ArticleJournal of clinical hypertension (Greenwich, Conn.)2012
The development and validation of the hypertension evaluation of lifestyle and management knowledge scale.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06490575 (Using Nonpharmacological Approaches in Hypertension Prevention and Management), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Using Nonpharmacological Approaches in Hypertension Prevention and Management
Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quality of Available Cardiovascular Disease Knowledge Tools: A Systematic Review.Global heart · 2025Pooled it
- A systematic review of dimensions evaluating patient experience in chronic illness.Health and quality of life outcomes · 2019Pooled it
- Trial
- The Effect of an mHealth Self-Monitoring Intervention (MI-BP) on Blood Pressure Among Black Individuals With Uncontrolled Hypertension: Randomized Controlled Trial.JMIR mHealth and uHealth · 2024Trial
- Evaluating the efficacy of NoteAid on EHR note comprehension among US Veterans through Amazon Mechanical Turk.International journal of medical informatics · 2023Trial
- Evaluating the Effectiveness of NoteAid in a Community Hospital Setting: Randomized Trial of Electronic Health Record Note Comprehension Interventions With Patients.Journal of medical Internet research · 2021Trial
- Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study.BMC health services research · 2017Trial
- Evaluation of a peer-led hypertension intervention for veterans: impact on peer leaders.Health education research · 2013Trial
- Development and validation of the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD).Ethnicity & disease · 2013Trial
- Limited public understanding of the risk factors and complications of hypertension.Journal of hypertension · 2026Article
- Effectiveness of BHATIN (Behavior-Tailored Intervention) for Self-Care Management and Clinical Biomarkers Among Patients with Hypertension: A Quasi Experimental Study.Journal of multidisciplinary healthcare · 2026Article
- Pharmacological Prevention in Breast Cancer: Current Evidence, Challenges, and Future Directions.Cancers · 2025Review
- Self-reported hypertension prevalence, risk factors, and knowledge among South Africans aged 24 to 40 years old.Journal of human hypertension · 2025Article
- Supermarket health advocacy, resources, and education: feasibility of a supermarket-based prediabetes and diabetes screening and education program.Frontiers in public health · 2025Article
- Adherence to antihypertensive medications and associated factors in patients with hypertension, Oromia, Ethiopia: a multicenter study.Scientific reports · 2024Article
- Article
- Rationale and design of the Heart-to-Heart study: A church-based intervention to reduce blood pressure in African Americans.Contemporary clinical trials · 2023Article
- Recruitment, Retention, and Future Direction for a Heart Health Education and Risk Reduction Intervention Led by Community Health Workers in an African American Majority City.Journal of racial and ethnic health disparities · 2023Article
- Hypertension self-care practice and its associated factors in Bale Zone, Southeast Ethiopia: A multi-center cross-sectional study.Journal of pharmaceutical policy and practice · 2023Article
- Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia.Integrated blood pressure control · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Hypertension knowledge is an integral component of the chronic care model. A valid scale to assess hypertension knowledge and self-management skills is needed. The hypertension evaluation of lifestyle and management (HELM) scale was developed as part of a community-based study designed to improve self-management of hypertension. Participants included 404 veterans with hypertension. Literature review and an expert panel were used to identify required skills. Items were generated and pilot tested in the target population. Validity was assessed through comparisons of performance with education, health numeracy, print numeracy, patient activation and self-efficacy, and hypertension control. The HELM knowledge scale had 14 items across 3 domains: general hypertension knowledge, lifestyle and medication management, and measurement and treatment goals. Scores were positively associated with education (0.28, P<.0001), print health literacy (0.21, P<.001), health numeracy (0.17, P<.001), and patient activation (0.12, P=.015) but no association was found with diastolic or systolic blood pressure. The HELM knowledge scores increased following the educational intervention from baseline (mean, 8.7; standard deviation, 2.2) to 12-month follow-up (mean, 9.2, standard deviation, 2.2; P<.001). We conclude that the HELM provides a valid measure of the knowledge required for patients to take an active role in the chronic disease management of hypertension.
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Registered trials
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.