A Pilot Randomized Controlled Trial Comparing The Efficacy Of Problem Solving Therapy To Enhanced Treatment As Usual For Reducing High Blood Pressure

Author : Oluwatomisin Olayinka
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (19 download)

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Download or read book Effect of an Appreciative Inquiry Intervention to Enhance Hypertension Self-Management written by Oluwatomisin Olayinka and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension remains a problem in the United States. High blood pressure was the major cause of death in over 300,000 Americans in 2012 (Mozaffarian et al., 2015). Although there have been significant advances in treatment of hypertension with medication, its management in patients is still a burden on the US health care system(Mozaffarian et al., 2015). An Appreciative Inquiry approach might be helpful for managing a chronic disease such as hypertension, that requires ongoing behavior change.The purpose of this pilot study was to assess the initial feasibility and efficacy of an Appreciative Inquiry intervention to assist people to improve diet (reduce sodium intake and increase fruit and vegetable consumption) and increase physical activity, and in turn reduce blood pressure.This pilot study was an experimental randomized control trial. Fifty participants were recruited from a list of consecutive patients receiving care at an urban outpatient healthcare clinic. Participants were randomly assigned to two groups, Appreciative Inquiry and Usual Care. The study was conducted over a 12-week period. The Appreciative Inquiry intervention consisted of two face-to-face individual sessions and 3 coaching telephone calls (over 8 weeks) delivered by a trained interventionist. Participants in the Usual Care group received the usual hypertension management information provided by the healthcare clinic. Data on ideal-self, self-efficacy, patient activation, positive and negative emotions, knowledge of high blood pressure, intake of sodium, fruit and vegetables, physical activity and blood pressure were collected at baseline and at 3 months following completion of the intervention program using an inperson interview. Data were analyzed using test of differences between groups and analysis of covariance controlling for age, gender, education, income, medication adherence, depression, co-morbidity and hypertension knowledge.Thirty-nine participants completed the study. Results showed no significant group differences in physical activity, sodium intake, fruit and vegetable intake, and systolic and diastolic blood pressure. Participants in the Appreciative Inquiry intervention group had significantly higher levels of ideal self, positive emotions and self-efficacy for chronic disease management than the control group. Findings from this study provide empirical evidence and suggest insight into the underlying process by which Appreciate Inquiry may produces its effects for health behavior change. Lack of positive finding may be due to the small sample size. Future research should examine the effectiveness of the Appreciative Inquiry intervention in producing and sustaining behavior change in a larger sample of patients with hypertension and other chronic conditions, and over a longer period of time. Future research should also explore the extent to which the ideal self may influence behavior change across populations.