranged from 0.20 to 0.63 for Behavior, 0.46 to 0.70 for Motivation, and 0.40 to 0.74 for Self-Efficacy scales, meeting the cutoff set a priori at 0.15. Internal consistency reliability coefficients ranged from 0.83 to 0.93. Concurrent and construct validities of the HBP SCP were achieved by significant correlations between HBP SCP scales and theoretically selected study instruments (P <0.05 for all correlation coefficients). The HBP SCP-Behavior scale also successfully discriminated between those with or without BP control (P <0.05). Conclusions The reliability and validity of the HBP SCP were supported in this sample of inner-city residents with HBP. The high reliability estimates and strong evidence of validity should allow researchers to use the HBP SCP to assess and identify gaps in HBP self-care behavior, motivation, and self-efficacy. Future research is warranted to evaluate the HBP SCP in diverse ethnic and age samples of hypertensive patient populations.

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

“…4 In addition, more than one-third (38%) of people with HBP are obese compared to 20% of non-hypertensives. 5 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…5,10–15 Studies have shown that problems with these self-care behaviors are key elements in explaining the episodes of stroke and early death from HBP. 5,16 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Development and Validation of the Hypertension Self-care Profile

Han

Lee

Commodore‐Mensah

et al. 2014

Journal of Cardiovascular Nursing

117

133

View full text Add to dashboard Cite

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The status and predictors of self‐care among older adults with hypertension in China using the Chinese version of Self‐Care of Hypertension Inventory – A cross‐sectional study

Guo

et al. 2022

Nursing Open

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Hypertension is the highest prevalence of cardiovascular diseases in China (Chen et al., 2018). According to the latest report, there are approximately 250 million people with hypertension, with the prevalence rate of 17.9% (Fan et al., 2020). The incidence of hypertension rises as the population grows older (Hansell et al., 2017; Hypertension Branch of Chinese Association for Promotion of International Communication in Medical Care et al., 2019). China has the world's largest elderly population. According to the latest demographic data from the National Bureau of Statistics in 2019, by the end of 2018, China's ageing population aged 60 and above had reached 249 million, accounting for 17.9% of the population (National Bureau of Statistics of China, 2020). Lu et al. (2017) found that over 50% of the older people in China, who have target organ damage, experience hypertension. Therefore, it is very important for medical staff to help elderly patients with hypertension to improve self-care ability and effectively control their blood pressure.

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