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Canadian Journal of Cardiology

Health Behaviour Advice From Health Professionals to Canadian Adults With Hypertension: Results From a National Survey

      Abstract

      Background

      Health professionals play an important role in providing health information to patients. The objectives of this study were to examine the type of advice that Canadians with hypertension recall receiving from health professionals to manage their condition, and to assess if there is an association between health behaviour advice provided by health professionals and self-reported engagement in health behaviour modification.

      Methods

      Respondents of the 2009 Survey on Living with Chronic Diseases in Canada (N = 6142) were asked about sociodemographic characteristics, health care utilization, and health behaviour modification to control hypertension. Association between receipt of advice from health professional and ever engaging, continuing to engage, and not engaging in health behaviour modification was quantified by prevalence rate ratios.

      Results

      Most participants (90.9%; 95% confidence interval [CI], 89.6-92.2) reported that the health professional most responsible for treating their high blood pressure was their general practitioner. Approximately 9% reported that they had not received or do not recall receiving any advice for blood pressure control. The most commonly reported advice received from a health professional was to participate in physical activity or exercise (70.0%). Respondents who had received advice on health behaviour change to manage their high blood pressure were more likely to report engaging in the behaviour compared with those who did not receive such advice.

      Conclusions

      Many Canadians with hypertension receive health behaviour change advice from their health professionals. Receiving this advice was associated with a greater likelihood of attempting health behaviour change and attempting to sustain that change.

      Résumé

      Introduction

      Les professionnels de la santé jouent un rôle important en fournissant aux patients de l'information sur la santé. Les objectifs de cette étude étaient d'examiner le type de conseils que les Canadiens souffrant d'hypertension se rappelaient avoir reçus des professionnels de la santé pour gérer leur état de santé, et d'évaluer s'il existe un lien entre les conseils donnés par les professionnels de la santé sur les comportements de santé et l'engagement rapporté par les patients dans la modification de ces comportements.

      Méthodes

      Les répondants à l'Enquête sur les personnes ayant une maladie chronique au Canada de 2009 (N = 6142) ont été questionnés sur les caractéristiques sociodémographiques, l'utilisation des soins de santé et la modification des comportements de santé pour contrôler l'hypertension. Le lien entre les conseils reçus d'un professionnel de la santé et l'engagement constant, la continuité de l'engagement et le non-engagement dans la modification des comportements de santé était quantifié par les taux de prévalence.

      Résultats

      La plupart des participants (90,9 %; intervalle de confiance [IC] de 95 %, 89,6-92,2) rapportait que le professionnel de la santé le plus responsable dans le traitement de leur pression artérielle élevée était leur omnipraticien. Approximativement 9 % des participants rapportaient n'avoir pas reçu ou ne pas se rappeler avoir reçu de conseils pour le contrôle de la pression artérielle. Le conseil reçu d'un professionnel de la santé le plus fréquemment rapporté était de participer à une activité physique ou de faire de l'exercice (70,0 %). Les répondants qui avaient reçu des conseils sur le changement des comportements de santé pour gérer leur pression artérielle élevée étaient plus susceptibles de rapporter leur engagement dans les comportements comparativement à ceux qui n'avaient pas reçu de tels conseils.

      Conclusions

      Plusieurs Canadiens souffrant d'hypertension reçoivent des conseils de leur professionnel de la santé pour changer leurs comportements de santé. Recevoir ces conseils était associé à une plus grande probabilité d'entreprendre un changement des comportements de santé et de tenter de maintenir ce changement.
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