Tantina B Hong1, Eugene Z Oddone, Tara K Dudley, Hayden B Bosworth. 1. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Duke University Medical Center, Building 16, Room 70, 508 Fulton St., Durham, NC 27705, USA. hong0010@mc.duke.edu
Abstract
OBJECTIVE: The congruence between self-rated health and objective health was examined for associations with health factors related to hypertension (health behaviors, medication barriers, and perceived blood-pressure control). METHODS: The Charlson Comorbidity Index was cross classified with self-rated health, producing four health-congruence groups: good health realists, poor health realists, health optimists, and health pessimists. Data for this study were obtained from 588 hypertensive veterans (mean age = 63) at baseline of a clinical trial to improve blood-pressure control before randomization to an intervention. RESULTS: Optimists had higher perceived control of their hypertension when compared to pessimists. Additionally, optimists had higher levels of exercise and fewer medication barriers when compared to poor health realists. DISCUSSION: Health congruence classification could be a useful tool to alert practitioners of patients who may be having difficulties managing their hypertension.
RCT Entities:
OBJECTIVE: The congruence between self-rated health and objective health was examined for associations with health factors related to hypertension (health behaviors, medication barriers, and perceived blood-pressure control). METHODS: The Charlson Comorbidity Index was cross classified with self-rated health, producing four health-congruence groups: good health realists, poor health realists, health optimists, and health pessimists. Data for this study were obtained from 588 hypertensive veterans (mean age = 63) at baseline of a clinical trial to improve blood-pressure control before randomization to an intervention. RESULTS: Optimists had higher perceived control of their hypertension when compared to pessimists. Additionally, optimists had higher levels of exercise and fewer medication barriers when compared to poor health realists. DISCUSSION: Health congruence classification could be a useful tool to alert practitioners of patients who may be having difficulties managing their hypertension.
Authors: Rachel S Newson; Jacqueline C M Witteman; Oscar H Franco; Bruno H C Stricker; Monique M B Breteler; Albert Hofman; Henning Tiemeier Journal: Age (Dordr) Date: 2010-06-01
Authors: S Melinda Spencer; Richard Schulz; Ronica N Rooks; Steven M Albert; Roland J Thorpe; Gretchen A Brenes; Tamara B Harris; Annemarie Koster; Suzanne Satterfield; Hilsa N Ayonayon; Anne B Newman Journal: J Gerontol B Psychol Sci Soc Sci Date: 2009-01-27 Impact factor: 4.077
Authors: Hayden B Bosworth; Benjamin Powers; Janet M Grubber; Carolyn T Thorpe; Maren K Olsen; Melinda Orr; Eugene Z Oddone Journal: J Gen Intern Med Date: 2008-02-21 Impact factor: 5.128