Why Are We Doing So Badly with the Control of Hypertension? Poor Compliance Is Only Part of the Story

Pickering, Thomas G.

doi:10.1111/j.1524-6175.2001.00465.x

Cited by 15 publications

(15 citation statements)

References 24 publications

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“…The results are somewhat in line with the results obtained by Kelham (2005), Siegel (2010), Morone (2013) and Ljotsson (2010). If we want to justify this result we can say that patients with high blood pressure due to the chronic nature of this disease and its dangerous symptoms permanently check and examine them and consequently make themselves ready to react and response to their physical and psychological symptoms (Pickering, 2011). This kind of attention can increase and spread their knowledge and sensitivity.…”

Section: Discussionsupporting

confidence: 77%

Comparison of the Mindfulness Skills, Metacognitive Beliefs and Perceived Stress in Hypertension Patients and Control Group

Haji-Mirsaeidi¹,

Kazemi-Zahrani²,

Sadeghi³

2016

GJHS

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The aim of this study was to compare the skills of mindfulness, metacognitive beliefs and perceived stress in hypertension patients and control group. The study was a causal-comparative one. The population included all patients with high blood pressure who were admitted in Isfahan Cardiovascular Research Institute in 2014, 90 of which were selected by purposive sampling. Research instruments include: Kentucky's mindfulness skills (Baer, Smith, & Allen, 2004), metacognitive beliefs questionnaire (Welles, 1997) and questionnaire perceived stress (Cohen & Kamarck, 1983). Of all the questionnaires returned, 80 were fully completed and therefore analyzed. Data were analyzed using a t-test and multivariate analysis of variance. Results showed that there is a difference between mindfulness skills and beliefs of people with hypertension and control group. Moreover, the results showed that there isn't any meaningful difference between the perceived stress in patients with hypertension and control group. It can be said that mindfulness skills, metacognitive beliefs and perceived stress can help us to understand the psychological issues of patients with high blood pressure better.

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Section: Discussionsupporting

confidence: 77%

Comparison of the Mindfulness Skills, Metacognitive Beliefs and Perceived Stress in Hypertension Patients and Control Group

Haji-Mirsaeidi¹,

Kazemi-Zahrani²,

Sadeghi³

2016

GJHS

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“…In general, it can be said that 25 to 35 percent of adults are affected by hypertension [4]. Because of its high prevalence, this disease is important; however, its importance has been doubled due to the fact that hypertension is an uncontrolled disease [5]. One of the most important factors which play a prominent role in controlling the disease is patient's adherence.…”

Section: Introductionmentioning

confidence: 99%

Sodium Intake, Dietary Knowledge, and Illness Perceptions of Controlled and Uncontrolled Rural Hypertensive Patients

Ali

Azadbakht

Sharifirad

et al. 2014

International Journal of Hypertension

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Introduction and Objectives. Nutritional knowledge of the patients is important in dietary adherence. This study aimed to determine the relationship between illness perceptions and nutritional knowledge with the amounts of sodium intake among rural hypertensive patients. Methods. In a cross-sectional study, 671 hypertensive patients were selected in a multistage random sampling from the rural areas of Ardabil city, Iran, in 2013. Data were collected using a questionnaire consisting of four sections and were analyzed using Pearson correlation and multiple linear regressions by SPSS-18. Results. The mean of sodium intake in the uncontrolled hypertensive patients was 3599 ± 258 mg/day and significantly greater than controlled group (2654 ± 540 mg/day) (P < 0.001). Knowledge and illness perceptions could predict 47.2% of the variation in sodium intake of uncontrolled group. A significant negative relationship was found between knowledge and illness perceptions of uncontrolled hypertensive patients with dietary sodium intake (r = −0.66, P < 0.001 and r = −0.65, P < 0.001, resp.). Conclusion. Considering the fact that patients' nutritional knowledge and illness perceptions could highly predict their sodium intake, the importance of paying more attention to improve patients' information and perceptions about hypertension is undeniable, especially among the uncontrolled hypertensive patients.

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“…Why, then, are the reported rates of blood pressure control so disappointing, and apparently not getting any better? (Pickering, 2001).…”

mentioning

confidence: 99%

Decision making and effort in the self‐regulation of hypertension: Testing two competing theories

Taylor

Bagozzi

Gaither

2005

British J Health Psychol

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We compare the ability of two social psychological models to explain self-regulation decisions to control hypertension by 208 patients at a hospital clinic: the theory of planned behaviour (TPB) and the model of goal-directed behaviour (MGB). The sample was drawn from patients at a large research hospital in North America. The findings show that the MGB not only explains significantly more variance in decision making than the TPB, but it provides an account for how reasons for acting become integrated and transformed into intentions to act, which the TPB does not address. The MGB does this in part by introducing the variable, desire, as an essential mediator between reasons for acting and intentions. The MGB also incorporates the effects of anticipated emotions on decision making, which are forms of forward-looking counterfactual thinking with respect to goals. In addition, the present study reconceptualized instrumental behaviour to encompass how hard one tries to act in the senses of (1) devoting time to planning with respect to reducing/maintaining blood pressure, (2) expending mental/physical energy to reduce/maintain blood pressure, (3) maintaining will power to reduce/maintain blood pressure, and (4) sustaining self-discipline (e.g. in overcoming obstacles) to reduce/maintain blood pressure. Key differences, as well as commonalities, in decision making are pointed-out between men and women and between people whose goal is to reduce versus maintain blood pressure.

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Why Are We Doing So Badly with the Control of Hypertension? Poor Compliance Is Only Part of the Story

Cited by 15 publications

References 24 publications

Comparison of the Mindfulness Skills, Metacognitive Beliefs and Perceived Stress in Hypertension Patients and Control Group

Comparison of the Mindfulness Skills, Metacognitive Beliefs and Perceived Stress in Hypertension Patients and Control Group

Sodium Intake, Dietary Knowledge, and Illness Perceptions of Controlled and Uncontrolled Rural Hypertensive Patients

Decision making and effort in the self‐regulation of hypertension: Testing two competing theories

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