Development and evaluation of DASH diet tailored messages for hypertension treatment

Scisney-Matlock, Margaret; Glazewki, Lynn; McClerking, C.; Kachorek, Lauren V.

doi:10.1016/j.apnr.2005.05.005

Cited by 21 publications

(14 citation statements)

References 13 publications

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“…Tailored messages are a method to convey specifi c textual information to increase and improve coping behaviors, decrease cognitions associated with maladaptive behaviors, and reframe inaccurate disease schemata through a self-regulation process [ 32 , 34 ]. Scisney-Matlock et al [ 27 ] suggested the use of tailored messages to provide health-related information for enhancing dietary adherence for reducing fat and increasing consumption of more fruits and vegetables. Results showed signifi cant improvement in the daily consumption of fruits and vegetables for minorities who reported signifi cantly lower eating of fruits and vegetables.…”

Section: Using Tailored Messages To Deliver Knowledgementioning

confidence: 98%

“…Scisney-Matlock, in 1998, synthesized the theoretical basis for assessing self-regulatory behaviors for hypertension treatment recommendation as cognitive representations of lifestyle behaviors. This assessment approach guides the selection of the stimulus tasks manipulation or required information or tailored information that corresponds with existing cognitive representations [ 27 ]. This new knowledge is most appropriate in the form of tailored messages to learning about lifestyle modifi cation recommendations, particularly for minority populations.…”

Section: The Need For Cognitive and Behavioral Change Techniques For mentioning

confidence: 99%

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Therapeutic Lifestyle Changes to Decrease Unhealthy Eating Patterns and Improve Blood Pressure in African Americans

Scisney-Matlock

Brough

Daramola

et al. 2014

Hypertension in High Risk African Americans

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Prevention and effective control of high blood pressure is critical, and hypertension management is often diffi cult even with intensive pharmacological therapy. Although the majority of adults with hypertension, over 74 million in the United States, including over two million new cases per year, are given prescription medications to control high levels of blood pressure, many have not reduced their blood pressure to less than 140/90 mmHg [ 17 ]. Shimbo et al. [ 29 ] suggest that once hypertension is resistant, requiring upwards to fi ve antihypertensive agents, nonpharmacological treatment alone is almost always not effective. Nevertheless, the effectiveness of therapeutic lifestyle changes (TLC) can be substantial, with varying estimates for blood pressure reductions with TLC reported in The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure guidelines (JNC 7,[ 5 ]). Previous comprehensive reviews have documented the effi cacy of TLC, barriers to lifestyle changes, and strategies to overcome barriers in African Americans [ 25 ]. This previously published comprehensive review of effective TLC for control of blood pressures illustrated the need for systematic coordination of patient, provider, and community roles. Moreover, this report illustrates the relationship of salient factors associated with barriers to behavior change which impact sustained effects of TLC in African Americans.

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Section: Using Tailored Messages To Deliver Knowledgementioning

confidence: 98%

Section: The Need For Cognitive and Behavioral Change Techniques For mentioning

confidence: 99%

Therapeutic Lifestyle Changes to Decrease Unhealthy Eating Patterns and Improve Blood Pressure in African Americans

Scisney-Matlock

Brough

Daramola

et al. 2014

Hypertension in High Risk African Americans

Self Cite

View full text Add to dashboard Cite

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“…89 Additional information is needed on the barriers to implementing dietary sodium restriction, 46, 47 the educational methods that promote retention of dietary advice, 44 and the factors that predict long-term dietary adherence. 90 Research should continue to investigate biomarkers that can predict the physiologic impact of sodium restriction, with candidates including measures of oxidative stress, 82, 85 ‘local’ activation of the renin-angiotensin-aldosterone axis (often in opposition to systemic effects), 91-93 and novel markers such as cardiotonic steroids. 94 Future randomized studies should incorporate lessons from previous trials, in particular that maintaining an ideal intravascular volume in compensated HF patients in the setting of sodium restriction requires frequent assessment of volume status and adjustment of diuretic dosing.…”

Section: Perspectives/conclusionmentioning

confidence: 99%

Sodium Restriction in Heart Failure: Benefit or Harm?

