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- Article] Perceptions of hypertension treatment among patients with and without diabetes
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DocNo of ILP: 1449
Doc. Type: Article
Title: Perceptions of hypertension treatment among patients with and without diabetes
Authors: Anthony, H; Valinsky, L; Inbar, Z; Gabriel, C; Varda, S
Full Name of Authors: Anthony, Heymann; Valinsky, Liora; Inbar, Zucker; Gabriel, Chodick; Varda, Shalev
Keywords by Author: Hypertension; Diabetes Mellitus; Attitude to health; Comprehension; Patient Compliance
Keywords Plus: BLOOD-PRESSURE CONTROL; LIFE-STYLE; ADHERENCE; BARRIERS; THERAPY; PEOPLE; CARE
Abstract: Background: Despite the availability of a wide selection of effective antihypertensive treatments and the existence of clear treatment guidelines, many patients with hypertension do not have controlled blood pressure. We conducted a qualitative study to explore beliefs and perceptions regarding hypertension and gain an understanding of barriers to treatment among patients with and without diabetes. Methods: Ten focus groups were held for patients with hypertension in three age ranges, with and without diabetes. The topic guides for the groups were: What will determine your future health status? What do you understand by "raised blood pressure"? How should one go about treating raised blood pressure? Results: People with hypertension tend to see hypertension not as a disease but as a risk factor for myocardial infarction or stroke. They do not view it as a continuous, degenerative process of damage to the vascular system, but rather as a binary risk process, within which you can either be a winner (not become ill) or a loser. This makes non-adherence to treatment a gamble with a potential positive outcome. Patients with diabetes are more likely to accept hypertension as a chronic illness with minor impact on their routine, and less important than their diabetes. Most participants overestimated the effect of stress as a causative factor believing that a reduction in levels of stress is the most important treatment modality. Many believe they "know their bodies" and are able to control their blood pressure. Patients without diabetes were most likely to adopt a treatment which is a compromise between their physician's suggestions and their own understanding of hypertension. Conclusion: Patient denial and non-adherence to hypertension treatment is a prevalent phenomenon reflecting a conscious choice made by the patient, based on his knowledge and perceptions regarding the medical condition and its treatment. There is a need to change perception of hypertension from a gamble to a disease process. Changing the message from the existing one of "silent killer" to one that depicts hypertension as a manageable disease process may have the potential to significantly increase adherence rates.
Cate of OECD: Chemical sciences
Year of Publication: 2012
Business Area: other
Detail Business: medicine & science
Country: England
Study Area: regulation, control, winner, attitude, risk, stroke
Name of Journal: BMC FAMILY PRACTICE
Language: English
Country of Authors: [Anthony, Heymann; Valinsky, Liora; Inbar, Zucker; Gabriel, Chodick; Varda, Shalev] Maccabi Healthcare Serv, Div Med, Tel Aviv, Maccabi, Israel; [Anthony, Heymann; Valinsky, Liora; Gabriel, Chodick; Varda, Shalev] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Maccabi, Israel; [Inbar, Zucker] Minist Hlth, Jerusalem, Israel
Press Adress: Anthony, H (reprint author), Maccabi Healthcare Serv, Div Med, Tel Aviv, Maccabi, Israel.
Email Address: tonyheymann@gmail.com
Citaion:
Funding:
Lists of Citation: American Heart, 2010, HEART DIS STROK STAT, pe46; Beune EJAJ, 2006, J HUM HYPERTENS, V20, P946, DOI 10.1038/sj.jhh.1002094; Campbell NRC, 2011, CAN FAM PHYSICIAN, V57, pe347; Campbell NRC, 2010, CURR OPIN CARDIOL, V25, P366, DOI 10.1097/HCO.0b013e32833a3632; Campbell NRC, 2011, CAN FAM PHYSICIAN, V57, P997; Egan BM, 2010, JAMA-J AM MED ASSOC, V303, P2043, DOI 10.1001/jama.2010.650; Egede LE, 2003, DIABETES CARE, V26, P602, DOI 10.2337/diacare.26.3.602; Erdine S, 2010, J CLIN HYPERTENS, V12, P40, DOI 10.1111/j.1751-7176.2009.00200.x; Hill M N, 2000, Curr Hypertens Rep, V2, P445, DOI 10.1007/s11906-000-0026-y; Institute of Medicine (IOM), 2010, POP BAS POL SYST CHA; Jokisalo E, 2001, J HUM HYPERTENS, V15, P755, DOI 10.1038/sj.jhh.1001276; Krousel-Wood M, 2004, CURR OPIN CARDIOL, V19, P357, DOI 10.1097/01.hco.0000126978.03828.9e; Krueger RA, 2009, FOCUS GROUPS PRACTIC, V4; Liese AD, 2009, DIABETES CARE, V32, P1434, DOI 10.2337/dc09-0228; Meigs DE, 2003, DIABETES DIABETES CA, V26, P1408; Naik AD, 2008, CIRCULATION, V117, P1361, DOI 10.1161/CIRCULATIONAHA.107.724005; National Institute of Health National Heart Lung and Blood Institute NIH/NHLBI, 2003, 7 NIHNHLBI US DEP HL; Neutel CI, 2008, CAN J CARDIOL, V24, P199; Ogedegbe G, 2008, J CLIN HYPERTENS, V10, P644, DOI 10.1111/j.1751-7176.2008.08329.x; Popay J, 1996, SOC SCI MED, V42, P759, DOI 10.1016/0277-9536(95)00341-X; Pope C, 2000, BRIT MED J, V320, P114, DOI 10.1136/bmj.320.7227.114; Stewart J, 2005, BRIT J GEN PRACT, V55, P298; Thoenes M, 2010, J HUM HYPERTENS, V24, P336, DOI 10.1038/jhh.2009.76; Vrijens B, 2008, BRIT MED J, V336, P1114, DOI 10.1136/bmj.39553.670231.25; Wexler R, 2009, J NATL MED ASSOC, V101, P597; Wilson RP, 2002, AM J MED, V112, P26, DOI 10.1016/S0002-9343(01)01049-X
Number of Citaion: 26
Publication: BIOMED CENTRAL LTD
City of Publication: LONDON
Address of Publication: 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
ISSN: 1471-2296
29-Character Source Abbreviation: BMC FAM PRACT
ISO Source Abbreviation: BMC Fam. Pract.
Volume: 13
Version:
Start of File:
End of File:
DOI: 10.1186/1471-2296-13-24
Number of Pages: 7
Web of Science Category: Primary Health Care; Medicine, General & Internal
Subject Category: General & Internal Medicine
Document Delivery Number: 943UQ
Unique Article Identifier: WOS:000304151200001
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