Evidence map›Paper›PMID 26673107›Full record

ArticlePatient education and counseling2016

Health beliefs and desire to improve cholesterol levels among patients with hyperlipidemia.

Leah L Zullig, Linda L Sanders, Steven Thomas, Jamie N Brown, Susanne Danus, Felicia McCant, Hayden B Bosworth

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Behavioral sciences in clinical practice.Einstein (Sao Paulo, Brazil)
    Article
  4. High Self-Efficacy Is Associated with Prescription Contraceptive Use.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Leah L ZulligCenter of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA; Department of Medicine, Duke University, Durham, USA.
Linda L SandersDepartment of Medicine, Duke University, Durham, USA.
Steven ThomasDepartment of Biostatistics and Bioinformatics, Duke University, Durham, USA.
Jamie N BrownInvestigational Drug Service, Durham Veterans Affairs Medical Center, Durham, USA.
Susanne DanusCenter of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA.
Felicia McCantCenter of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA.
Hayden B BosworthCenter of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA; Department of Medicine, Duke University, Durham, USA; Departments of Psychiatry and School of Nursing, Duke University, Durham, USA. Electronic address: boswo001@mc.duke.edu.
Duke University · USDurham VA Medical Center · US

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
HSRD VA CDA 13-025HSRD VA IK2 HX001345Intramural VA VA999999NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1TR001117
6 · The paper itself

Abstract

objectiveBecause hyperlipidemia is asymptomatic, many veterans affairs (VA) patients may not perceive it seriously. We assessed key Health Belief model concepts to describe patients' cholesterol-related health beliefs and examine associations between patient-level factors and desire to improve cholesterol control.

methodsWe used baseline data from an ongoing randomized clinical trial. Eligible patients were receiving care at the Durham VA and had CVD risk-total cholesterol levels >130 mg/dL and/or <80% medication adherence in the previous 12 months. A survey assessed patients' health beliefs about high cholesterol and self-reported medication adherence. Multivariable logistic regression examined whether there was an association between desire to control cholesterol and cholesterol status.

resultsApproximately 64% (n=155) of patients perceived high cholesterol as 'very serious'. In multivariable logistic regression analysis, patients who perceived high cholesterol as 'very serious' (OR 2. 26, p=0.032) and/or with high self-efficacy (OR 4.70, p<0.001) had increased odds of desiring cholesterol control.

conclusionThe factors most significantly associated with desire to improve cholesterol control were perceiving hyperlipidemia as 'very serious and self-efficacy for cholesterol control. PRACTICE IMPLICATION: Educating patients, with the goal of appropriately increasing their perceived risk of disease, is likely necessary to impact cholesterol control.

Indexed as

Drug MonitoringHealth Knowledge, Attitudes, PracticePerceptionAgedAnticholesteremic AgentsCholesterolFemaleHumansHypercholesterolemiaHypertensionLogistic ModelsMaleMedication AdherenceMiddle AgedMotivationMultivariate AnalysisAnticholesteremic AgentsCholesterolDisease susceptibilityHealth behaviorHyperlipidemiaMedication adherenceUnited States Department of Veterans Affairs

Identifiers

PMID26673107
PMCPMC5007622
OpenAlexW2185101352

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.