Arlene A. Schmid, PhD OTR, is a core investigator at the Roudebush VAMC, HSR&D center of Excellence on Implementation of Evidence-Based Practices and the VA Stroke QUERI in Indianapolis, IN; and assistant professor at Indiana University Department of Occupational Therapy in Indianapolis, IN.
Current Blood Pressure Self-Management: A Qualitative Study
Article first published online: 27 MAR 2012
2009 Association of Rehabilitation Nurses
Volume 34, Issue 6, pages 223–229, November-December 2009
How to Cite
Schmid, A. A., Damush, T. M., Plue, L., Subramanian, U., Bakas, T. and Williams, L. S. (2009), Current Blood Pressure Self-Management: A Qualitative Study. Rehabilitation Nursing, 34: 223–229. doi: 10.1002/j.2048-7940.2009.tb00254.x
- Issue published online: 27 MAR 2012
- Article first published online: 27 MAR 2012
- blood pressure self-management;
- hypertension self-management;
- mixed methods;
- stroke prevention
Blood pressure (BP) self-management is advocated to manage hypertension and reduce the risk of a future stroke. The purpose of this study was to identify BP self-management strategies used by individuals who had sustained a stroke or transient ischemic attack (TIA). As part of a mixed-methods study, we conducted six focus groups and achieved saturation with 16 stroke survivors and 12 TIA survivors. Each participant completed a questionnaire regarding current BP management. We analyzed and coded qualitative transcripts from the focus groups and found four emergent themes that were supported by questionnaire results. The four self-management themes include: (1) external support for BP self-management is helpful; (2) BP self-management strategies include medication adherence, routine development, and BP monitoring; (3) BP risk factor management involves diet, exercise, and stress reduction; and (4) taking advantage of the “teachable moment” may be advantageous for behavior change to self-manage BP. This research provides key elements for the development of a successful BP self-management program.