“…Regarding hypertension self-management behaviors, the PROMIS Chronic Disease Management Scale (Lorig et al, 2001) and the Hill–Bone Compliance Scale (Culig & Leppee, 2014) were used to assess self-efficacy for general chronic disease management and hypertension treatment regimen adherence.…”
Background
Hypertension rates have increased worldwide, with the most significant increase in morbidity and mortality observed among African Americans. Resilience is a potential factor influencing how individuals manage health-related challenges or self-management tasks for hypertension. Research is scarce related to resilience and self-management frameworks in African Americans with hypertension.
Objectives
We aimed to describe a conceptualized resilience framework and preliminary findings of the association among resilience precursors, stress response, hypertension self-management behaviors, and health outcomes in African Americans with hypertension.
Methods
This cross-sectional, descriptive-correlational study included African American adults with hypertension, aged 25 years and older, recruited from an academic university and surrounding urban communities in the Midwest. Participants completed standardized, validated questionnaires to examine the association among resilience precursors, stress response, hypertension self-management behaviors, health-related quality of life (HRQOL), and blood pressure at baseline. Descriptive statistics were used to describe the sample demographic characteristics, whereas Pearson's correlational and multiple regression analyses were conducted to determine the associations among the variables.
Results
African Americans with hypertension (N = 30) were included in this preliminary study, with a mean age of 59.17 years; 66.7% were female. The mean systolic blood pressure was 136 (SD = 16.8) mmHg; the mean diastolic blood pressure was 78.1 (SD = 13) mmHg. Pearson's correlation analysis revealed significant relationships between resilience precursors, stress response, hypertension self-management behaviors and capability, and health outcome components. Multiple regression analysis showed that poor perceived resilience significantly predicted depression. Low dispositional optimism and low perceived resilience were significant predictors of stress. Higher perceived resilience significantly predicted self-efficacy. Perceived stress was negatively and significantly associated with HRQOL. Finally, higher self-efficacy significantly predicted better HRQOL.
Discussion
This study underscores the significant association between resilience, stress, self-management behaviors, and health outcomes in African Americans with hypertension. Further research with larger sample sizes and longitudinal designs is warranted to confirm and expand upon these findings.
“…Regarding hypertension self-management behaviors, the PROMIS Chronic Disease Management Scale (Lorig et al, 2001) and the Hill–Bone Compliance Scale (Culig & Leppee, 2014) were used to assess self-efficacy for general chronic disease management and hypertension treatment regimen adherence.…”
Background
Hypertension rates have increased worldwide, with the most significant increase in morbidity and mortality observed among African Americans. Resilience is a potential factor influencing how individuals manage health-related challenges or self-management tasks for hypertension. Research is scarce related to resilience and self-management frameworks in African Americans with hypertension.
Objectives
We aimed to describe a conceptualized resilience framework and preliminary findings of the association among resilience precursors, stress response, hypertension self-management behaviors, and health outcomes in African Americans with hypertension.
Methods
This cross-sectional, descriptive-correlational study included African American adults with hypertension, aged 25 years and older, recruited from an academic university and surrounding urban communities in the Midwest. Participants completed standardized, validated questionnaires to examine the association among resilience precursors, stress response, hypertension self-management behaviors, health-related quality of life (HRQOL), and blood pressure at baseline. Descriptive statistics were used to describe the sample demographic characteristics, whereas Pearson's correlational and multiple regression analyses were conducted to determine the associations among the variables.
Results
African Americans with hypertension (N = 30) were included in this preliminary study, with a mean age of 59.17 years; 66.7% were female. The mean systolic blood pressure was 136 (SD = 16.8) mmHg; the mean diastolic blood pressure was 78.1 (SD = 13) mmHg. Pearson's correlation analysis revealed significant relationships between resilience precursors, stress response, hypertension self-management behaviors and capability, and health outcome components. Multiple regression analysis showed that poor perceived resilience significantly predicted depression. Low dispositional optimism and low perceived resilience were significant predictors of stress. Higher perceived resilience significantly predicted self-efficacy. Perceived stress was negatively and significantly associated with HRQOL. Finally, higher self-efficacy significantly predicted better HRQOL.
