What question did this study set out to answer?

To explore beliefs and perceptions regarding hypertension and identify barriers to treatment among patients with and without diabetes.

March 26, 2012BMC Family PracticeOpen Access

Perceptions of hypertension treatment among patients with and without diabetes

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Hypertension with and without diabetes (n=86). Intervention: Comorbid diabetes vs. Hypertension without diabetes. Primary outcome: Beliefs and perceptions regarding hypertension and barriers to treatment.

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Key result

Hypertensive patients frequently perceive their condition as a stress-related gamble rather than a chronic disease, resulting in intentional non-adherence, although those with comorbid diabetes are more accepting of its chronic nature.

Population

86 patients with hypertension, including 37 with both hypertension and diabetes, aged 41-70 years, from a…

Authors

HAHeymann AnthonyMaccabi Health Care Services LVLiora ValinskyClalit Health Services IZInbar ZuckerTel Aviv University

Discussion

Member takes

Implication

May inform counseling on hypertension perceptions to address non-adherence; leaves open effects of targeted education in prospective trials.

Key Points

To explore beliefs and perceptions regarding hypertension and identify barriers to treatment among patients with and without diabetes.
Conducted ten focus groups with patients having hypertension, categorized by age and diabetes status.
Facilitated discussions on health status, understanding of raised blood pressure, and treatment methods.
Analyzed attitudes toward hypertension as a disease versus a risk factor.
Patients with hypertension often view it as a risk factor rather than a disease, leading to treatment non-adherence.
Diabetic patients are more likely to recognize hypertension as a chronic illness but see it as less important than diabetes.
Many participants overestimate stress's role in hypertension and feel they can control their blood pressure based on personal knowledge.

Study Design

Type

Observational (n=86)

Structured PICO

Population

86 adult patients aged 41 to 70 years with hypertension, including 37 with comorbid diabetes, participated in focus groups to explore their perceptions of hypertension and its treatment.

Outcome

Beliefs and perceptions regarding hypertension and barriers to treatment

Patients often view hypertension as a gamble rather than a chronic disease, highlighting the need to change educational messaging to improve treatment adherence.

Limitations

Participants in the focus groups do not form a representative sample of the population.
Inability to identify ethnic or socioeconomic differences between participants and those who declined.
Participation in focus groups selects a population with higher health awareness, potentially underestimating non-adherence.
Authors present during discussions may have unduly influenced the formulation of topic guides.
Participants in the focus groups do not form a representative sample of the population
Participation in focus groups selects a population with higher health awareness
Authors present during discussions may have unduly influenced their formulation

Cite This Study

Anthony et al. (2012) conducted an observational in Hypertension with and without diabetes (n=86). Comorbid diabetes vs. Hypertension without diabetes was evaluated on Beliefs and perceptions regarding hypertension and barriers to treatment. Hypertensive patients frequently perceive their condition as a stress-related gamble rather than a chronic disease, resulting in intentional non-adherence, although those with comorbid diabetes are more accepting of its chronic nature.

synapsesocial.com/papers/6a2bd0b2f816d8ce9df4ebf2 https://doi.org/10.1186/1471-2296-13-24

Topics

Hypertension management

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Implication

May inform counseling on hypertension perceptions to address non-adherence; leaves open effects of targeted education in prospective trials.

Perceptions of hypertension treatment among patients with and without diabetes

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Topics

Perceptions of hypertension treatment among patients with and without diabetes

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider