TY -非盟的田中,莉香AU -诺兰,罗伯特·P PY - 2018 DA - 2018/05/11 TI - Psychobehavioral资料协助干预对高血压患者的裁剪:潜在的概要分析乔- J地中海互联网Res SP - e149六世- 20 - 5 KW -高血压KW -抑郁KW -健康行为KW -生活KW -咨询AB -背景:实践指南提倡结合药物治疗对高血压患者生活方式咨询。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。一系列潜在特征分析确定了心理行为特征，由情绪、动机和健康行为的基线测量表明。然后探讨各剖面组之间的平均差异。 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) SN - 1438-8871 UR - //www.mybigtv.com/2018/5/e149/ UR - https://doi.org/10.2196/jmir.8757 UR - http://www.ncbi.nlm.nih.gov/pubmed/29752248 DO - 10.2196/jmir.8757 ID - info:doi/10.2196/jmir.8757 ER -