Author : Ana Laura Solano López
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (955 download)
Book Synopsis The Relationships Among Body Awareness, Self-regulation, Self-management, and Blood Pressure in Adults with Hypertension by : Ana Laura Solano López
Download or read book The Relationships Among Body Awareness, Self-regulation, Self-management, and Blood Pressure in Adults with Hypertension written by Ana Laura Solano López and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension can be prevented, modified and controlled, however, many patients have difficulty managing this condition. The science of health behavior change for patient self-management is the next frontier in managing chronic illness. However, the mechanisms by which successful self-management is achieved and potential underlyingphysiological mechanisms influencing self-management are still unknown. A biobehavioral process called interoceptive awareness may be influencing patients' neurocognitive mechanisms important to engage in self-regulation and self-management behaviors. Thus, the aim of this study is to determine the relationships among interoceptive awareness, decision-making, self-regulation, self-management behaviors(medication adherence, diet adherence, and exercise) and blood pressure. A convenience sample of 76 adults (predominantly African American females)diagnosed with primary hypertension undergoing medical treatment was recruited intothe study. Data was collecting using interviews, phone calls, and medical record reviewsafter the participant's appointment at a primary care clinic at University Hospitals, Cleveland, OH. Results showed positive associations between interoceptive awareness and selfregulationskills, self-regulation skills and medication adherence, systolic blood pressureand diastolic blood pressure. The two measures of interoceptive awareness (HeartbeatPerception Task and Multidimensional Assessment of Interoceptive Awarenessquestionnaire) were not associated. This finding supports the hypothesis thatinteroception has three dimensions that may have distinct and dissociable contributions tobehavior. Moreover, only medication adherence predicted systolic blood pressure. Dietadherence, physical activity, decision-making abilities, self-regulation skills, andinteroceptive awareness were not predictors of either systolic or diastolic blood pressure. None of the covariates moderated the relationships among the independent variables anddependent variables. However, the self-reported measures of interoceptive awareness, self-regulation skills, and medication adherence had negative associations with depressedmood and anxiety. The present study is one of the first to examine the relationships among neurocognitive processes, self-management behaviors, and biological health outcomes inpeople with a chronic disease such as hypertension. Identification of bio-behavioralfactors associated with blood pressure self-management will assist in the development ofsuccessful interventions to potentially improve self-management and reduce themorbidity and mortality associated with this chronic illness. These findings serve as basisfor future research investigating brain-behavior connections in self-management ofchronic diseases.