Marilyn M. Schapira|Kathlyn E. Fletcher|Avery Hayes|Dan Eastwood|Leslie Patterson|Kristyn Ertl|Jeff Whittle
The Development and Validation of the Hypertension Evaluation of Lifestyle and Management Knowledge Scale
University of Pennsylvania|Milwaukee VA Medical Center|Medical College of Wisconsin|Milwaukee VA Medical Center|Medical College of Wisconsin|Milwaukee VA Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|Milwaukee VA Medical Center
hypertension knowledge integral component chronic care model valid scale assess hypertension knowledge selfmanagement skills needed hypertension evaluation lifestyle management helm scale developed part communitybased study designed improve selfmanagement hypertension participants included 404 veterans hypertension literature review expert panel used identify required skills items generated pilot tested target population validity assessed comparisons performance education health numeracy print numeracy patient activation selfefficacy hypertension control helm knowledge scale 14 items across 3 domains general hypertension knowledge lifestyle medication management measurement treatment goals scores positively associated education 028 p0001 print health literacy 021 p001 health numeracy 017 p001 patient activation 012 p015 association found diastolic systolic blood pressure helm knowledge scores increased following educational intervention baseline mean 87 standard deviation 22 12month followup mean 92 standard deviation 22 p001 conclude helm provides valid measure knowledge required patients take active role chronic disease management hypertension