ArticleJournal of clinical hypertension (Greenwich, Conn.)2013
Preliminary validation of the Hypertension Self-Care Activity Level Effects (H-SCALE) and clinical blood pressure among patients with hypertension.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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Who cites it
49 citing papers in PubMed, 92 citations in OpenAlex.
- Translation, adaptation, and validation of a Moroccan version of the H-SCALE (Hypertension Self-Care Activity Level effects) for hypertensive patients.BMC primary care · 2026Article
- Stress, Health Behaviors, and Blood Pressure in College Students.Health science reports · 2026Article
- Hypertension self-care practices and associated factors among people with hypertension on follow-up in selected public healthcare facilities in the Ashanti Region, Ghana. A multicentre cross-sectional survey.SAGE open medicine · 2026Article
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- Use of the Hypertension Self-Care Profile: A Scoping Review.International journal of environmental research and public health · 2025Article
- Predictors of adherence to Hypertension Self-management practices among older persons attending a rural hospital in Uganda.African health sciences · 2025Article
- Effect of Self-Care Activities on Blood Pressure Control Among Patients With Hypertension.BioMed research international · 2025Observational
- Self-Care Practices and Knowledge of Hypertension Management Among Patients Attending Clinics in Tanzania: A Multi Centre Analytical Cross-sectional Study.The East African health research journal · 2025Article
- Self-Care Activities and Self-Efficacy Among Jordanian Patients with Hypertension: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Temporal Relationship Between Treatment Burden and Self-Care and Its Impact on Systolic Blood Pressure and Hypertension Control.International journal of general medicine · 2025Article
- Health seeking behaviour and self-care among hypertensive and diabetics at risk of CKD in Buea, Cameroon.Journal of public health in Africa · 2025Article
- Self-Care Behaviors and Associated Factors Among Hypertensive Patients at Dessie Referral Hospital, Northeast Ethiopia.International journal of hypertension · 2025Article
- Knowledge and self-care practice among patients with hypertension in tertiary public hospitals of Addis Ababa, Ethiopia: A multicenter cross-sectional study.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- Determinants of uncontrolled blood pressure among adult hypertensive patients on follow-up at Negelle and Adola General Hospital, Guji Zone, Southern Ethiopia: facility-based case control study.BMC public health · 2024Article
- Self-care adherence and associated factors among hypertensive patients at Guraghe Zone, 2023.Heliyon · 2024Article
- Assessment of self-care practices & associated factors among hypertensives in urban slum areas of Mysuru city: A community-based cross-sectional study.The Indian journal of medical research · 2024Article
- Translation, adaptation, and validation of a Chinese version of the Hypertension Self-Care Activity Level effects (H-SCALE) for patients with hypertension.BMC nursing · 2024Article
- Self-care practices among hypertensive patients at the primary health care centers in Unaizah city, Saudi Arabia.Frontiers in medicine · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study establishes preliminary validation of a measure that assesses hypertension self-care activities with clinical blood pressure (BP). The Hypertension Self-Care Activity Level Effects (H-SCALE) was administered to patients with hypertension to assess levels of self-care. Patients (n=154) were predominantly female (68.6%) and black (79.2%). Greater adherence to self-care was associated with lower systolic and diastolic BP for 5 of the 6 self-care behaviors. Medication adherence was correlated with systolic BP (r=-0.19, P<.05) and weight management adherence was correlated with diastolic BP (r=-0.22, P<.05) after controlling for other covariates. Increased adherence to recommended dietary practices was strongly correlated with higher systolic (r=0.29, P<.05) and diastolic BP (r=0.32, P<.05). The H-SCALE was acceptable for use in clinical settings, and adherence to self-care was generally aligned with lower BP. Assessment of hypertension self-care is important when working with individuals to control their BP.
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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.