Psychosocial Determinants of Health Behaviour Change in an E-Counseling Intervention for Hypertension
Joint Authors
Nolan, Robert P.
Durrani, Samir
Irvine, Jane
Source
International Journal of Hypertension
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We evaluated the influence of psychological stress and depression on motivation to adhere to recommended guidelines for exercise and diet.
This study was conducted within a larger e-counseling trial.
Subjects diagnosed with hypertension (n=387, age = 44–74 years, 59% female) completed assessments at baseline and within 2 weeks after a 4-month intervention period.
Outcomes included mean level of readiness to change diet and exercise and symptoms of depression and stress.
Per protocol analysis defined e-counseling support as follows: ≥8 e-mails = therapeutic dose, 1–7 e-mails = subtherapeutic dose, and 0 e-mails = Controls.
Baseline adjusted symptoms of depression and stress were inversely correlated with improvement in exercise (partial R=-.14, P=.01, and partial R=-.17, P=.01, resp.) but not diet or e-counseling.
Subjects who received a therapeutic dose of e-counseling demonstrated greater readiness for diet adherence versus Controls (P=.02).
Similarly, subjects receiving a therapeutic level of e-counseling demonstrated significantly greater readiness for exercise adherence versus Controls (P=.04).
In sum, e-counseling is associated with improved motivation to adhere to exercise and diet among patients with hypertension, independent of symptoms of psychological stress and depression.
American Psychological Association (APA)
Durrani, Samir& Irvine, Jane& Nolan, Robert P.. 2011. Psychosocial Determinants of Health Behaviour Change in an E-Counseling Intervention for Hypertension. International Journal of Hypertension،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-453259
Modern Language Association (MLA)
Durrani, Samir…[et al.]. Psychosocial Determinants of Health Behaviour Change in an E-Counseling Intervention for Hypertension. International Journal of Hypertension No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-453259
American Medical Association (AMA)
Durrani, Samir& Irvine, Jane& Nolan, Robert P.. Psychosocial Determinants of Health Behaviour Change in an E-Counseling Intervention for Hypertension. International Journal of Hypertension. 2011. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-453259
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453259