TY - JOUR
AU - Johnson, Thomas H.
AB - Abstract Hypertension is one of the most common diseases seen by the practicing physician. Yet, because of noncompliance, conditions of many hypertensive patients are not effectively controlled by treatment. The purpose of this study was to test the efficacy of a patient education program in reducing the blood pressure (BP) of hypertensive patients in a private, solo medical practice. The intervention program focused on three behavioral objectives— pill taking, appointment keeping, and dietary sodium reduction while stressing the need for taking responsibility for one's own care. It was hypothesized that patients receiving an educational intervention stressing self-care would benefit more than those receiving the usual medical care. A substantial reduction in BP was considered to be the measure of successful treatment. Thirty-nine hypertensive patients receiving drug therapy from a private, solo medical practice were randomized into either a treatment group or a control group. A comparison of means disclosed no pretreatment differences between the groups' average BPs. After following up both groups for six months, mean changes in BP were compared for both treatment and control patients using a two-sample t test for independent samples. The BP fell in the treatment group (-13 mm Hg, systolic; -8 mm Hg, diastolic) but rose slightly in the control group (3 mm Hg, systolic; 0.5 mm Hg, diastolic). The difference in changes was significant for both the systolic and diastolic BP. (Arch Intern Med 1982;142:297-299) References 1. Blackwell B: Treatment adherence in hypertension. Am J Pharmacol 1976;143:75-85. 2. Vidt G: The struggle for drug compliance in hypertension. Cardiovasc Clin 1978;9:243-252. 3. Becker H, Maiman L: Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care 1975;13:10-24.Crossref 4. Five-Year Findings of the Hypertension Detection and Follow-up Program: I. Reduction in mortality of persons with high blood pressure, including mild hypertension, Hypertension Detection and Follow-up Coop erative Group. JAMA 1979;242:2562-2571.Crossref 5. Hulka S, Cassel C, Kupper LL, et al: Communication, compliance and concordance between physicians and patients with prescribed medications. Am J Public Health 1976;66:847-853.Crossref 6. Gillum RF, Neutra RR, Stason WB, et al: Determinants of dropout rate among hypertensive patients in an urban clinic. J Community Health 1979;5:94-100.Crossref 7. Komaroff L: The practitioner and the compliant patient. Am J Public Health 1976;66:833-835.Crossref 8. Levine B, Moss C, Ramsey PH, et al: Patient compliance with advice as a function of communicator expertise. J Soc Psychol 1978;104:309-310.Crossref 9. Gillum RF, Barsky AJ: Diagnosis and management of patient compliance. JAMA 1974;228:1563-1567.Crossref 10. Sackett DL, Haynes BR: Compliance With Therapeutic Regimens. Baltimore, Johns Hopkins University Press, 1976. 11. Schulman B: Active patient orientations and outcomes in hypertensive treatment: Application of a socio-organizational perspective. Med Care 1979;18:267-280.Crossref 12. Schmidt JP: A behavioral approach to patient compliance. Postgrad Med 1979;65:219-221, 224. 13. Nelson EC, Stason WR, Neutra RR, et al: Impact of patient perceptions on compliance with treatment for hypertension. Med Care 1978;16:893-906.Crossref 14. Inui TS, Yourtree EL, Williamson JW: Improving outcomes in hypertension after physician tutorials: A controlled trial. Ann Intern Med 1976;84:646-651.
TI - Improving Hypertension Control in a Private Medical Practice
JO - Archives of Internal Medicine
DO - 10.1001/archinte.1982.00340150097018
DA - 1982-02-01
UR - https://www.deepdyve.com/lp/american-medical-association/improving-hypertension-control-in-a-private-medical-practice-jp0R9BU3hb
SP - 297
EP - 299
VL - 142
IS - 2
DP - DeepDyve
ER -