To understand hypertensive patients’ perspectives regarding blood pressure and hypertension treatment, this qualitative study
applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the
University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed
with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the
analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were
on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to
diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c)
feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which
emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were
important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the
identified domains indicates that current approaches could benefit from the development of a more personalized approach for
education and communication.
To understand hypertensive patients’ perspectives regarding blood pressure and hypertension treatment, this qualitative studyapplied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at theUniversity of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosedwith hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in theanalysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% wereon target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating todiagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c)feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, whichemphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, wereimportant factors in home assessment of blood pressure. The absence of connections between control of hypertension and theidentified domains indicates that current approaches could benefit from the development of a more personalized approach foreducation and communication.
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