Promotion of behavioural change in people with hypertension: an intervention study

Scala, Daniela; D'Avino, Maria; Cozzolino, Santolo; Mancini, Antonio; Andria, Barbara; Caruso, Giuseppe; Tajana, G; Caruso, Domenico

doi:10.1007/s11096-008-9235-2

Cited by 15 publications

(12 citation statements)

References 19 publications

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“…5 Clinical trials have consistently shown the benefits of lifestyle modification for treating hypertension. 14,15,16,17,18,19,20,21 Furthermore, healthy lifestyles could prevent or delay use of antihypertensive medication for grade I hypertension in adults and, among individuals who were using antihypertensive medications, contribute to additional blood pressure reduction 22 and reduce the dosage and number of antihypertensive medications. 8 …”

Section: Discussionmentioning

confidence: 99%

Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013

Fang

Moore

Loustalot

et al. 2016

Journal of the American Society of Hypertension

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Achieving and maintaining a healthy lifestyle is an important part of hypertension management. The purpose of this study was to assess US state-level prevalence of adherence to healthy lifestyle behaviors among those with self-reported hypertension. Using 2013 data from the Behavioral Risk Factor Surveillance System, a state-based telephone survey, we examined the adherence to 5 healthy lifestyle behaviors related to hypertension management: having a “normal” weight, not smoking, avoiding or limiting alcohol intake, consuming the recommended amount of fruits and vegetables, and engaging in the recommended amount of physical activity. We estimated age-standardized percentages of each healthy lifestyle behavior overall and by state, as well as prevalence of all 5 healthy lifestyle behaviors. Overall, the prevalence of healthy lifestyle behaviors varied widely among those with self-reported hypertension: 20.5% had a normal weight, 82.3% did not smoke, 94.1% reported no or limited alcohol intake, 14.1% consumed the recommended amounts of fruits or vegetables, and 46.6% engaged in the recommended amount of physical activity. Overall, only 1.7% of adults with self-reported hypertension reported all 5 healthy lifestyle behaviors, with significant variation by state. Age-standardized prevalence of individuals reporting all 5 healthy lifestyle behaviors ranged from 0.3% in Louisiana to 3.8% in the District of Columbia. In conclusion, adherence to healthy lifestyle behaviors varied among those with hypertension; fewer than 2% reported meeting current recommendations and standards when assessed collectively. Disparities were observed by demographic and descriptive characteristics, including geography.

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Section: Discussionmentioning

confidence: 99%

Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013

Fang

Moore

Loustalot

et al. 2016

Journal of the American Society of Hypertension

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“…MI has been shown to be effective in promoting change among patients with substance-abuse problems [74][75][76][77], as well as with other health behaviors, such as improving diet, diabetes management, blood pressure, and activity level [47][48][49][78][79][80]. Although there have been few studies specifically examining the role of MI in engagement in pain self management, the results thus far appear promising [81][82][83].…”

Section: Motivational Interviewingmentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

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“…Det totale antallet pasienter som er omtalt i studiene av pasientoppfatninger, er 398. Pasientene har type 2-diabetes (34), kroniske smerter (25,28), kreft (31), KOLS (29,33), irritabel tarmsyndrom (32) og hypertensjon (30). Det totale antallet fagpersoner som er omtalt i studiene om kompetanseoppfatninger, er 252.…”

Section: Hensikt Metodeunclassified

“…Én studie er en systematisk oversikt over kvalitative studier (29) og tre har en mixed method-design (15,30,36). To studier undersøker ved hjelp av kvantitative data hvilken innvirkning helsepedagogiske opplaeringstiltak har på tilegnelsen av kunnskaper, ferdigheter og holdninger til personer som planlegger å gi opplaering og laerings-og mestringstilbud (35,36).…”

Section: Hensikt Metodeunclassified

“…De 16 inkluderte studiene belyser altså kompetanse fra ulike synsvinkler. Ikke alle problemstillingene i studiene hadde kompetanse som tema, men tok opp spørsmålet i presentasjonen av studienes resultater Hele tolv av de 16 studiene understreker at det er viktig å kunne lede grupper av pasienter og brukere for å tilrettelegge for laering og mestring på en adekvat måte (15,22,24,25,(27)(28)(29)(30)(31)(32)(33)(34)36). Studiene beskriver i hovedsak to dimensjoner ved gruppeledelse.…”

Section: Hensikt Metodeunclassified

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Helsepedagogisk kompetanse, læring og mestring

Vågan¹,

Eika²,

Skirbekk³

2016

Sykepleien

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Promotion of behavioural change in people with hypertension: an intervention study

Abstract: Our findings show that a motivational approach is a powerful tool for achieving better blood pressure control and is an essential skill for all healthcare professionals.

Cited by 15 publications

References 19 publications

Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013

Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013

Providers' roles in enhancing patients' adherence to pain self management

Helsepedagogisk kompetanse, læring og mestring

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