Does Knowledge Matter?

Kim, Eun Young; Han, Hae Ra; Jeong, Seonghee; Kim, Kim B.; Park, Hyun-Jeong; Kang, Esther; Shin, Hye Sook; Kim, Miyong T.

doi:10.1097/01.jcn.0000287038.23186.bd

Cited by 64 publications

(32 citation statements)

References 32 publications

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“…There were only 35.4% (2016) respondents who recognized adequately that regular activity contributes to energy consumption and the stability of cardiovascular system [39]. Only 42.3% (2016) of respondents realized that people with hypertension should take drugs for life once they are diagnosed to influence blood pressure control [40]. Despite 62.1% (2016) of respondents recognizing the dangers of excessive salt intake, only 7.5% (2016) knew that adults should consume no more than 6 g of salt per day; this situation has not changed in three years.…”

Section: Discussionmentioning

confidence: 99%

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Zhang

Meng

Luo

et al. 2018

IJERPH

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The rapid urbanization in China has brought with it some health benefits, but it also brought about a negative influence on the lifestyle of residents. We conducted this study to assess the change in hypertension-related knowledge and behavior from 2013 to 2016 among recently urbanized residents and determine their association with socioeconomic status (SES). This research used data from two cross-sectional studies conducted in Hezuo community in Chengdu, Sichuan province of China. A total of 2268 and 2601 individuals, respectively, participated and completed standard questionnaires. According to the results, the median (IQR) scores of health knowledge was 1 (0,3) and 3 (1,5), respectively, (p < 0.001) and the median (IQR) scores of health behavior was 6 (5,6) and 5 (5,6), respectively, (p < 0.001) in 2013 and 2016. The rate of sufficient knowledge increased from 8.8% to 18.1% (p < 0.001), while the rate of correct behavior decreased from 54.5% to 45.5% (p < 0.001) in three years. Logistic regression analysis showed that higher education was associated with sufficient hypertension-related knowledge (p < 0.05), and those with higher education, unemployment, and retirement were more likely to have sufficient behavior (p < 0.05). The impact of SES on knowledge was stable between 2013 and 2016. The behavior difference between the middle school educated and the illiterate increased from 2013 to 2016 (p < 0.05), and the behavior difference between the unemployed and manual workers decreased from 2013 to 2016 (p < 0.05). Our results revealed that hypertension-related knowledge improved with no corresponding improvement in self-reported behavior among recently urbanized residents from 2013 to 2016. Organizational strategy should be implemented to improve health education on knowledge, and what is more, translate knowledge into behavior. All these measures should be given more attention to the lower educated and manual workers among recently urbanized residents to eliminate the SES disparity.

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Section: Discussionmentioning

confidence: 99%

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Zhang

Meng

Luo

et al. 2018

IJERPH

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“…The Hill-Bone Adherence Scale—in particular the medication subscale—has demonstrated acceptable reliability and construct validity in several independent populations of African Americans, non-Hispanic whites, and Korean patients. 20,33 In addition, noncompliance assessed by the scale predicted higher BP in black patients in the United States and in South Africa, indicating predictive validity. 20,34 The alpha coefficient of the Hill-Bone Scale was 0.70 in the study sample.…”

Section: Methodsmentioning

confidence: 95%

Development and Validation of the Hypertension Self-care Profile

Han

Lee

Commodore‐Mensah

et al. 2014

Journal of Cardiovascular Nursing

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108

133

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Background Adequate self-care is crucial for blood pressure (BP) control. A number of hypertension (HBP) self-care instruments are available, but existing tools do not capture all the critical domains of HBP self-care and have limited evidence of reliability and validity. Objective The purpose of this study was to develop and validate a new tool—the HBP Self-Care Profile (HBP SCP)—in a sample of inner-city residents. Methods The HBP SCP encompasses comprehensive domains of HBP self-care behaviors. Guided by two validated theoretical approaches—Orem’s self-care model and Motivational Interviewing—the HBP SCP includes three scales that can be used together or independently: Behavior, Motivation, and Self-Efficacy. The sample included 213 English-speaking inner-city residents with HBP (mean age = 68.6 years; 76.1% female; 81.7% African American). Results Item-total correlations ranged from 0.20 to 0.63 for Behavior, 0.46 to 0.70 for Motivation, and 0.40 to 0.74 for Self-Efficacy scales, meeting the cutoff set a priori at 0.15. Internal consistency reliability coefficients ranged from 0.83 to 0.93. Concurrent and construct validities of the HBP SCP were achieved by significant correlations between HBP SCP scales and theoretically selected study instruments (P <0.05 for all correlation coefficients). The HBP SCP-Behavior scale also successfully discriminated between those with or without BP control (P <0.05). Conclusions The reliability and validity of the HBP SCP were supported in this sample of inner-city residents with HBP. The high reliability estimates and strong evidence of validity should allow researchers to use the HBP SCP to assess and identify gaps in HBP self-care behavior, motivation, and self-efficacy. Future research is warranted to evaluate the HBP SCP in diverse ethnic and age samples of hypertensive patient populations.

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“…The HKT consists of 12 items developed by the National HBP Education Program of the National Heart, Lung, and Blood Institute ( Check Your High Blood Pressure IQ ) [30] and 14 items generated by the investigative team based on a literature review. The 26-item knowledge test has been used in our previous studies of KAs [31–33]. HBP knowledge scores are calculated by counting the number of items with correct responses, with total scores ranging from 0 to 26.…”

Section: Methodsmentioning

confidence: 99%

Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

Han

Song

et al. 2012

J Immigrant Minority Health

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Elders living alone may experience worse health outcomes than do those living with spouse and/or children. Using baseline data from a randomized trial to promote high blood pressure (HBP) control in Korean elders (N=440), we examined the relationship between living arrangements and HBP control. We also interviewed a sub-sample to better understand the patterns of social interactions associated with different types of living arrangements. One in five reported living alone; this group tended to be older and female, and resided in senior group housing. Those living alone were twice as likely as those living with a spouse to have controlled BP (OR=2.08; 95% CI 1.09–3.97), even after controlling for study covariates. Those in senior group housing had frequent social interactions that involved conversations around health, encouragement concerning medication taking, and health information sharing. In conclusion, Korean elders living independently are neither socially-isolated nor at increased risk for poor BP control.

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Does Knowledge Matter?

Cited by 64 publications

References 32 publications

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Changes in Hypertension-Related Knowledge and Behavior and Their Associations with Socioeconomic Status among Recently Urbanized Residents in China: 2013–2016

Development and Validation of the Hypertension Self-care Profile

Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

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