Individual patient's preferences for hypertension management: a Q-methodological approach.
OBJECTIVE: To systematically explore and elicit individual patient's preferences in the management of their hypertension using Q-methodology. METHODS: Using Q-methodology, 120 patients ranking 42 statements according to their agreement or disagreement when considering appropriate hypertension manage...
| Publicado en: | Patient Education & Counseling Vol. 61; no. 3; pp. 354 - 363 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jun2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106339475&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106339475 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: Jun2006 vid: 61 iid: 3 pid: 1004 pub: Elsevier B.V. artinfo: ui: 106339475 106339475 2009212040 10.1016/j.pec.2005.04.011 NLM15896942 106339475 ppf: 354 ppct: 9 formats: tig: atl: Individual patient's preferences for hypertension management: a Q-methodological approach. aug: au: Morecroft C Cantrill J Tully MP affil: School of Pharmacy and Pharmaceutical Sciences, The University of Manchester, Oxford Road, Manchester M13 9PL, UK. sug: subj: Hypertension Therapy Patient Attitudes Adult Aged Consumer Participation Descriptive Statistics Female Male Middle Age Q-Sort United Kingdom Funding Source Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: OBJECTIVE: To systematically explore and elicit individual patient's preferences in the management of their hypertension using Q-methodology. METHODS: Using Q-methodology, 120 patients ranking 42 statements according to their agreement or disagreement when considering appropriate hypertension management. The statements were derived from an earlier qualitative study. Factor analysis of the data was undertaken using PQMethod software to determine if any patterns were discernible. RESULTS: Ninety-two patients clustered to five factors, which all varied in the degree of involvement patients had, or wished to have, in their hypertension management. The 42 patients who loaded to factor 1 considered that appropriate antihypertensive treatment involved leaving medical decisions to their GPs and trusting their judgement in such matters. The patients (n=31) who positively loaded to factor 2 suggested that an autonomous relationship with their healthcare professional(s) was an important issue when considering treatment. CONCLUSION: It is concluded that this study has successfully used Q-methodology to systematically investigate people's subjectivity and developed a novel approach to elicit the views of individual patients, as well as explore and differentiate between groups of patients. PRACTICE IMPLICATIONS: The formation of true partnerships between patients and healthcare professionals which will enhance individual patients' ability to self-manage chronic disease. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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