卒中带农村成人高血压自我管理与卒中恢复:一项混合方法研究

Mudasir Andrabi, Betty Key, Rn Chaitali Dagali, Kayla Glass, Stephine Hart, Susan Appel, Lin Chen, Karlene Ball
{"title":"卒中带农村成人高血压自我管理与卒中恢复:一项混合方法研究","authors":"Mudasir Andrabi, Betty Key, Rn Chaitali Dagali, Kayla Glass, Stephine Hart, Susan Appel, Lin Chen, Karlene Ball","doi":"10.1101/2025.06.12.25329283","DOIUrl":null,"url":null,"abstract":"<p><p>Limited knowledge exist on HTN-related knowledge and health behaviors among African American adult stroke survivors with hypertension condition living in rural Alabama. To address this gap, we conducted a small pilot study with a mixed methods design for needs assessment of stroke survivors with a hypertension condition living in rural areas of Alabama. We followed the community engagement strategy approach to conduct our study. After the approval from the Institutional Review Board, participants were recruited (N=25) using convenience sampling. We conducted surveys, followed by sequential interviews of our participants. Our needs assessment focused on knowledge and actual behaviors related to hypertension management among this population. This paper presents findings from the quantitative and qualitative data collected for this needs assessment study. Data collection included: (i) HTN Knowledge-Level Scale test (HK-LS), (ii) HTN Self-Care Activity Level Effects (H-SCALE), and (iii) The Southampton Stroke Self-Management Questionnaire. Interested participants ( n=14) were interviewed using a PI-developed semi-structured interview guide. Descriptive and inferential statistics were used to analyze the data collected from the surveys. The majority of participants (76%) had low level knowledge related to hypertension. Most participants also demonstrated limited adherence to hypertension behaviors including hypertension medication adherence (76%), DASH Diet (84%), physical activity ( 56%), and 72% had smoking habits. Our findings from qualitative interview data revealed the major themes of lack of knowledge related to hypertension management and post-stroke life management, lack of adherence to prescribe hypertension treatment, lack of continuity of care after discharge from hospital, and lack of social support. These results indicated poor adherence to prescribed hypertension management behaviors. These findings highlight the need for a larger-scale study to assess heart health knowledge further and to identify the specific needs and preferences of this underserved population, an essential step toward developing tailored, community-informed interventions.</p>","PeriodicalId":94281,"journal":{"name":"medRxiv : the preprint server for health sciences","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204430/pdf/","citationCount":"0","resultStr":"{\"title\":\"Hypertension Self-Management and Stroke Recovery Among Rural Adults in the Stroke Belt: A Mixed-Methods Study.\",\"authors\":\"Mudasir Andrabi, Betty Key, Rn Chaitali Dagali, Kayla Glass, Stephine Hart, Susan Appel, Lin Chen, Karlene Ball\",\"doi\":\"10.1101/2025.06.12.25329283\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Limited knowledge exist on HTN-related knowledge and health behaviors among African American adult stroke survivors with hypertension condition living in rural Alabama. To address this gap, we conducted a small pilot study with a mixed methods design for needs assessment of stroke survivors with a hypertension condition living in rural areas of Alabama. We followed the community engagement strategy approach to conduct our study. After the approval from the Institutional Review Board, participants were recruited (N=25) using convenience sampling. We conducted surveys, followed by sequential interviews of our participants. Our needs assessment focused on knowledge and actual behaviors related to hypertension management among this population. This paper presents findings from the quantitative and qualitative data collected for this needs assessment study. Data collection included: (i) HTN Knowledge-Level Scale test (HK-LS), (ii) HTN Self-Care Activity Level Effects (H-SCALE), and (iii) The Southampton Stroke Self-Management Questionnaire. Interested participants ( n=14) were interviewed using a PI-developed semi-structured interview guide. Descriptive and inferential statistics were used to analyze the data collected from the surveys. The majority of participants (76%) had low level knowledge related to hypertension. Most participants also demonstrated limited adherence to hypertension behaviors including hypertension medication adherence (76%), DASH Diet (84%), physical activity ( 56%), and 72% had smoking habits. Our findings from qualitative interview data revealed the major themes of lack of knowledge related to hypertension management and post-stroke life management, lack of adherence to prescribe hypertension treatment, lack of continuity of care after discharge from hospital, and lack of social support. These results indicated poor adherence to prescribed hypertension management behaviors. These findings highlight the need for a larger-scale study to assess heart health knowledge further and to identify the specific needs and preferences of this underserved population, an essential step toward developing tailored, community-informed interventions.</p>\",\"PeriodicalId\":94281,\"journal\":{\"name\":\"medRxiv : the preprint server for health sciences\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204430/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"medRxiv : the preprint server for health sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1101/2025.06.12.25329283\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"medRxiv : the preprint server for health sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1101/2025.06.12.25329283","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

