Literature DB >> 3816743

Patient exposition and provider explanation in routine interviews and hypertensive patients' blood pressure control.

J E Orth, W B Stiles, L Scherwitz, D Hennrikus, C Vallbona.   

Abstract

Hypertensive patients' expressing themselves in their own words (Exposition) and providers' giving information (Explanation) during medical interviews were hypothesized to be associated with subsequent blood pressure control. Transcripts of routine return visits to clinics in low-income areas of Houston, TX, were coded using the Verbal Response Modes (VRM) system. VRM indexes of Patient Exposition and Provider Explanation were tested in relation to systolic and diastolic blood pressure obtained during home interviews 2 weeks after the clinic visits. Patient Exposition was significantly correlated with reductions in systolic and diastolic blood pressure from clinic visit to home interview, and Provider Explanation was significantly correlated with lower diastolic blood pressure at home interview. The results suggest that patients' and providers' verbal behavior in medical interviews should be included in predictive models of blood pressure control.

Entities:  

Keywords:  Americas; Behavior; Biology; Blood Pressure--determinants; Cardiovascular Effects; Cerebrovascular Effects; Clinic Visits; Communication; Correlation Studies; Delivery Of Health Care; Developed Countries; Developing Countries; Diseases; Health; Health Personnel; Hemic System; Hypertension--prevention and control; Iec; Information; Interpersonal Relations; North America; Northern America; Organization And Administration; Physician-patient Relations; Physicians; Physiology; Program Activities; Programs; Research Methodology; Service Statistics; Statistical Studies; Studies; Texas; United States; Vascular Diseases

Mesh:

Year:  1987        PMID: 3816743     DOI: 10.1037//0278-6133.6.1.29

Source DB:  PubMed          Journal:  Health Psychol        ISSN: 0278-6133            Impact factor:   4.267


  40 in total

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