Document Detail

The development and validation of the hypertension evaluation of lifestyle and management knowledge scale.
MedLine Citation:
PMID:  22747619     Owner:  NLM     Status:  MEDLINE    
Hypertension knowledge is an integral component of the chronic care model. A valid scale to assess hypertension knowledge and self-management skills is needed. The hypertension evaluation of lifestyle and management (HELM) scale was developed as part of a community-based study designed to improve self-management of hypertension. Participants included 404 veterans with hypertension. Literature review and an expert panel were used to identify required skills. Items were generated and pilot tested in the target population. Validity was assessed through comparisons of performance with education, health numeracy, print numeracy, patient activation and self-efficacy, and hypertension control. The HELM knowledge scale had 14 items across 3 domains: general hypertension knowledge, lifestyle and medication management, and measurement and treatment goals. Scores were positively associated with education (0.28, P<.0001), print health literacy (0.21, P<.001), health numeracy (0.17, P<.001), and patient activation (0.12, P=.015) but no association was found with diastolic or systolic blood pressure. The HELM knowledge scores increased following the educational intervention from baseline (mean, 8.7; standard deviation, 2.2) to 12-month follow-up (mean, 9.2, standard deviation, 2.2; P<.001). We conclude that the HELM provides a valid measure of the knowledge required for patients to take an active role in the chronic disease management of hypertension.
Marilyn M Schapira; Kathlyn E Fletcher; Avery Hayes; Dan Eastwood; Leslie Patterson; Kristyn Ertl; Jeff Whittle
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Validation Studies     Date:  2012-04-09
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  14     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-03     Completed Date:  2012-11-16     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  461-6     Citation Subset:  IM    
Copyright Information:
© 2012 Wiley Periodicals, Inc.
Department of Internal Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Avenue, Philadelphia, PA 19104, USA.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Chronic Disease
Health Knowledge, Attitudes, Practice*
Health Surveys
Hypertension / diagnosis*,  epidemiology,  prevention & control
Life Style*
Pilot Projects
Questionnaires / standards*
Reproducibility of Results
Statistics as Topic
United States / epidemiology
Grant Support
Reg. No./Substance:
0/Antihypertensive Agents

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