title: Patient trust in physicians and adoption of lifestyle behaviors to control high blood pressure.
abstract: OBJECTIVE
  To assess the relationship between patients' trust in their physician and self-reported adoption of lifestyle modification behaviors and medication adherence for control of hypertension.
  
  
  METHODS
  Longitudinal analysis of data from a randomized controlled trial of interventions to enhance hypertensive patients' adherence to medications and recommended lifestyle modifications. Two hundred patients were seen by 41 physicians at 14 urban primary care practices in Baltimore, Maryland, and followed for 12 months.
  
  
  RESULTS
  Seventy percent of patients reported complete trust in their physician. In adjusted analyses, patients with complete trust had higher odds of reporting that they were trying to lose weight (OR=2.27, 95% CI=1.38-3.74) than did patients with less than complete trust in their physician. Though not statistically significant, the odds of reporting trying to cut back on salt and engaging in regular exercise were greater in patients with complete trust. We observed no association for reports of medication adherence.
  
  
  CONCLUSIONS
  Trust in one's physician predicts attempts to lose weight among patients with hypertension, and may contribute to attempts to reduce salt and increase exercise.
  
  
  CONCLUSIONS
  Strengthening patient-physician relationships through efforts to enhance trust may be a promising strategy to enhance patients' engagement in healthy lifestyle behaviors for hypertension.
authors: Department of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, MD 21287, USA.
authors: Deborah E
authors: DE
authors: Jones
authors: Kathryn A
authors: KA
authors: Carson
authors: Sara N
authors: SN
authors: Bleich
authors: Lisa A
authors: LA
authors: Cooper
mesh_terms: D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015142:Baltimore; D015444:Exercise; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000517:prevention & control* / Q000523:psychology; D008019:Life Style; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D010820:Physicians; D011320:Primary Health Care; D040242:Risk Reduction Behavior; D057566:Self Report; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D035502:Trust; D015431:Weight Loss
chemical_list: D000959:Antihypertensive Agents