Hypertension management research priorities from patients, caregivers, and healthcare providers

A report from the Hypertension Canada Priority Setting Partnership Group

Nadia Khan (Lead / Corresponding author), Simon L. Bacon, Samia Khan, Sara Perlmutter, Carline Gerlinsky, Mark Dermer, Lonni Johnson, Finderson Alves, Donna McLean, Andreas Laupacis, Mandy Pui, Angelique Berg, Felicia Flowitt, on behalf of the Hypertension Canada Priority Setting Partnership Group

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Patient- and stakeholder-oriented research is vital to improving the relevance of research. The authors aimed to identify the 10 most important research priorities of patients, caregivers, and healthcare providers (family physicians, nurses, nurse practitioners, pharmacists, and dietitians) for hypertension management. Using the James Lind Alliance approach, a national web-based survey asked patients, caregivers, and care providers to submit their unanswered questions on hypertension management. Questions already answered from randomized controlled trial evidence were removed. A priority setting process of patient, caregiver, and healthcare providers then ranked the final top 10 research priorities in an in-person meeting. There were 386 respondents who submitted 598 questions after exclusions. Of the respondents, 78% were patients or caregivers, 29% lived in rural areas, 78% were aged 50 to 80 years, and 75% were women. The 598 questions were distilled to 42 unique questions and from this list, the top 10 research questions prioritized included determining the combinations of healthy lifestyle modifications to reduce the need for antihypertensive medications, stress management interventions, evaluating treatment strategies based on out-of-office blood pressure compared with conventional (office) blood pressure, education tools and technologies to improve patient motivation and health behavior change, management strategies for ethnic groups, evaluating natural and alternative treatments, and the optimal role of different healthcare providers and caregivers in supporting patients with hypertension. These priorities can be used to guide clinicians, researchers, and funding bodies on areas that are a high priority for hypertension management research for patients, caregivers, and healthcare providers. This also highlights priority areas for improved knowledge translation and delivering patient-centered care.

Original languageEnglish
Pages (from-to)1063-1069
Number of pages7
JournalJournal of Clinical Hypertension
Volume19
Issue number11
Early online date25 Sep 2017
DOIs
Publication statusPublished - 16 Nov 2017

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Health Personnel
Caregivers
Canada
Hypertension
Research
Blood Pressure
Patient-Centered Care
Translational Medical Research
Nurse Practitioners
Nutritionists
Health Behavior
Family Physicians
Pharmacists
Ethnic Groups
Antihypertensive Agents
Motivation
Patient Care
Randomized Controlled Trials
Nurses
Research Personnel

Keywords

  • Journal article

Cite this

Khan, N., Bacon, S. L., Khan, S., Perlmutter, S., Gerlinsky, C., Dermer, M., ... on behalf of the Hypertension Canada Priority Setting Partnership Group (2017). Hypertension management research priorities from patients, caregivers, and healthcare providers: A report from the Hypertension Canada Priority Setting Partnership Group. Journal of Clinical Hypertension , 19(11), 1063-1069. https://doi.org/10.1111/jch.13091
Khan, Nadia ; Bacon, Simon L. ; Khan, Samia ; Perlmutter, Sara ; Gerlinsky, Carline ; Dermer, Mark ; Johnson, Lonni ; Alves, Finderson ; McLean, Donna ; Laupacis, Andreas ; Pui, Mandy ; Berg, Angelique ; Flowitt, Felicia ; on behalf of the Hypertension Canada Priority Setting Partnership Group. / Hypertension management research priorities from patients, caregivers, and healthcare providers : A report from the Hypertension Canada Priority Setting Partnership Group. In: Journal of Clinical Hypertension . 2017 ; Vol. 19, No. 11. pp. 1063-1069.
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abstract = "Patient- and stakeholder-oriented research is vital to improving the relevance of research. The authors aimed to identify the 10 most important research priorities of patients, caregivers, and healthcare providers (family physicians, nurses, nurse practitioners, pharmacists, and dietitians) for hypertension management. Using the James Lind Alliance approach, a national web-based survey asked patients, caregivers, and care providers to submit their unanswered questions on hypertension management. Questions already answered from randomized controlled trial evidence were removed. A priority setting process of patient, caregiver, and healthcare providers then ranked the final top 10 research priorities in an in-person meeting. There were 386 respondents who submitted 598 questions after exclusions. Of the respondents, 78{\%} were patients or caregivers, 29{\%} lived in rural areas, 78{\%} were aged 50 to 80 years, and 75{\%} were women. The 598 questions were distilled to 42 unique questions and from this list, the top 10 research questions prioritized included determining the combinations of healthy lifestyle modifications to reduce the need for antihypertensive medications, stress management interventions, evaluating treatment strategies based on out-of-office blood pressure compared with conventional (office) blood pressure, education tools and technologies to improve patient motivation and health behavior change, management strategies for ethnic groups, evaluating natural and alternative treatments, and the optimal role of different healthcare providers and caregivers in supporting patients with hypertension. These priorities can be used to guide clinicians, researchers, and funding bodies on areas that are a high priority for hypertension management research for patients, caregivers, and healthcare providers. This also highlights priority areas for improved knowledge translation and delivering patient-centered care.",
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Khan, N, Bacon, SL, Khan, S, Perlmutter, S, Gerlinsky, C, Dermer, M, Johnson, L, Alves, F, McLean, D, Laupacis, A, Pui, M, Berg, A, Flowitt, F & on behalf of the Hypertension Canada Priority Setting Partnership Group 2017, 'Hypertension management research priorities from patients, caregivers, and healthcare providers: A report from the Hypertension Canada Priority Setting Partnership Group', Journal of Clinical Hypertension , vol. 19, no. 11, pp. 1063-1069. https://doi.org/10.1111/jch.13091

Hypertension management research priorities from patients, caregivers, and healthcare providers : A report from the Hypertension Canada Priority Setting Partnership Group. / Khan, Nadia (Lead / Corresponding author); Bacon, Simon L.; Khan, Samia; Perlmutter, Sara; Gerlinsky, Carline; Dermer, Mark; Johnson, Lonni; Alves, Finderson; McLean, Donna; Laupacis, Andreas; Pui, Mandy; Berg, Angelique; Flowitt, Felicia; on behalf of the Hypertension Canada Priority Setting Partnership Group.

In: Journal of Clinical Hypertension , Vol. 19, No. 11, 16.11.2017, p. 1063-1069.

Research output: Contribution to journalArticle

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T1 - Hypertension management research priorities from patients, caregivers, and healthcare providers

T2 - A report from the Hypertension Canada Priority Setting Partnership Group

AU - Khan, Nadia

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AU - Khan, Samia

AU - Perlmutter, Sara

AU - Gerlinsky, Carline

AU - Dermer, Mark

AU - Johnson, Lonni

AU - Alves, Finderson

AU - McLean, Donna

AU - Laupacis, Andreas

AU - Pui, Mandy

AU - Berg, Angelique

AU - Flowitt, Felicia

AU - on behalf of the Hypertension Canada Priority Setting Partnership Group

N1 - This study was funded by Hypertension Canada and the Canadian Institutes of Health Research

PY - 2017/11/16

Y1 - 2017/11/16

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