title: Validation of an Interaction Model of Health Behavior Among Adults With Hypertension.
abstract: 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 (χ(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.
authors.affiliation: Case Western Reserve University, Cleveland, OH, USA ronald.hickman@case.edu.
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Hickman
authors.affiliation: University of South Florida, Tampa, FL, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Clochesy
authors.affiliation: Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Marym
authors.initials: M
authors.lastname: Alaamri
mesh_terms: D001741:Black or African American; D003142:Communication; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D057220:Health Literacy; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D010817:Physician-Patient Relations; D012648:Self Care; D011795:Surveys and Questionnaires; D044465:White People
keywords: communication skills; community-dwelling adults; health literacy; hypertension; provider interaction; self-management