%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 5% P e149% T心理行为概况，以协助定制高血压患者的干预措施:潜在档案分析%A Tanaka,Rika %A Nolan,Robert P %+心脏电子健康和行为心脏病学研究单位，Peter Munk心脏中心，大学卫生网络，585大学大道，6nu6n617，多伦多，ON, M5G 2N2, 1 416 340 4800 ext 6038, rika.tanaka@uhnresearch.ca %K高血压%K抑郁症%K健康行为%K生活方式%K咨询%D 2018 %7 11.05.2018 %9原始论文%J J医学互联网Res %G英文%X背景:实践指南提倡高血压患者将药物治疗与生活方式咨询相结合。为了适当调整干预措施以满足个别患者的需求，全面了解基线患者特征是必不可少的。然而，很少有研究在基于网络的生活方式咨询项目中对高血压患者的行为进行经验评估。目的:本研究的目的是:(1)指定参加网络生活方式咨询试验的高血压患者的基线心理行为概况，(2)检查已确定的概况组在人口统计学、心理困扰、自我报告的自我护理行为、生理结果和项目参与方面的平均差异，以确定预后意义。方法:参与者(N=264;平均年龄57.5岁;154/264, 58.3%为女性;193/264, 73.1%白人)被纳入一项纵向、双盲、随机对照试验，旨在评估高血压患者的在线生活方式干预。 A series of latent profile analyses identified psychobehavioral profiles, indicated by baseline measures of mood, motivation, and health behaviors. Mean differences between profile groups were then explored. Results: A 2-class solution provided the best model fit (the Bayesian information criterion (BIC) is 10,133.11; sample-size adjusted BIC is 10,006.54; Lo-Mendell-Rubin likelihood ratio test is 65.56, P=.001). The 2 profile groups were (1) adaptive adjustment, marked by low distress, high motivation, and somewhat satisfactory engagement in health behaviors and (2) affectively distressed, marked by clinically significant distress. At baseline, on average, affectively distressed patients had lower income, higher body mass index, and endorsed higher stress compared with their adaptive adjustment counterparts. At 12-months post intervention, treatment effects were sustained for systolic blood pressure and Framingham risk index in the adaptive adjustment group, and those in the adaptive adjustment group were 2.4 times more likely to complete the 12-month intervention study, compared with their affectively distressed counterparts. Conclusions: Interventions for patients who are adaptively adjusted may differ in focus from those designed for the affectively distressed patients. As such, this study underscores the importance of identifying psychobehavioral profiles, as they allow for evidence-based tailoring of lifestyle counseling programs for patients with hypertension. Trial Registration: ClinicalTrials.gov NCT01541540; https://clinicaltrials.gov/ct2/show/NCT01541540 (Archived by WebCite at http://www.webcitation.org/6yzZYZcWF) %M 29752248 %R 10.2196/jmir.8757 %U //www.mybigtv.com/2018/5/e149/ %U https://doi.org/10.2196/jmir.8757 %U http://www.ncbi.nlm.nih.gov/pubmed/29752248