Advisor | Crane, Patricia B. | |
Author | Bolin, Linda P. | |
Date Accessioned | 2017-06-01T12:20:50Z | |
Date Available | 2020-01-23T09:01:56Z | |
Date Created | 2017-05 | |
Date of Issue | 2017-05-03 | |
xmlui.metadata.dc.date.submitted | May 2017 | |
Identifier (URI) | http://hdl.handle.net/10342/6217 | |
Description | African Americans (AAs) have a higher prevalence of hypertension (HTN) and poorer health outcomes. Effective management of HTN requires pharmacology, low sodium diet (DIET), and increased physical activity (PA). Little is known about self-management of DIET and PA in AAs with HTN. The aim of this study is to examine the influence of factors (systolic blood pressure, co-morbidities, serum potassium and creatinine, education, depression, locus of control (LOC), and social support) on self-management behaviors (DIET, PA). Using a cross-sectional design, AAs with HTN who participated in a recent clinical trial completed instruments to measure the factors. Two multiple linear regression models were used: one including only internal LOC and one with only external LOC. The sample (N = 77) ranged in ages from 55 to 84 (M = 66; SD = 7.68), most were female (n=50; 65%), and had high medication adherence scores (M = 93.8; SD = 9.77). The models explained 28% of the variance in PA (F = 3.361 [8, 68]; p = .003 with depression, serum creatinine, and social support significantly contributing to the internal LOC model and also to the external LOC model (F = 3.378 [8, 68]; p = .003). The same models explained 23% of the variance in adherence to a low sodium diet (F = 2.599 [8, 68]; p = .015) with serum potassium and social support significantly contributing to both models. Findings from this study inform the development of targeted interventions to increase self-management behaviors in AAs with HTN. | |
Mimetype | application/pdf | |
Language | en | |
Publisher | East Carolina University | |
Subject | Physical Activity | |
Subject | Low Salt Diet | |
Medical Subject Headings | African Americans | |
Medical Subject Headings | Self-Management | |
Medical Subject Headings | Hypertension | |
Title | Factors Associated with Self-Management in African Americans with Hypertension | |
Type | Doctoral Dissertation | |
xmlui.metadata.dc.date.updated | 2017-05-30T19:46:59Z | |
Department | College of Nursing | |
xmlui.metadata.dc.degree.name | Ph.D. | |
xmlui.metadata.dc.degree.level | Doctoral | |
xmlui.metadata.dc.degree.discipline | PHD-Nursing | |
xmlui.metadata.dc.degree.grantor | East Carolina University | |
xmlui.metadata.dc.degree.department | College of Nursing | |
xmlui.metadata.dc.access.option | Open Access | |
xmlui.metadata.dc.embargo.lift | 2019-05-01 | |
xmlui.metadata.dc.type.material | text | |