阿拉巴马州农村非裔美国成年高血压卒中幸存者的htn相关知识和健康行为了解有限。为了解决这一差距,我们进行了一项小型试点研究,采用混合方法设计,对生活在阿拉巴马州农村地区的高血压中风幸存者进行需求评估。我们采用社区参与策略方法进行研究。经机构审查委员会批准后,采用方便抽样方法招募参与者(N=25)。我们进行了调查,然后对参与者进行了连续的访谈。我们的需求评估侧重于这一人群中与高血压管理相关的知识和实际行为。本文介绍了为这项需求评估研究收集的定量和定性数据的结果。数据收集包括:(i) HTN知识水平量表测试(HK-LS), (ii) HTN自我护理活动水平效应(H-SCALE), (iii)南安普顿卒中自我管理问卷。有兴趣的参与者(n=14)使用pi开发的半结构化访谈指南进行访谈。描述性统计和推断性统计用于分析从调查中收集的数据。大多数参与者(76%)对高血压的相关知识水平较低。大多数参与者还表现出有限的高血压行为依从性,包括高血压药物依从性(76%),DASH饮食(84%),体育活动(56%),72%有吸烟习惯。我们从定性访谈数据中发现,主要的主题是缺乏与高血压管理和卒中后生活管理相关的知识,缺乏对高血压处方治疗的依从性,出院后缺乏连续性护理,以及缺乏社会支持。这些结果表明高血压管理行为的依从性较差。这些发现强调需要进行更大规模的研究,以进一步评估心脏健康知识,并确定这一服务不足人群的具体需求和偏好,这是开发量身定制的社区知情干预措施的重要一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hypertension Self-Management and Stroke Recovery Among Rural Adults in the Stroke Belt: A Mixed-Methods Study.

Limited knowledge exist on HTN-related knowledge and health behaviors among African American adult stroke survivors with hypertension condition living in rural Alabama. To address this gap, we conducted a small pilot study with a mixed methods design for needs assessment of stroke survivors with a hypertension condition living in rural areas of Alabama. We followed the community engagement strategy approach to conduct our study. After the approval from the Institutional Review Board, participants were recruited (N=25) using convenience sampling. We conducted surveys, followed by sequential interviews of our participants. Our needs assessment focused on knowledge and actual behaviors related to hypertension management among this population. This paper presents findings from the quantitative and qualitative data collected for this needs assessment study. Data collection included: (i) HTN Knowledge-Level Scale test (HK-LS), (ii) HTN Self-Care Activity Level Effects (H-SCALE), and (iii) The Southampton Stroke Self-Management Questionnaire. Interested participants ( n=14) were interviewed using a PI-developed semi-structured interview guide. Descriptive and inferential statistics were used to analyze the data collected from the surveys. The majority of participants (76%) had low level knowledge related to hypertension. Most participants also demonstrated limited adherence to hypertension behaviors including hypertension medication adherence (76%), DASH Diet (84%), physical activity ( 56%), and 72% had smoking habits. Our findings from qualitative interview data revealed the major themes of lack of knowledge related to hypertension management and post-stroke life management, lack of adherence to prescribe hypertension treatment, lack of continuity of care after discharge from hospital, and lack of social support. These results indicated poor adherence to prescribed hypertension management behaviors. These findings highlight the need for a larger-scale study to assess heart health knowledge further and to identify the specific needs and preferences of this underserved population, an essential step toward developing tailored, community-informed interventions.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信