Why the study?
Are illness risk perceptions and trust in the medical system associated with blood pressure self-measurement in patients with hypertension?
Are illness risk perceptions and trust in the medical system associated with blood pressure self-measurement in patients with hypertension?
Patients with hypertension who have extreme (high or low) perceived stroke risk or complete trust in the medical system are less likely to self-monitor their blood pressure.
Extreme perceptions/trust linked to lower BP self-monitoring; leaves open whether targeting these improves adherence.
OBJECTIVE: To determine the prevalence of blood pressure selfmeasurement among those with hypertension and examine how this behavior may be associated with illness perceptions, risk perceptions, and attitudes about care. METHODS: Cross-sectional data from a population-based study of cardiovascular disease (n = 656). RESULTS: The prevalence of self-measurement was 26.2%. Both above- and below-average perceived risks of stroke were associated with a decreased likelihood of self-monitoring (OR = 0.36, 95% CI = 0.14-0.91; and OR = 0.16, 95% CI = 0.05-0.75 respectively). Completely trusting the medical system was associated with a decreased likelihood of self-monitoring (OR=0.47, 95% CI=0.22-0.99). CONCLUSION: Selfmonitoring can be influenced by illness risk perception and patient-physician trust.
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Patrice A. C. Vaeth (2011) studied this question.
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