Konerman

Hummel

2014

Curr Treat Options Cardio Med

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Opinion Statement Current guidelines vary in the recommended amount of dietary sodium intake for heart failure (HF) patients. Observational studies and the hypertension literature support the concept that sodium restriction improves HF outcomes. In contrast, several randomized controlled trials imply that dietary sodium restriction can cause harm through hypovolemia and increased neurohormonal activation. Data from hypertensive animal models and humans suggest that dietary sodium intake may need to be individually tailored based on HF severity and the physiologic response to sodium loading. Future studies must assess interactions between sodium intake, fluid intake, and diuretics to match clinical practice and improve safety. More information is needed in multiple areas, including accurate measurement of sodium intake, implementation of dietary changes in HF patients, and establishment of biomarkers that predict response to changes in sodium intake. Additional research is urgently needed to determine the true impact of the most commonly recommended self-care strategy in HF.

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“…[18][19][20][21][22] Tailored interventions that match individual patient characteristics with treatment hold promise to be effective for promoting weight loss and increasing physical activity, as well as for their generalizability to clinical application. [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Efficacious, individually tailored interventions that can be implemented by print, telephone, video, or a combination of these media without the need for extensive face-to-face or group counseling may be an effective and easy-todisseminate model that primary care physicians could refer patients to. We evaluated such an intervention in a randomized, controlled trial of obese, sedentary adults recruited from primary care practices.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients

Eaton

Hartman

Perzanowski

et al. 2016

The Annals of Family Medicine

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PURPOSE The aim of the study was to test a tailored lifestyle intervention for helping obese primary care patients achieve weight loss and increase physical activity. METHODSWe conducted a 24-month randomized clinical trial in Rhode Island. Primary care physicians identified obese, sedentary patients motivated to lose weight and increase their moderate to vigorous physical activity. These patients were randomized to 1 of 2 experimental groups: enhanced intervention (EI) or standard intervention (SI). Both groups received 3 face-to-face weight loss meetings. The enhanced intervention group also received telephone counseling calls, individually tailored print materials, and DVDs focused on diet and physical activity. Active intervention occurred in year 1 with a tapered maintenance phase in year 2.RESULTS Two hundred eleven obese, sedentary patients were recruited from 24 primary care practices. Participants were 79% women and 16% minorities. They averaged 48.6 years of age, with a mean body mass index (BMI) of 37.8 kg/m 2 , and 21.2 minutes/week of moderate to vigorous physical activity. Significantly more EI participants lost 5% of their baseline weight than SI participants (group by visit, P <.001). The difference was significant during active treatment at 6 months (37.2% EI vs 12.9% SI) and 12 months (47.8% vs 11.6%), but was no longer significant during the maintenance phase at 18 months (31.4% vs 26.7%,) or 24 months (33.3% vs 24.6%). The EI group reported significantly more minutes of moderate to vigorous physical activity over time than the SI group (group by visit, P = 0.04). The differences in minutes per week at 6 months was 95.7 for the EI group vs 68.3 minutes for the SI group; at 12 months, it was 126.1 vs 73.7; at 18 months, 103.7 vs 63.7, and at 24 months, 101.3 vs 75.4. Similar trends were found for absolute weight loss and the percentage reaching national guidelines for physical activity. CONCLUSION A home-based tailored lifestyle intervention in obese, sedentary primary care patients was effective in promoting weight loss and increasing moderate to vigorous physical activity, with the effects peaking at 12 months but waning at 24 months.

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Development and evaluation of DASH diet tailored messages for hypertension treatment

Cited by 21 publications

References 13 publications

Therapeutic Lifestyle Changes to Decrease Unhealthy Eating Patterns and Improve Blood Pressure in African Americans

Therapeutic Lifestyle Changes to Decrease Unhealthy Eating Patterns and Improve Blood Pressure in African Americans

Sodium Restriction in Heart Failure: Benefit or Harm?

A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients

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