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"Background: Within the last two decades high blood pressure has become endemic worldwide, affecting populations of developed, undeveloped, and developing countries equally (International Society of Hypertension [ISH, 2008]) at an estimated global economic cost in the billions of dollars. In the United States (US) approximately 75 million people suffer from high blood pressure and 75% of people with high blood pressure do not have their blood pressure under control (CDC, 2010). Recent studies have shown that management which includes self-monitoring may hold the key to sustainable blood pressure control in all populations regardless of race or ethnicity. Purpose: This qualitative study aims to discover critical influences that lead hypertensive middle-aged Americans to manage and self-monitor their blood pressure at home. Philosophical Underpinnings: The philosophical underpinnings used to guide this study are based on the qualitative research paradigm, symbolic interactionism and pragmatism. Methods: A grounded theory methodology was used in this study of English-speaking adults age 40-65 with high blood pressure, who manage and self-monitor their blood pressure at home at least once a month. Audio-taped, semi-structured interviews with open-ended questions were utilized to collect data. Categories are formed to capture all major themes. Results: The following three dominant categories emerged from the data: accepting the diagnosis, establishing support and tending to health. A core category of daring to live under pressure was constructed and reflected the participants\u2019 critical influence in management and self-monitoring of their blood pressure. A conceptual model of the dominant categories was developed to guide future intervention studies. Conclusion: Accepting the diagnosis, establishing support, and tending to health for individuals with high blood pressure are crucial to abating this chronic disease in middle-aged adults."
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"McCurdy, Rosalee E."
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"Thesis (Ph.D.)--Barry University, 2013.",
"Includes bibliographical references (leaves 130-146)."
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"v, 163 leaves : ill. ; 28 cm"
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"Hypertension -- Prevention",
"Hypertension -- Age factors",
"Blood pressure -- Regulation",
"Disease management"
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"Critical influences on the management and home self monitoring of blood pressure among middle-aged hypertensive Americans : a grounded theory approach"
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