Discussion
This study underscores the significant association between resilience, stress, self-management behaviors, and health outcomes in African Americans with hypertension. Further research with larger sample sizes and longitudinal designs is warranted to confirm and expand upon these findings.
“…Prior to the data collection, the questionnaire was pre‐tested among hypertensive patients at the Polyclinic of the KBTH. The questionnaire contained sections which asked about the socio‐demographic characteristics such as age of respondents, sex of respondents, highest educational level, marital status, occupation, income level, having a valid health insurance, belief in allopathic care and trust in the current allopathic care as well as adherence to treatment using an adapted Morisky Medication Adherence Scale (MMAS) which consisted of eight items (Culig & Leppée, 2014; de Oliveira‐Filho et al, 2014). The words of the original tool were modified after a pre‐testing at the Polyclinic of the KBTH in such a way that it was suitable for the Ghanaian population as suggested in literature (de Oliveira‐Filho et al, 2014).…”
Aim
We determined the relationship between trust, belief and adherence among patients who complain of hypertension in Ghana.
Design
A cross‐sectional design was used.
Method
We sampled 447 Ghanaians with hypertension receiving care at the Korle Bu Teaching Hospital. Data were collected using a pre‐tested self‐administered questionnaire. Data analyses were conducted with the aid of Stata 15.0.
Results
There is low belief and trust in the biomedical treatment for hypertension. Only 36.9% of the respondents said they adhered to treatment with females expressing higher level of adherence. Trust and belief in allopathic care were associated with adherence to treatment. It is recommended that health workers identify effective ways of improving patients' trust in the allopathic care for hypertension through teaching and re‐enforcement models to enhance treatment adherence and reduce the complications of hypertension.
Patient or Public Contribution.
“…It was adopted from Culig and Leppée [13] to assess the level of mothers' adherence to helicobacter pylori eradication therapy, it consisted of 10 questions answered by yes or no.…”
Background: One of the most common human pathogens is the spiral and microaerophilic bacteria H. pylori, which also causes stomach adenocarcinoma, peptic ulcers, chronic gastritis, and mucosa-associated lymphoid tissue lymphoma in children. Mobile education based on smartphones is applied in many different areas. Due to its great portability, learning space is increased and learners can work at their own pace. Simulation learning is also possible. Information could be replayed.Objective: This study sought to assess the effect of a mobile-based teaching program on mothers' knowledge and reported practice regarding care of children with helicobacter pylori infection. Methods: The current study utilized a quasi-experimental design. The current investigation has been carried out in the outpatient pediatric clinics of Benha University Hospital as well as Benha Teaching Hospital. From the abovementioned setting, a non-probability purposeful sample of 100 women and their children was selected. Three tools have been utilized: (1) a structured interview questionnaire sheet; (2) a self-reported practice questionnaire sheet; and (3) a medication adherence scale. Results: Prior to the implementation of a mobile-based educational program, the majority of the examined mothers (89%) had an unsatisfactory level of knowledge; however, after the program, the vast majority (98%) had a satisfactory level of knowledge. The majority of the studied mothers (96%) had an inadequate level of practice in pre-program implementation. In contrast, 93% of them had an adequate level of practice post-program. Conclusion: Improvements in mothers' knowledge and practices regarding the care of their children with Helicobacter pylori infections were more effectively with mobile-based education. Again, there had been a highly statistically significant positive link between mothers' overall knowledge level, overall practice level, and overall medication adherence level before and after the mobile-based program's implementation. For mothers of children with Helicobacter pylori infection, healthcare practitioners could employ mobile-based educational methods to promote their children's health.
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