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Validation of an Interaction Model of Health Behavior Among Adults With Hypertension

机译:高血压成年人健康行为互动模型的验证

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The purpose of this study was to test the Interaction Model of Client Health Behavior among adults with hypertension. The predictive associations among health literacy, quality of the provider interaction, perceived communication skills, and behavioral activation on blood pressure control were examined. Participants were 109 adults with hypertension recruited from community settings. A path analysis using maximum likelihood estimation was conducted in Analysis of Moment Structures for Windows ( AMOS). The model fit to these data was excellent (chi(2) = 1.1, p = .76, Tucker-Lewis index [TLI] = 1.1, comparative fit index [CFI] = 1.0, root mean square error of approximation [RMSEA] = .00, standardized root mean residual [SRMR] = .03). As hypothesized, health literacy, quality of the provider interaction, and perceived communication skills directly affected behavioral action. The quality of the provider interaction, perceived communication skills, and behavioral activation had direct effects on systolic blood pressure control. The study results support health literacy screening and communication skill building, and improving the quality of provider interactions to enhance blood pressure control among adults with hypertension.
机译:这项研究的目的是测试成年人高血压患者客户健康行为的交互模型。检查了健康素养,提供者互动的质量,感知的沟通技巧以及血压控制行为之间的预测关联。参与者是从社区环境中招募的109名高血压成年人。在Windows的矩结构分析(AMOS)中进行了使用最大似然估计的路径分析。对这些数据的模型拟合非常好(chi(2)= 1.1,p = .76,Tucker-Lewis指数[TLI] = 1.1,比较拟合指数[CFI] = 1.0,均方根近似误差[RMSEA] = .00,标准均方根残差[SRMR] = .03)。如假设的那样,健康素养,提供者互动的质量以及感知的沟通技巧直接影响行为行为。提供者互动的质量,感知的沟通技巧和行为激活直接影响收缩压控制。该研究结果支持健康素养筛查和沟通技巧的建立,并改善提供者互动的质量,以增强高血压成年人的血压控制。

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