Patient exposition and provider explanation in routine interviews and hypertensive patients' blood pressure control.

J. E. Orth, W. B. Stiles, L. Scherwitz, D. Hennrikus, C. Vallbona

Research output: Contribution to journalArticlepeer-review

157 Scopus citations

Abstract

Hypertensive patients' expressing themselves in their own words (Exposition) and providers' giving information (Explanation) during medical interviews were hypothesized to be associated with subsequent blood pressure control. Transcripts of routine return visits to clinics in low-income areas of Houston, TX, were coded using the Verbal Response Modes (VRM) system. VRM indexes of Patient Exposition and Provider Explanation were tested in relation to systolic and diastolic blood pressure obtained during home interviews 2 weeks after the clinic visits. Patient Exposition was significantly correlated with reductions in systolic and diastolic blood pressure from clinic visit to home interview, and Provider Explanation was significantly correlated with lower diastolic blood pressure at home interview. The results suggest that patients' and providers' verbal behavior in medical interviews should be included in predictive models of blood pressure control.

Original languageEnglish (US)
Pages (from-to)29-42
Number of pages14
JournalHealth psychology : official journal of the Division of Health Psychology, American Psychological Association
Volume6
Issue number1
DOIs
StatePublished - 1987

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