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The National High Blood Pressure Education Program: Measuring Progress and Assessing Its Impact

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Abstract

The National High Blood Pressure Education Program has been designed to translate the results of basic and clinical research to medical practice through a program of education for the public, patients, and health professionals. It has continuously used health-education principals of media development, patient education, social networking, community organizations, theories of social change, and program evaluation and measurement to reach its objectives. After 15 years, public knowledge regarding blood pressure and its sequelae has improved dramatically. Key words: education, hypertension, hypertension prevalence, hypertension control, hypertension awareness
HEALTH PSYCHOLOGY, 1988, 7(Suppl.), 297-303
Copyright
©
1988, Lawrence Erlbaum Associates,
Inc.
The National High Blood Pressure
Education Program:
Measuring Progress
and
Assessing
Its
Impact
Edward
J.
Roccella
National High Blood
Pressure
Education Program
Office of
Prevention,
Education, and Control
National Heart, Lung, and Blood Institute
Michael
J.
Horan
Hypertension and Kidney
Diseases
Branch
Division of
Heart
and
Vascular Diseases
National Heart, Lung, and Blood Institute
The National High Blood Pressure Education Program has been designed
to
translate the results
of
basic and clinical research
to
medical practice through
a program
of
education
for the
public, patients,
and
health professionals.
It
has continuously used health-education principals
of
media development,
patient education, social networking, community organizations, theories
of
social change,
and
program evaluation
and
measurement
to
reach
its
objec-
tives.
After
15
years, public knowledge regarding blood pressure
and its
sequelae
has
improved dramatically.
Key words: education, hypertension, hypertension prevalence, hypertension
control, hypertension awareness
The mission of the National High Blood Pressure Education Program
(NHBPEP) is to promote nationwide effects to detect, treat, and control
hypertension through education programs. It is now 15 years since this
Requests
for
reprints should
be
sent
to
Edward
J.
Roccella, National High Blood Pressure
Education Program, Office
of
Prevention, Education,
and
Control, National Heart, Lung,
and Blood Institute,
Box
120/80, National Institutes
of
Health, Bethesda,
MD
20892.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
... Hypertension is a leading major risk factor for chronic diseases and deaths. The prevalence of patients with hypertension (HT) has risen from 600 million in 1980 to one billion in 2008 [1]. The prevalence of HBP was approximately 40% among adults of 25 years and above in 2008. ...
... It is estimated that HT is responsible for 45% of deaths due to heart diseases and 51% of deaths due to stroke. HBP consists of 3.7% of Disability Adjusted Life Years (DALY) [1]. Even prehypertension (PreHT) increases mortality risk due to cardiovascular and stroke-related diseases. ...
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Introduction: High blood pressure (HBP) is a leading major risk factor for chronic diseases such as CKD, CADx, and deaths. The prevalence of patients with hypertension (HT) has risen from 600 million in 1980 to one billion in 2008. Aims and Objectives: The basic aim of the study is to find the relationship of knowledge about hypertension with the control of blood pressure. Methodology of the Study: This cross sectional study was conducted in Mayo hospital Lahore from January 2021 to July 2021. The data was collected from 100 patients with high blood pressure who visited the OPD of our hospital. A questionnaire was prepared by the researchers in accordance with the literature to measure the level of knowledge about HT. Results: The data was collected from 100 patients of both genders. On comparison of questions related to knowledge, there was a statistically significant difference in; meaning of hypertension (p <0.001), target SBP (p0.001), target DBP (p 0.001), importance of SBP versus DBP, improvement of health with lowering of blood pressure (p 0.002), high blood pressure being asymptomatic (p <0.001), changing lifestyle improves blood pressure (p 0.003), hypertension being a lifelong disease (<0.001), lifelong treatment with anti-hypertensives (<0.001) and high blood pressure being part of aging (<0.001). Conclusion: It is concluded that patients who were aware that elevated BP levels lead to reductions in life expectancy had a higher compliance level with medication use and follow-up visits than patients without this awareness.
... These efforts have led to important successes. For example, the National Institutes of Health (NIH) initiated the National High Blood Pressure Education Program (NHBPEP), which adopted elements of marketing and healtheducation, including patient education, media development, social networking, as well as program evaluation and measurement to achieve their goals and resulted in a significant increase in the public's knowledge of high blood pressure (Roccella & Horan, 1988). However, marketing experts have noted that many public health professionals have an incomplete understanding of social marketing. ...
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... In the United States, these modifiable risk factors were identified through large-scale epidemiologic studies such as the Framingham Study (Dawber 1980). Based on the findings of these epidemiologic investigations and subsequent successful public health programs (e.g., the National High Blood Pressure Education Program begun in 1972 (Roccella and Horan 1988)), awareness of the modifiable nature of many CHD risk factors has increased among health professionals and the general public (Kannel 1995). Similar efforts in developing countries could result in decline in CHD which is currently on rise due to epidemiologic transition (World Health Report 2002. ...
... Within the past 2 decades, visits to physicians for hypertension have increased 10-fold while visits to physicians for all causes have remained relatively stable, a clear indication that patients have heard the message to see their doctor. 29 Hypertension is the primary reason adults visit their physicians. ...
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J Clin Hypertens (Greenwich) . 2012;00:00–00 © 2012 Wiley Periodicals, Inc. One of the most successful public health programs in the past century provides an example of what can be accomplished when the government, the private sector, academia, and community organizations work together. The results of 4 decades of activities of the National High Blood Pressure Education Program (NHBPEP) can be measured in several ways. The publics’ awareness, treatment, and control have increased remarkably. Hypertension is the primary reason adults visit physicians. Age‐adjusted mortality for heart disease and stroke has declined by 70% and 80%, respectively, since the beginning of the program. The decline in heart and stroke deaths is seen in both sexes and blacks and whites, and is particularly evident in people who reside in the southeastern portion of the United States, which once had the highest mortality rates of stroke in the United States. This dramatic decrease in strokes and heart disease has occurred despite the substantial increase in obesity and diabetes in the United States.
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This text is designed to support effective practices for clinicians, including physicians, nurse practitioners and cardiac nurse specialists, pharmacists, physician assistants, nutritionists, and others who treat high-risk African Americans. Pharmacologic therapy is usually necessary, but alone has not been sufficient to treat hypertension. Furthermore, the Institute of Medicine (IOM) has recognized five main environmental factors as prominent underpinnings for the widespread burden of hypertension in the United States [1]. Particular dietary patterns, nutrient intake, and levels and types of physical activity can play a major role in cardiovascular disease (CVD) prevention and treatment through effects on modifiable CVD risk factors (i.e., blood pressure [BP] and lipids). As it relates to hypertension in African Americans, the recent 2013 American College of Cardiology/American Heart Association (AHA/ACC) Guideline on Lifestyle Management to Reduce Cardiovascular Risk may be used to achieve appropriate BP prevention and control.
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