Sociodemographic and Clinical Characteristics and Self-Care Behaviors Are Associated With Shared Decision-Making in Adults With Hypertension
Issued Date
2025-01-01
Resource Type
eISSN
20479980
Scopus ID
2-s2.0-105012903157
Pubmed ID
40719138
Journal Title
Journal of the American Heart Association
Volume
14
Issue
15
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the American Heart Association Vol.14 No.15 (2025)
Suggested Citation
Alharthi A., Liu X., Chen Y., Kruahong S., Commodore-Mensah Y., Himmelfarb C.R. Sociodemographic and Clinical Characteristics and Self-Care Behaviors Are Associated With Shared Decision-Making in Adults With Hypertension. Journal of the American Heart Association Vol.14 No.15 (2025). doi:10.1161/JAHA.124.036328 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111672
Title
Sociodemographic and Clinical Characteristics and Self-Care Behaviors Are Associated With Shared Decision-Making in Adults With Hypertension
Corresponding Author(s)
Other Contributor(s)
Abstract
BACKGROUND: Shared decision-making (SDM) is a collaborative process between clinicians and patients. While SDM is known to enhance blood pressure control in adults with hypertension, the impact of sociodemographic and clinical characteristics on SDM remains unclear. METHODS: We conducted a cross-sectional study of adults with hypertension at an academic health care system. Participants were recruited from electronic health records and completed an anonymous survey assessing SDM with CollaboRATE. We used multivariable linear regression to assess sociodemographic and clinical impacts on SDM. RESULTS: Among 4181 participants, 62.5% were White adults, 64% had at least a bachelor’s degree, 53.9% had an annual household income?>$75 000, and half of the participants had a diagnosis of hypertension for?>10 years. The mean SDM score was 6.73 (±2.5) ranging from 0 to 9. Adults aged ≥65 years (β=−0.234; SE, 0.117; P=0.046) and women (β=−0.416; SE, 0.096; P<0.001) reported lower SDM scores. Black adults (β=0.384; SE, 0.109; P=0.001) and those with a prior telemedicine appointment (β=0.493; SE, 0.098; P<0.001) reported higher SDM scores. Postgraduate education, longer duration of hypertension diagnosis, and poor self-care were negatively associated with SDM scores (β=−0.503, −0.472, and −0.745; P=0.014, 0.033, and <0.001, respectively). CONCLUSIONS: Age, race, sex, telemedicine history, education level, diagnosis duration, and self-care behaviors all significantly impacted SDM scores in patients with hypertension. These results suggest that further research to inform tailored interventions targeting these factors could enhance SDM and hypertension management.