Relationship of health behavior theories with self-efficacy among insufficiently active hypertensive African–American women

Martin, Michelle Y.; Person, Sharina D.; Kratt, Polly; Prayor-Patterson, Heather; Kim, Young; Salas, Maribel; Pisu, Maria

doi:10.1016/j.pec.2008.02.012

Cited by 43 publications

(40 citation statements)

References 71 publications

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“…[16] The self-efficacy framework related to DM has been applied in various education programs. [17] These studies demonstrated that self-efficacy correlated with compliance to physical activity, [18] and diet regimen [19] and to be associated with more frequent self-monitoring of blood glucose [20] and glycemic control. [21] Conversely, low selfefficacy was associated with worse diabetes control.…”

Section: Introductionmentioning

confidence: 99%

Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes

Taha

Zaton

Elaziz

2016

JNEP

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Background: Diabetes is a common costly condition associated with significant morbidity and mortality. The process of teaching individuals to manage their diabetes had been considered an important part of the clinical management. The goals of self-management education are to optimize metabolic control, prevent acute and chronic complications, and optimize quality of life; Aim: To evaluate the impact of a health education intervention guidelines for T2DM on Patients' knowledge, self-efficacy, and self-management practices. Methods: Design: quasi-experimental uncontrolled design on 50 patients evaluated at pre-intervention, post-intervention, and 6-month follow-up. Setting: The study was carried out in the outpatient clinics of Endocrinology and Metabolism at Zagazig University Hospital. Tools: three tools were used, 1st tool was an interview questionnaire to assess socio-demographic data and patients' knowledge, self-efficacy scale and patients' self-reported self-management behaviors concerning self-care practices. Results: There were statistically significant improvements in patients' knowledge (p < .001), self-efficacy (p < .001), and selfmanagement (p < .001), which continued through follow-up. Multivariate analysis showed that the knowledge and self-efficacy scores positively predicted the scores of self-management. Conclusions: The study demonstrates the effectiveness of health educational intervention guidelines in improving T2DM patients' self-management behaviors and self-care practices through provision of sound information and fostering their self-efficacy. The slight decline at the follow-up phase indicates the need for periodic booster doses of the intervention. Therefore, the study recommends generalization of such educational guidelines in all health care settings providing services to T2DM patients. Such guidelines should particularly address the patients with low educational attainments, long history of T2DM, and those residing in rural areas. More research is needed to investigate the long-term effect of such educational interventions.

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Section: Introductionmentioning

confidence: 99%

Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes

Taha

Zaton

Elaziz

2016

JNEP

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“…At the environmental level, barriers to healthy lifestyles include lack of access to exercise facilities at work or in the community, lack of bicycle and walking paths as well as high traffic and crime in urban settings that prevent access to safe walking areas. For individual African-Americans, overall perceived and real barriers to engage in exercise and healthy diets may outweigh perceived positive outcomes of total lifestyle changes, underscoring the importance of individual effective problem solving to reduce barriers and information to influence outcome [36,37]. …”

Section: Discussionmentioning

confidence: 99%

Changes in Central Aortic Pressure, Endothelial Function and Biomarkers in Hypertensive African-Americans with the Cardiometabolic Syndrome: Comparison of Amlodipine/Olmesartan versus Hydrochlorothiazide/Losartan

