Deakin University
Browse
1/1
2 files

Patient engagement strategies used for hypertension and their influence on self-management attributes

journal contribution
posted on 2014-01-01, 00:00 authored by Kevin Mc NamaraKevin Mc Namara, Vincent VersaceVincent Versace, J Marriott, James DunbarJames Dunbar
Background. Several effective methods to facilitate patient self-management of hypertension are available in primary care. These include direct support from community pharmacists and general practice, and the use of home blood pressure (BP) monitoring. The aim of this study is to establish the prevalence of use of key strategies and to determine their independent relationship with patient self-management attributes.

Methods.
A survey of patients with treated hypertension was undertaken in 27 community pharmacies. This established recent use of BP monitoring and advice from health professionals. Patient awareness of BP and targets, appropriateness of BP targets and adherence to anti-hypertensive medications were assessed as indicative self-management outcomes. Predictors of outcomes were determined using binary logistic regression.

Results. Overall, 215 surveys were returned. Two-thirds of patients were aged >65 years, and 45% had conditions warranting tighter BP control (<130/80 mmHg). Almost all patients reported monitoring of their BP in the previous year and 63% could report their most recent BP reading. Just 36% reported knowing a target BP, and 78% of reported targets were within guidelines recommendations. One-fifth (22%) monitored their own BP, and 15% reported non-adherence to medication. Doctors provided the large majority of professional advice. Self-monitoring or documentation of BP readings was independently associated with increased likelihood of BP and target BP being known.

Conclusions. Regular monitoring of BP does not automatically translate to professional advice. Increased uptake of patient self-monitoring should be promoted as a means of enabling self-management.

History

Journal

Family practice

Volume

31

Issue

4

Pagination

437 - 444

Publisher

Oxford University Press

Location

Oxford, England

ISSN

0263-2136

eISSN

1460-2229

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2014, Oxford University Press