ArticleCirculation2008
Improving hypertension control in diabetes mellitus: the effects of collaborative and proactive health communication.
Article in Circulation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
83 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- The impact of training healthcare professionals' communication skills on the clinical care of diabetes and hypertension: a systematic review and meta-analysis.BMC family practice · 2021Pooled it
- Ascertainment of Minimal Clinically Important Differences in the Diabetes Distress Scale-17: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Implementing a home-based virtual hypertension programme-a pilot feasibility study.Family practice · 2023Trial
- Comparison of Collaborative Goal Setting With Enhanced Education for Managing Diabetes-Associated Distress and Hemoglobin A1c Levels: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Racial Differences in the Effectiveness of a Multifactorial Telehealth Intervention to Slow Diabetic Kidney Disease.Medical care · 2020Trial
- Cardiovascular Protection Variables Based on Exercise Intensity in Stable Coronary Heart Disease Patients After Coronary Stenting: A Comparative Study.Vascular health and risk management · 2020Trial
- Changing Results-Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management.Journal of the American Heart Association · 2019Trial
- Decision-making and goal-setting in chronic disease management: Baseline findings of a randomized controlled trial.Patient education and counseling · 2017Trial
- An Electronic Adherence Measurement Intervention to Reduce Clinical Inertia in the Treatment of Uncontrolled Hypertension: The MATCH Cluster Randomized Clinical Trial.Journal of general internal medicine · 2016Trial
- Activating Patients for Sustained Chronic Disease Self-Management: Thinking Beyond Clinical Outcomes.Journal of primary care & community health · 2016Trial
- Factors Influencing Physician Counseling on Cardiovascular Risk.Journal of primary care & community health · 2016Trial
- Patient experiences with surveillance endoscopy: a qualitative study.Digestive diseases and sciences · 2014Trial
- Shared decision-making in antihypertensive therapy: a cluster randomised controlled trial.BMC family practice · 2013Trial
- Effects of a web-based patient activation intervention to overcome clinical inertia on blood pressure control: cluster randomized controlled trial.Journal of medical Internet research · 2013Trial
- Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives.Health education research · 2013Trial
- Racial differences in the effect of a telephone-delivered hypertension disease management program.Journal of general internal medicine · 2012Trial
- Trial
- Implementation of shared decision making by physician training to optimise hypertension treatment. Study protocol of a cluster-RCT.BMC cardiovascular disorders · 2012Trial
- Knowing the ABCs: a comparative effectiveness study of two methods of diabetes education.Patient education and counseling · 2011Trial
23 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
backgroundCommunication between patients and clinicians using collaborative goals and treatment plans may overcome barriers to achieving hypertension control in routine diabetes mellitus care. We assessed the interrelation of patient-clinician communication factors to determine their independent associations with hypertension control in diabetes care. METHODS AND
resultsWe identified 566 older adults with diabetes mellitus and hypertension at the DeBakey VA Medical Center in Houston, Tex. Clinical and pharmacy data were collected, and a patient questionnaire was sent to all participants. A total of 212 individuals returned surveys. Logistic regression analyses were performed to assess the effect of patient characteristics, self-management behaviors, and communication factors on hypertension control. Three communication factors had significant associations with hypertension control. Two factors, patients' endorsement of a shared decision-making style (odds ratio 1.61, 95% confidence interval 1.01 to 2.57) and proactive communication with one's clinician about abnormal results of blood pressure self-monitoring (odds ratio 1.89, 95% confidence interval 1.10 to 3.26), had direct, independent associations in multivariate regression. Path analysis was used to investigate the direct and indirect effects of communication factors and hypertension control. Decision-making style (beta=0.20, P<0.01) and proactive communication (beta=0.50, P<0.0001) again demonstrated direct effects on hypertension control. A third factor, clinicians' use of collaborative communication when setting treatment goals, had a total effect on hypertension control of 0.16 (P<0.05) through its direct effects on decision-making style (beta=0.28, P<0.001) and proactive communication (beta=0.22, P<0.01).
conclusionsThree communication factors were found to have significant associations with hypertension control. Patient-clinician communication that facilitates collaborative blood pressure goals and patients' input related to the progress of treatment may improve rates of hypertension control in diabetes care independent of medication adherence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.