| Does participatory decision making improve hypertension self-care behaviors and outcomes? | |
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MedLine Citation:
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PMID: 17485968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study examined patients' perceptions of their providers' participatory decision making (PDM) style and hypertension self-care behaviors and outcomes. Five hundred fifty-four veterans with hypertension enrolled in the Veterans' Study to Improve the Control of Hypertension rated providers' PDM styles using a validated 3-item instrument. Behaviors assessed included presence of a home blood pressure monitor, monitoring frequency, and self-reported antihypertensive medication adherence. Overall, veterans with hypertension rated providers as highly participatory. In adjusted analyses, a lower PDM score was associated with decreased odds of having a home monitor (odds ratio, 0.90 per 10-point decrement in PDM score; 95% confidence interval, 0.83-0.98) but not with monitoring frequency, adherence, or blood pressure control. Providers' involvement of patients in decision making, reflected in ratings of PDM style, may be important to securing patients' participation in their own care, but alone this factor seems insufficient. No relationship between PDM score and blood pressure control was observed. |
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Authors:
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Alex H Cho; Corrine I Voils; William S Yancy; Eugene Z Oddone; Hayden B Bosworth |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of clinical hypertension (Greenwich, Conn.) Volume: 9 ISSN: 1524-6175 ISO Abbreviation: J Clin Hypertens (Greenwich) Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-08 Completed Date: 2007-10-09 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100888554 Medline TA: J Clin Hypertens (Greenwich) Country: United States |
Other Details:
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Languages: eng Pagination: 330-6 Citation Subset: IM |
Affiliation:
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Center for Health Services Research in Primary Care, Vetterans Affairs Medical Center, Durham, NC 27705, USA. alex.cho@duke.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Antihypertensive Agents / therapeutic use Blood Pressure / drug effects Blood Pressure Monitoring, Ambulatory Cross-Sectional Studies Decision Making* Female Health Behavior* Humans Hypertension / drug therapy, physiopathology, therapy* Logistic Models Male Middle Aged North Carolina Patient Compliance Patient Participation* Physician-Patient Relations Predictive Value of Tests Randomized Controlled Trials as Topic Reproducibility of Results Research Design Self Care* Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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5-T32-HS00079/HS/AHRQ HHS |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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