The role of patient activation in improving blood pressure outcomes in Black patients receiving home care. Academic Article uri icon

Overview

abstract

  • Variations in patients' self-management knowledge, skills, and confidence as measured by the Patient Activation Measure (PAM) have been linked to variations in health behavior and outcomes. In a randomized trial, we tested two blood pressure (BP) control interventions, one grounded in activation principles. Study participants were Black home care patients (N = 587) with uncontrolled hypertension. This article examines intervention impacts on 12-month PAM score change, other predictors of PAM change, and associations between PAM change and BP outcomes. In multivariate models, the interventions did not significantly affect PAM change. Baseline characteristics associated with increased PAM were lower PAM score, higher income, higher health literacy, younger age, lower systolic BP, diabetes, and fewer medications. PAM increase was associated with a modest reduction in diastolic BP but not with improved systolic BP or BP control. Although studies suggest that increasing activation may lead to improved patient outcomes, this study did not find it to be so.

publication date

  • July 16, 2013

Research

keywords

  • African Americans
  • Black or African American
  • Hypertension
  • Self Care

Identity

Scopus Document Identifier

  • 84887966274

Digital Object Identifier (DOI)

  • 10.1177/1077558713495452

PubMed ID

  • 23864112

Additional Document Info

volume

  • 70

issue

  • 6