Aanand D. Naik|Michael A. Kallen|Annette Walder|Richard L. Street
Improving Hypertension Control in Diabetes Mellitus
Michael E. DeBakey VA Medical Center|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center
communication patients clinicians using collaborative goals treatment plans may overcome barriers achieving hypertension control routine diabetes mellitus care assessed interrelation patientclinician communication factors determine independent associations hypertension control diabetes carewe identified 566 older adults diabetes mellitus hypertension debakey va medical center houston tex clinical pharmacy data collected patient questionnaire sent participants total 212 individuals returned surveys logistic regression analyses performed assess effect patient characteristics selfmanagement behaviors communication factors hypertension control three communication factors significant associations hypertension control two factors patients endorsement shared decisionmaking style odds ratio 161 95 confidence interval 101 257 proactive communication ones clinician abnormal results blood pressure selfmonitoring odds ratio 189 95 confidence interval 110 326 direct independent associations multivariate regression path analysis used investigate direct indirect effects communication factors hypertension control decisionmaking style beta020 p001 proactive communication beta050 p00001 demonstrated direct effects hypertension control third factor clinicians use collaborative communication setting treatment goals total effect hypertension control 016 p005 direct effects decisionmaking style beta028 p0001 proactive communication beta022 p001three communication factors found significant associations hypertension control patientclinician communication facilitates collaborative blood pressure goals patients input related progress treatment may improve rates hypertension control diabetes care independent medication adherence