The relationships between health information behavior and neural processing in african americans with prehypertension

Jones, Lenette M.; Wright, Kathy; Jack, Anthony I.; Friedman, Jared; Fresco, David M.; Veinot, Tiffany C.; Lü, Wei; Moore, Shirley

doi:10.1002/asi.24098

Cited by 10 publications

(17 citation statements)

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“…Although these studies suggest that improvements in neural network task differentiation would be associated with better health behaviors, none of these studies investigated this question, so it is challenging to contextualize our findings in this literature. However, as a nascent field of research, we need additional rigorous research to best understand if and how to use neuroimaging techniques to clarify the neurocognitive basis of chronic disease self-management; some of this research is ongoing (Jones et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…To examine the neurocognitive behavioral processes associated with changes in self-management behaviors between the intervention and control groups, we designed an fMRI task to provoke our a priori regions of interest: the analytic (TPN) and empathetic (DMN) neural activation. To test our hypothesis, we developed an fMRI task that has been described in detail elsewhere (Jones et al, 2018). In brief, we designed four 7-min and 40-s (total 30 min and 40 s) video conditions.…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of this article is twofold: to describe the effect of a self-management intervention on neurocognitive behavioral processing variables and to describe the association between changes in these neural markers in relation to changes in self-management behavior (i.e., physical activity, diet, HIV medication adherence, and retention in care) in PLHIV. We hypothesized that better cognitive neural network task differentiation would be associated with improved self-management behaviors over time (Jones et al, 2018).…”

Section: Purposementioning

confidence: 99%

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The Effect of an HIV Self-Management Intervention on Neurocognitive Behavioral Processing

et al. 2019

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People living with HIV (PLHIV) are increasingly diagnosed with comorbidities which require increasing self-management. We examined the effect of a self-management intervention on neurocognitive behavioral processing. Twenty-nine PLHIV completed a two-group, 3-month randomized clinical trial testing a self-management intervention to improve physical activity and dietary intake. At baseline and 3 months later, everyone completed validated assessments of physical, diet, and neurocognitive processing (functional magnetic resonance imaging [fMRI]–derived network analyses). We used linear mixed effects modeling with a random intercept to examine the effect of the intervention. The intervention improved healthy eating ( p = .08) but did not improve other self-management behaviors. There was a significant effect of the intervention on several aspects of neurocognitive processing including in the task positive network (TPN) differentiation ( p = .047) and an increase in the default mode network (DMN) differentiation ( p = .10). Self-management interventions may influence neurocognitive processing in PLHIV, but those changes were not associated with positive changes in self-management behavior.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Purposementioning

confidence: 99%

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The Effect of an HIV Self-Management Intervention on Neurocognitive Behavioral Processing

et al. 2019

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“…Participants viewed 48 video clips of 23 seconds in length. Each participant was exposed to the same fixed sequence design: four runs, lasting 7 minutes 40 seconds, in the same order and temporal spacing standardized using E-Prime 2.0.10 software (Psychology Software Tools, Pittsburgh, PA; Jones et al, 2019; Moore et al, 2019). The fMRI protocol has been previously described (Jones et al, 2019; Webel et al, 2019), and brain scans were performed using a Siemens 3T Skyra scanner.…”

Section: Methodsmentioning

confidence: 99%

Neural Processing of Health Information and Hypertension Self-Management in African Americans

et al. 2022

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Background: Uncontrolled blood pressure (BP) rates are persistently high among African Americans with hypertension. Although self-management is critical to controlling BP, little is known about the brain-behavior connections underlying the processing of health information and the performance of self-management activities.Objectives: In this pilot study, we explored the associations among neural processing of two types of health information and a set of self-management cognitive processes (self-efficacy, activation, decision-making, and hypertension knowledge) and behaviors (physical activity, dietary intake, and medication taking) and health status indicators (BP, health-related quality of life, anxiety, and depression).Methods: Using a descriptive cross-sectional design, 16 African Americans with uncontrolled hypertension (mean age = 57. 5 years, 68.8% women) underwent functional magnetic resonance imaging to assess activation of two neural networks, the taskpositive network and the default mode network, and a region in the ventromedial prefrontal cortex associated with emotionfocused and analytic-focused health information. Participants completed self-reports and clinical assessments of selfmanagement processes, behaviors, and health status indicators.Results: Our hypothesis that neural processing associated with different types of health information would correlate with selfmanagement cognitive processes and behaviors and health status indicators was only partially supported. Home diastolic BP was positively associated with ventromedial prefrontal cortex activation (r = .536, p = .09); no other associations were found among the neural markers and self-management or health status variables. Expected relationships were found among the selfmanagement processes and behaviors and health status indicators.Discussion: To advance our understanding of the neural processes underlying health information processing and chronic illness self-management, future studies are needed that use larger samples with more heterogeneous populations and additional neuroimaging techniques.

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“…This means that responses to different types of information varies depending on individual characteristics (Singh et al, 2015). One study reported findings that socio-emotional processing was positively associated with sharing of health information with others (Jones et al, 2019). Better understanding how the brain processes different types of information will help to develop individualized, and potentially more effective self-management interventions.…”

Section: Introductionmentioning

confidence: 99%

Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review

Jones

Ginier

Debbs

et al. 2020

Front. Hum. Neurosci.

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Cardiovascular disease (CVD) is the leading cause of death worldwide, and in the United States alone, CVD causes nearly 840,000 deaths annually. Using functional magnetic resonance imaging (fMRI), a tool to assess brain activity, researchers have identified some brain-behavior connections and predicted several self-management behaviors. The purpose of this study was to examine the sample characteristics of individuals with CVD who participated in fMRI studies. Methods: A literature search was conducted in PubMed, CINAHL, and Scopus. No date or language restrictions were applied and research methodology filters were used. In October 2017, 1659 titles and abstracts were identified. Inclusion criteria were: (1) utilized an empirical study design, (2) used fMRI to assess brain activity, and (3) focused on patients with CVD-related chronic illness. Articles were excluded if they: were theory or opinion articles, focused on mental or neuropathic illness, included non-human samples, or were not written in English. After duplicates were removed (230), 1,429 titles and abstracts were reviewed based on inclusion criteria; 1,243 abstracts were then excluded. A total of 186 studies were reviewed in their entirety; after additional review, 142 were further excluded for not meeting the inclusion criteria. Forty-four articles met criteria and were included in the final review. An evidence table was created to capture the demographics of each study sample. Results: Ninety eight percent of the studies did not report the racial or ethnic composition of their sample. Most studies (66%) contained more men than women. Mean age ranged from 38 to 78 years; 77% reported mean age ≥50 years. The most frequently studied CVD was stroke (86%), while hypertension was studied the least (2%). Conclusion: Understanding brain-behavior relationships can help researchers and practitioners tailor interventions to meet specific patient needs. These findings suggest that additional studies are needed that focus on populations historically underrepresented in fMRI research. Researchers should thoughtfully consider diversity Jones et al. Exploring Diversity in fMRI Studies and purposefully sample groups by including individuals that are: women, from diverse backgrounds, younger, and diagnosed with a variety of CVD-related illnesses. Identifying and addressing these gaps by studying more representative samples will help healthcare providers reduce disparities and tailor interventions for all CVD populations.

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The relationships between health information behavior and neural processing in african americans with prehypertension

Abstract: This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 10 publications

References 89 publications

The Effect of an HIV Self-Management Intervention on Neurocognitive Behavioral Processing

The Effect of an HIV Self-Management Intervention on Neurocognitive Behavioral Processing

Neural Processing of Health Information and Hypertension Self-Management in African Americans

Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review

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