Prevalence of, and Barriers to, Preventive Lifestyle Behaviors in Hypertension (from a National Survey of Canadians With Hypertension)

Gee, Marianne E.; Bienek, Asako; Campbell, Norman R.C.; Bancej, Christina; Robitaille, Cynthia; Kaczorowski, Janusz; Joffres, Michel; Dai, Sulan; Gwadry-Sridar, Femida; Nolan, Robert P.

doi:10.1016/j.amjcard.2011.09.051

Cited by 86 publications

(83 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Face-to-face counseling has been shown to be associated with reductions of 3 to 8 mm Hg in SBP among patients with hypertension. 184 Team-based hypertension care, with partnership between a primary care physician and other professionals such as nurses, pharmacists, or community health workers, has been shown to increase the percentage of patients with controlled BP by 12%. 185 Still, costs of such care models prevent dissemination and sustainability.…”

Section: Using Mhealth To Improve Hypertension Carementioning

confidence: 99%

See 1 more Smart Citation

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

476

389

View full text Add to dashboard Cite

A lthough mortality for cardiovascular disease (CVD) has declined for several decades, heart disease and stroke continue to be the leading causes of death, disability, and high healthcare costs. Unhealthy behaviors related to CVD risk (eg, smoking, sedentary lifestyle, and unhealthful eating habits) remain highly prevalent. The high rates of overweight, obesity, and type 2 diabetes mellitus (T2DM); the persistent presence of uncontrolled hypertension; lipid levels not at target; and the ≈18% of adults who continue to smoke cigarettes pose formidable challenges for achieving improved cardiovascular health.1,2 It is apparent that the performance of healthful behaviors related to the management of CVD risk factors has become an increasingly important facet of the prevention and management of CVD. 3In 2010, the American Heart Association (AHA) made a transformative shift in its strategic plan and added the concept of cardiovascular health.2 To operationalize this concept, the AHA targeted 4 health behaviors in the 2020 Strategic Impact Goals: reduction in smoking and weight, healthful eating, and promotion of regular physical activity. Three health indicators also were included: glucose, blood pressure (BP), and cholesterol. On the basis of the AHA Life's Simple 7 metrics for improved cardiovascular health, <1% of adults in the United States follow a healthful eating plan, only 32% have a normal body mass index, and > 30% have not reached the target levels for lipids or BP. National Health and Nutrition Examination Survey (NHANES) data revealed that people who met ≥6 of the cardiovascular health metrics had a significantly better risk profile (hazard ratio for all-cause mortality, 0.49) compared with individuals who had achieved only 1 metric or none.2 The studies reviewed in this statement targeted these behaviors (ie, smoking, physical activity, healthful eating, and maintaining a healthful weight) and cardiovascular health indicators (ie, blood glucose, lipids, BP, body mass index) as the primary outcomes in the clinical trials testing mobile health (mHealth) interventions.eHealth, or digital health, is the use of emerging communication and information technologies, especially the Internet, to improve health and health care 4 (Table 1). mHealth, a subsegment of eHealth, is the use of mobile computing and communication technologies (eg, mobile phones, wearable sensors) for health services and information.4,5 mHealth technology uses techniques and advanced concepts from an array of disciplines, for example, computer science, electrical and

show abstract

Section: Using Mhealth To Improve Hypertension Carementioning

confidence: 99%

“…150 This is thought to be due largely to suboptimal adherence to self-care. 184 Strategies to improve self-care and adherence have been explored. Face-to-face counseling has been shown to be associated with reductions of 3 to 8 mm Hg in SBP among patients with hypertension.…”

Section: Using Mhealth To Improve Hypertension Carementioning

confidence: 99%

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

476

389

View full text Add to dashboard Cite

show abstract

“…In addition, adherence to lifestyle changes can be difficult for patients to integrate into daily life. Failure can be attributed to time constraints, lack of motivation, fatigue, cost, and a lack of motivation to make changes; prior data demonstrates that about 50% of patients have difficulties implementing diet and exercise [27,28]. While the majority of patients recognized that taking antihypertensive medicine was beneficial to their health, many were not at target BP levels, which suggest that patients' knowledge and disease awareness are not sufficient on their own to optimize BP control.…”

