Matthew J. Crowley|Janet M. Grubber|Maren K. Olsen|Hayden B. Bosworth
Factors Associated with Non-Adherence to Three Hypertension Self-Management Behaviors: Preliminary Data for a New Instrument
Durham VA Medical Center|Durham VA Medical Center|Durham VA Medical Center|Durham VA Medical Center
clinicians difficulty identifying patients unlikely adhere hypertension selfmanagement identifying nonadherence essential addressing suboptimal blood pressure control high costs1 identify risk factors associated nonadherence three key selfmanagement behaviors patients hypertension proper medication use diet exercise 2 evaluate extent instrument designed identify number risk factors present nonadherence three hypertension selfmanagement behaviors would associated selfmanagement nonadherence blood pressurecrosssectional analysis randomized trial datasix hundred thirtysix primary care patients hypertension1 demographic socioeconomic psychosocial health beliefrelated factors 2 measures selfreported adherence recommended medication use diet recommendations exercise recommendations collected baseline assessment 3 systolic blood pressure sbp diastolic blood pressure dbpwe identified patient factors associated measures nonadherence medications diet exercise hypertension combined risk factors associated 1 adherence measure instrument generated three composite variables medication diet exercise composites reflecting number risk factors present nonadherence corresponding selfmanagement behavior composite variables identified subgroups higher likelihood medication nonadherence difficulty following diet recommendations difficulty following exercise recommendations composite variable levels representing highest number selfmanagement nonadherence risk factors associated higher sbp dbpwe identified factors associated measures nonadherence recommended medication use diet exercise hypertension developed instrument associated nonadherence selfmanagement behaviors well blood pressure study instrument potential improve identification nonadherent patients hypertension