The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial

Halladay, Jacqueline R.; Donahue, Katrina E; Cené, Crystal W.; Li, Quefeng; Cummings, Doyle M.; Hinderliter, Alan L.; Miller, Cassandra; Garcia, Beverly A.; Little, Edwin; Rachide, Margorie; Tillman, Jim; Ammerman, Alice S.; DeWalt, Darren A.

doi:10.1016/j.pec.2016.10.015

Cited by 55 publications

(46 citation statements)

References 33 publications

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“…First, the generalizability of these findings could be limited because patients were recruited from a single health care center where they were being followed to manage their disease. Furthermore, only patients' socio-demographic and clinical variables were considered as possible factors correlated to needs and preferences; other variables associated with needs for health information and health outcomes such as health literacy [48,49] and psychological variables [28] were not assessed in this study. Additionally, the use of volunteer participants may likely have resulted in an overrepresentation of those who were more interested in the topics analyzed.…”

Section: Discussionmentioning

confidence: 99%

What hypertensive patients want to know [and from whom] about their disease: a two-year longitudinal study

Cappelletti¹,

Greco

Maloberti

et al. 2020

BMC Public Health

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Background: This study explored both the evolution of the information needs and the perceived relevance of different health information sources in patients with essential hypertension. It also investigated the relationships between information needs and the perceived relevance of information sources with socio-demographic and clinical variables. Methods: Two hundred and two patients with essential arterial hypertension were enrolled in the study and evaluated at baseline and during three follow-ups at 6, 12 and 24 months after baseline. Patients had a mean age of 54.3 years [range 21-78; SD = 10.4], and 43% were women. Repeated measures ANOVA, Bonferroni post hoc tests, and Cochran's Q Test were performed to test differences in variables of interest over time. Results: It was observed a significant reduction in all the domains of information needs related to disease management except for pharmacological treatment and risks and complications. At baseline, patients reported receiving health information primarily from specialists, general practitioners, relatives, and television, but the use of these sources decreased over time, even if the decrease was significant only for relatives. Multiple patterns of relationships were found between information needs and the perceived relevance of sources of information and socio-demographics and clinical variables, both at baseline and over time. Conclusions: The findings showed a general decrease in both the desire for information and the perceived relevance of different information sources. Hypertensive patients appeared to show little interest in health communication topics as their disease progressed. Understanding patients' information needs and the perceived relevance of different information sources is the first step in implementing tailored communication strategies that can promote patients' self-management skills and optimal clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

What hypertensive patients want to know [and from whom] about their disease: a two-year longitudinal study

Cappelletti¹,

Greco

Maloberti

et al. 2020

BMC Public Health

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“…The low health literacy causes a 10-year increased risk of cardiovascular disease [51] . Furthermore, Halladay J R et al demonstrated that health literacy intervention may equally lower SBP in patients with low and higher health literacy [52] . All of these ndings indicate the importance of assessing HBP-HL among hypertension patients.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

Zhang

Huang

Zhang

et al. 2020

Preprint

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Background Considering the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of Health-Related Quality of Life (HRQoL). The synergistic effects and the potential mechanism HBP-HL, self-management behavior, medication adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the conception of HBP-HL, and develop a structural equation model to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods A cross-sectional investigation study was conducted to collect data. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Urumqi County, Xinjiang. The one-on-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, medication adherence, self-efficacy, and social support were collected. In addition, the results of physical examination were also included. A structural equation model was used to assess the association between the measured factors and HRQoL. Results 516 Kazakh patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, medication adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The structural equation model of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Evidence from this study demonstrates that low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies for Kazakh hypertension patients. Firstly, researchers should give a priority to evaluate patient’s HBP-HL before intervention. Next, tailored interventions are implemented for patients, and and ultimately it will contribute to control blood pressure and improve patients’ HRQoL.

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“…Baseline and follow-up data were collected as described [29,30,[32][33][34]. BP was measured by trained research staff using the Omron HEM-907 automated BP monitor (Omron Healthcare, Inc., Vernon Hills, IL).…”

Section: Study Measuresmentioning

confidence: 99%

Applicability of Precision Medicine Approaches to Managing Hypertension in Rural Populations

Halladay¹,

Lenhart²,

Robasky

et al. 2018

Preprint

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Abstract:Background: As part of the Heart Healthy Lenoir Project, we developed a practice level 39 intervention to improve blood pressure control. The goal of this study was: i) determine if single 40 nucleotide polymorphisms (SNPs) that associate with blood pressure variation, identified in large 41 case-control studies, are applicable to blood pressure control in subjects from a rural population; ii) 42 measure the association of these SNPs with subjects' responsiveness to the hypertension

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The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial

Cited by 55 publications

References 33 publications

What hypertensive patients want to know [and from whom] about their disease: a two-year longitudinal study

What hypertensive patients want to know [and from whom] about their disease: a two-year longitudinal study

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

Applicability of Precision Medicine Approaches to Managing Hypertension in Rural Populations

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