Section: Natural Remedies Well After Um [-] Probably a Year And A Halmentioning

confidence: 88%

A Qualitative Study of Patient Perspectives about Hypertension

et al. 2013

View full text Add to dashboard Cite

To understand hypertensive patients' perspectives regarding blood pressure and hypertension treatment, this qualitative study applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c) feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the identified domains indicates that current approaches could benefit from the development of a more personalized approach for education and communication.

show abstract

“…22 Moreover, most Canadians with diagnosed hypertension are reporting sustained lifestyle modification to control their hypertension, such as limiting salt consumption (89%), changing the types of food they eat (89%), engaging in physical activity (80%), etc. 23 The greater awareness, treatment and control found in Quebecers can be seen in light of the introduction, in 1999, of the Canadian Hypertension Education Program (CHEP), an extensive national knowledge translation strategy for professionals to improve hypertension management. 21,24,25 This program has increased the diagnosis and treatment of hypertension and is viewed as an international model regarding knowledge translation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, incidence, awareness and control of hypertension in the province of Quebec: Perspective from administrative and survey data

Blais

Rochette

Hamel

et al. 2014

Can J Public Health

View full text Add to dashboard Cite

A mong modifiable risk factors associated with cardiovascular diseases, systemic hypertension is the leading one in terms of risk for mortality, responsible for 13% of deaths globally. 1 In 2009, the cost of antihypertensive treatment to the Quebec government alone was $589 million. 2 The importance of this risk factor for heart, renal and vascular diseases is well known, which is why population studies are essential to assess its prevalence over time. It was recently demonstrated using administrative databases all over Canada, that nearly 6 million Canadians aged ≥20 years were hypertensive in [2007][2008] The three sources of data have their strengths and limitations. Administrative databases contain data for all Quebecers and are continually updated, however they tend to concentrate on those who are diagnosed and actively consulting physicians, and they under-report hypertension in the presence of other diseases. Survey data estimate either self-reported diagnosed or measured hypertension, the latter being expensive and limited to a few representative people, especially with direct physical measures. The aim of this study was to compare the prevalence of hypertension using both sources of data, in the province of Quebec. We also concentrated our comparison on people at higher risk, i.e., the elderly population. The levels of hypertension awareness, treatment and control were also assessed with the CHMS since it combined information on direct measurements with self-reported diagnosis and treatment. METHODS Data sources Administrative DatabasesThe methodology used to conduct the surveillance of hypertension is based on the Canadian Chronic Disease Surveillance System, a collaborative network of provincial and territorial surveillance systems supported by the Public Health Agency of Canada. One of the objectives of this study was to determine whether the prevalence of hypertension in Quebec as assessed using administrative data is comparable to that specifically measured, especially for the elderly population.METHODS: Trends in prevalence, incidence and mortality were examined using the Quebec Integrated Chronic Disease Surveillance System built from grouping numerous administrative databases from 1996-1997 to 2009-2010 CONCLUSION:The prevalence of hypertension derived from administrative data is comparable to that obtained with a health measured survey. Elderly women (≥65 years) are a very high-risk subgroup. The levels of awareness, treatment and control of hypertension in Quebec are very high. KEY WORDS:Hypertension; public health surveillance; trends; administrative data; survey data La traduction du résumé se trouve à la fin de l'article.

show abstract

Prevalence of, and Barriers to, Preventive Lifestyle Behaviors in Hypertension (from a National Survey of Canadians With Hypertension)

Cited by 86 publications

References 7 publications

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

A Qualitative Study of Patient Perspectives about Hypertension

Prevalence, incidence, awareness and control of hypertension in the province of Quebec: Perspective from administrative and survey data

Contact Info

Product

Resources

About