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Related Experiment Video

Updated: Jun 21, 2025

Author Spotlight: Exploring Huotan Jiedu Tongluo Decoction as an Antihypertensive Drug
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Multiethnic Perspectives of Shared Decision-Making in Hypertension: A Mixed-Methods Study.

Sabrina Elias1, Jennifer Wenzel1,2, Lisa A Cooper2,3

  • 1Johns Hopkins School of Nursing Baltimore MD USA.

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|July 11, 2024
PubMed
Summary

Race, ethnicity, age, education, and patient activation significantly impact shared decision-making (SDM) in hypertension management. Effective communication and patient understanding are key to improving SDM outcomes.

Keywords:
health equityhypertensionmixed‐methodsshared decision‐making

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Area of Science:

  • Cardiovascular Health
  • Health Equity
  • Health Services Research

Background:

  • Shared decision-making (SDM) can enhance hypertension care quality and equity.
  • Limited research exists on how race and ethnicity influence SDM in hypertension management.

Purpose of the Study:

  • To explore the impact of race and ethnicity on SDM in hypertension management.
  • To identify factors influencing SDM and blood pressure outcomes in hypertensive patients.

Main Methods:

  • Explanatory sequential mixed-methods design using quantitative (n=1212) and qualitative (n=36) data.
  • Analysis of baseline and 12-month follow-up data from the RICH LIFE study.
  • Multinomial logistic regression to identify predictors of SDM scores and blood pressure reduction.

Main Results:

  • Race and ethnicity were significant predictors of SDM scores and blood pressure outcomes (RRR, 1.64; P=0.029).
  • Other predictors included age, education, patient activation, and hypertension knowledge.
  • Provider-patient communication and relationship dynamics were identified as key facilitators and barriers to SDM.

Conclusions:

  • Determinants of decision-making and contextual factors influencing SDM vary among patients with different SDM scores and blood pressure outcomes.
  • Findings offer novel, actionable insights into SDM in hypertension care.
  • Understanding these factors can help improve hypertension management strategies.