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Gepubliceerd in:

01-10-2008

Commonsense illness beliefs, adherence behaviors, and hypertension control among African Americans

Auteurs: Eric B. Hekler, Jennifer Lambert, Elaine Leventhal, Howard Leventhal, Eric Jahn, Richard J. Contrada

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2008

Abstract

Hypertension, particularly among African Americans, has been increasing in importance in the past 10 years. One aspect of this problem is poor disease management. This study examined illness beliefs, behaviors, and hypertension control among 102 African American outpatients. Participants were interviewed about their commonsense beliefs concerning hypertension and its management in accordance with Leventhal’s commonsense model of self-regulation (CSM). Also assessed were medication adherence, stress-reducing behaviors, and lifestyle behaviors recommended for blood pressure control. Blood pressure was measured at about the time of interviewing. Results indicated that endorsement of a medical belief model of hypertension (i.e., caused and controlled by factors such as diet, age, and weight) was cross-sectionally associated with lower systolic blood pressure, a relationship that was statistically mediated by lifestyle behaviors (e.g., cut down salt, exercise). Endorsement of a stress belief model (i.e., stress is the main factor in hypertension cause and control) was associated with engagement in stress-related behaviors but not with blood pressure. These results further support the utility of the CSM for understanding patients’ disease management behaviors.

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There were nonsystematic missing data values for some interview items. In these instances, the sample mean for that variable was substituted. If the data were missing for a categorical variable (i.e., the patient’s belief that the disease is chronic, acute, or cyclical) then the subject was dropped from all analyses. All analyses were repeated with the subsample of participants that had complete data, N = 79. The results did not differ from those obtained for the full sample, N = 102.

In initial regression analyses, elapsed time between blood pressure reading and interview was entered in the regression models and it did not influence the results. It was dropped from subsequent analyses.

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Titel: Commonsense illness beliefs, adherence behaviors, and hypertension control among African Americans
Auteurs: Eric B. Hekler
Jennifer Lambert
Elaine Leventhal
Howard Leventhal
Eric Jahn
Richard J. Contrada
Publicatiedatum: 01-10-2008
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2008
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-008-9165-4

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