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Patient-Operated Hypertension Groups

Donald G. Nessman, PhD; James E. Carnahan, PhD; Charles A. Nugent, MD

Arch Intern Med. 1980;140(11):1427-1430.

Abstract
• Compliance was compared in 52 previously noncompliant hypertensive patients randomly assigned for eight weeks to either a nurse-operated hypertension clinic (control) or a patient-operated hypertension group (experimental). Control patients listened to audiotapes on hypertension and its management and met individually with a nurse who adjusted their drug regimens. Experimental patients were trained to take their own blood pressure (BP) and select their own drugs in a group program emphasizing informed self-help. After the eight-week training period and at two- and six-month follow-up visits, both groups had significantly lower BPs. Compared with control patients, experimental patients had lower diastolic BPs, better pill counts, and better attendance (all P <.05). This study suggests that training noncompliant patients in groups to manage their own hypertension may achieve better results than traditional management programs.

(Arch Intern Med 140:1427-1430, 1980)

Author Affiliations
From the Psychology Service (Drs Nessman and Carnahan) and the Endocrine Section (Dr Nugent), Department of Medicine, Tucson Veterans Administration Hospital; and the Endocrine Section, Department of Internal Medicine, University of Arizona College of Medicine (Dr Nugent), Tucson. Dr Nessman is now with the Psychology Service, Veterans Administration Hospital, Loma Linda, Calif.

Footnotes
Accepted for publication Dec 19, 1979.

Read in part before the National Conference on High Blood Pressure Control, Washington, DC, April 6, 1979.

Reprint requests to 1501 N Campbell Ave, Tucson, AZ 85724 (Dr Nugent).

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