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Self-monitoring blood pressure in patients with hypertension: who self-monitors and why?

Grant, Sabrina (2014)
Ph.D. thesis, University of Birmingham.

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Abstract

Self-monitoring blood pressure (SMBP) has been shown to more accurately estimate true underlying BP but it is unclear how commonly it is practiced in the UK and why patients engage in this behaviour from a psychological perspective. A survey was first sent to primary care patients with hypertension (n=955) in the West Midlands, UK to establish the prevalence of SMBP. Secondly, interviews with respondents (n=16) combined with a review of previous empirical research informed the design of an in-depth questionnaire sent in the final stage of the study (n=236) to confirm the investigative associated factors. A third of the survey population 293/955 (31%) reported SMBP which was predicted by education, self-efficacy and doctors’ health locus of control (DHLOC) (p<0.01). Age and negative outcome expectations about SMBP potentially moderated this relationship. A lack of available guidelines and poor communication with the General Practitioner (GP) about self-monitoring however resulted in a negative perception about whether engaging in SMBP had any real benefit. Self-monitoring was practiced by an appreciable minority in the UK, potentially enabling patients to gain control over managing their own BP. Better education and shared decision making between the patient and the GP might remove negative perceptions about SMBP ensuring its long term practice.

Type of Work:Ph.D. thesis.
Supervisor(s):McManus, Richard and Greenfield, Sheila and Nouwen, Arie
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:Primary Care Clinical Sciences, School of Population and Health Studies
Subjects:R Medicine (General)
Institution:University of Birmingham
ID Code:4880
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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