Khan¹,

Merchant²,

Rahman³

et al. 2013

Cardiorenal Med

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Sixty-six self-identified African-American subjects with stage 1 and 2 hypertension and characteristics of the cardiometabolic syndrome were treated with amlodipine/olmesartan (A/O) versus losartan/hydrochlorothiazide (L/H) for 20 weeks in an open-label, active comparator fashion. Subjects not meeting a blood pressure (BP) value of <125/75 mm Hg on either regimen at week 14 were placed on additional or alternative therapy. After 20 weeks of therapy, systolic BP was reduced by 34.6 ± 4.2 mm Hg in the A/O group and by 27.0 ± 4.1 mm Hg in the L/H group (p = 0.012 A/O vs. L/H). Diastolic BP was reduced by 16.9 ± 2.0 mm Hg in the A/O group and by 12.3 ± 2.0 mm Hg in the L/H group (p = 0.022 A/O vs. L/H). There was a substantial increase in endothelial function of 44 and 103% in the L/H and A/O groups, respectively (p < 0.005 A/O vs. L/H). Central aorta augmentation pressure was significantly reduced by 42% with the A/O treatment, and a smaller, significant reduction of 28% was observed with the L/H treatment (p = 0.034 A/O vs. L/H). There was a reduction in sIL-6 levels of 20 and 33%, a reduction in serum leptin levels of 22 and 40%, and an increase in serum adiponectin of 19 and 46% in the L/H and A/O groups, respectively (p < 0.005 A/O vs. L/H for each biomarker). Treatment with A/O after 14 weeks reduced pulse wave velocity by 22% (p = 0.011 time comparison), whereas L/H treatment had no significant effect. Our findings suggest that, in addition to effective BP reduction, A/O differentially regulates markers of inflammation and obesity, thereby potentially providing greater vascular protection.

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“…For individual African Americans, overall perceived and real barriers to engage in exercise and healthy diets may outweigh perceived positive outcomes of total lifestyle changes, underscoring the importance of individual effective problem solving to reduce barriers and information to influence outcome expectancies. 29,30 These important culturally relevant factors were incorporated into the nutrition and physical activity educational materials, which were provided to patients at each study visit.…”

Section: Discussionmentioning

confidence: 99%

Effects of nebivolol in obese African Americans with hypertension (NOAAH): markers of inflammation and obesity in response to exercise-induced stress

Merchant

Rahman²,

Ferdinand

et al. 2010

J Hum Hypertens

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We sought to determine whether the antihypertensive drug nebivolol has beneficial effects on vascular markers of inflammation and oxidation in obese African-American patients with hypertension when exposed to exercise-induced stress. Forty-three obese, AfricanAmerican subjects with hypertension were treated with nebivolol (5-10 mg/day) for 8 weeks. Before treatment the subjects underwent an exercise treadmill study to a level of eight metabolic equivalents. Circulating levels of soluble interleukin-6 (sIL-6), vascular cell adhesion molecule (VCAM-1), adiponectin and leptin were measured at pre-treadmill, and 1 min, 30 min, 60 min and 24 h after treadmill. After the 8-week treatment period, exercise treadmill study and the measurement of markers were repeated. Treatment with nebivolol reduced levels of sVCAM-1 at pre-exercise by 21% and at 1 and 30 min by 12.5 and 20%, respectively (Po0.005 from corresponding time point). In nebivolol-treated patients there was a reduction in sIL-6 levels by 20% and preexercise and at 1 and 60 min by 19.7 and 33.5%, respectively (Po0.005 from corresponding time point). Treatment with nebivolol increased levels of serum adiponectin by 28% (P ¼ 0.012) and decreased levels of leptin by 32% (Po0.005 from pre-treatment). Treatment with nebivolol improves markers of inflammation and obesity in a high-risk African-American population. Moreover, this effect is potentiated in response to exercise-induced stress. These results suggest that nebivolol differentially regulates markers of inflammation and obesity, thereby providing vascular protection.

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Relationship of health behavior theories with self-efficacy among insufficiently active hypertensive African–American women

Cited by 43 publications

References 71 publications

Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes

Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes

Changes in Central Aortic Pressure, Endothelial Function and Biomarkers in Hypertensive African-Americans with the Cardiometabolic Syndrome: Comparison of Amlodipine/Olmesartan versus Hydrochlorothiazide/Losartan

Effects of nebivolol in obese African Americans with hypertension (NOAAH): markers of inflammation and obesity in response to exercise-induced stress

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