Emerson E Ea1, Alison Colbert2, Melanie Turk2, Victoria Vaughan Dickson3. 1. New York University Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, United States. Electronic address: eee203@nyu.edu. 2. Duquesne University School of Nursing, 600 Forbes Avenue, Pittsburgh, PA 15282, United States. 3. New York University Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, United States.
Abstract
BACKGROUND: Despite the strong literature on the influence of self-care on hypertension (HTN) diagnosis, there is a notable lack of studies that explore self-care among Filipino immigrants in the United States (US) who have HTN. AIM: To determine the levels of and relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care among first generation Filipino immigrants in the US who have HTN. DESIGN: A cross-sectional correlational design was used to determine the relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care using the Transactional Model of Stress and Coping. One hundred and sixty-three community-dwelling first-generation Filipino immigrants participated in the study. METHODS: Data on HTN self-care, acculturation, acculturative stress, HTN self-efficacy, and patient activation were collected. RESULTS: The study results revealed that HTN self-efficacy and patient activation significantly contributed to the regression model that accounted for 29.5% of the variance in HTN self-care for this sample. Further analysis revealed that patient activation had a mediating role between HTN self-efficacy and HTN self-care. CONCLUSIONS: Findings from this study revealed that HTN self-efficacy and patient activation were associated with self-care behaviors associated with HTN management for this sample. CLINICAL RELEVANCE: Findings from this study highlight the importance of addressing HTN self-efficacy and patient activation in improving HTN self-care for this population.
BACKGROUND: Despite the strong literature on the influence of self-care on hypertension (HTN) diagnosis, there is a notable lack of studies that explore self-care among Filipino immigrants in the United States (US) who have HTN. AIM: To determine the levels of and relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care among first generation Filipino immigrants in the US who have HTN. DESIGN: A cross-sectional correlational design was used to determine the relationships between and among acculturation, acculturative stress, HTN self-efficacy, patient activation, and HTN self-care using the Transactional Model of Stress and Coping. One hundred and sixty-three community-dwelling first-generation Filipino immigrants participated in the study. METHODS: Data on HTN self-care, acculturation, acculturative stress, HTN self-efficacy, and patient activation were collected. RESULTS: The study results revealed that HTN self-efficacy and patient activation significantly contributed to the regression model that accounted for 29.5% of the variance in HTN self-care for this sample. Further analysis revealed that patient activation had a mediating role between HTN self-efficacy and HTN self-care. CONCLUSIONS: Findings from this study revealed that HTN self-efficacy and patient activation were associated with self-care behaviors associated with HTN management for this sample. CLINICAL RELEVANCE: Findings from this study highlight the importance of addressing HTN self-efficacy and patient activation in improving HTN self-care for this population.
Authors: Rhodora A Ursua; David E Aguilar; Laura C Wyatt; Chau Trinh-Shevrin; Leonida Gamboa; Pacita Valdellon; Esperanza G Perrella; Mohammad Z Dimaporo; Potrirankamanis Q Nur; S Darius Tandon; Nadia S Islam Journal: Prev Med Rep Date: 2018-05-09