Document Detail


The development and validation of the hypertension evaluation of lifestyle and management knowledge scale.
MedLine Citation:
PMID:  22747619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Marilyn M Schapira; Kathlyn E Fletcher; Avery Hayes; Dan Eastwood; Leslie Patterson; Kristyn Ertl; Jeff Whittle
Related Documents :
1280739 - Nicorandil attenuates myocardial dysfunction associated with transient ischemia by open...
12154269 - Middle cerebral artery function after stroke: the threshold duration of reperfusion for...
22880469 - Acute cortical blindness in preeclampsia--a case of reversible posterior encephalopathy...
22527569 - Pressure-induced angioedema associated with endotracheal tube: successful treatment wit...
22505249 - Is average of routine postdialysis blood pressure a good indicator of blood pressure co...
12591229 - Novel protection strategy for pulmonary transplantation.
16493509 - Cardiac re-synchronization therapy: effects on myocardial perfusion at rest, after vaso...
16153509 - Doppler echocardiographic evaluation of pulmonary regurgitation facilitates the diagnos...
10993859 - Determinants of the degree of functional mitral regurgitation in patients with systolic...
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.
Affiliation:
Department of Internal Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Avenue, Philadelphia, PA 19104, USA. mschap@upenn.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Antihypertensive Agents / therapeutic use
Chronic Disease
Female
Health Knowledge, Attitudes, Practice*
Health Surveys
Humans
Hypertension / diagnosis*,  epidemiology,  prevention & control
Life Style*
Male
Pilot Projects
Psychometrics
Questionnaires / standards*
Reproducibility of Results
Statistics as Topic
United States / epidemiology
Grant Support
ID/Acronym/Agency:
UL1 RR031973/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Plasma endothelial microparticles and their correlation with the presence of hypertension and arteri...
Next Document:  Dietary supplements and hypertension: potential benefits and precautions.