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Treatment Burden in People with Hypertension is Correlated with Patient Experience with Self-Management

Elizabeth A Rogers1, Hani Abi2, Mark Linzer2

  • 1From the Department of Medicine, University of Minnesota Medical School, Minneapolis, MN (EAR, ML); Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN (EAR, HA); Department of Medicine, Hennepin Healthcare, Minneapolis, MN (ML); Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN (DTE). earogers@umn.edu.

Journal of the American Board of Family Medicine : JABFM
|November 13, 2021
PubMed

Insights

New hypertension guidelines increase treatment burden. Lower self-management confidence, health literacy, and more financial difficulties correlate with higher burden in hypertension patients.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Patient Experience

Background:

  • New hypertension guidelines may increase patient treatment burden through medication or lifestyle changes.
  • This increased burden could unintentionally lead to poorer health outcomes.
  • Understanding factors associated with treatment burden is crucial for effective hypertension management.

Purpose of the Study:

  • To examine the association between treatment burden and self-management factors in patients with hypertension.
  • To identify specific self-management challenges that contribute to a higher treatment burden.

Main Methods:

  • A cross-sectional mailed survey was conducted with 254 hypertension patients from two Minnesota medical centers.
  • Validated questionnaires assessed treatment burden (PETS), self-management confidence, health literacy, financial difficulties, and provider interpersonal skills.
  • Partial correlation analyses, controlling for demographic factors, were used to test relationships.

Main Results:

  • Higher treatment burden scores were associated with lower self-management confidence, lower health literacy, greater financial difficulties, and poorer perceived provider interpersonal skills.
  • The strongest associations were between treatment burden and self-management factors like medical information and physical/mental exhaustion.
  • These correlations were statistically significant (P < .05).

Conclusions:

  • Stringent hypertension guidelines may exacerbate treatment burden, particularly for patients facing self-management challenges.
  • Interventions should address self-management support, health literacy, financial aid, and provider communication to mitigate treatment burden.
  • Addressing these factors is vital to prevent disparities in cardiovascular health outcomes.
Abstract

Keywords:
Cardiovascular DiseasesChronic DiseaseCross-Sectional StudiesDisease ManagementHypertensionMinnesotaPatient-Reported Outcome MeasuresSelf-ManagementSurveys and Questionnaires

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