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OBJECTIVES The objectives of this pilot study were to determine the incidence of Posttraumatic Stress Disorder (PTSD) one to two months after Myocardial Infarction (MI), and to evaluate potential predictors of PTSD symptoms post-MI. METHODS A convenience sample of 31 patients hospitalized for treatment of acute MI was interviewed during hospitalization(More)
Failing to retain an adequate number of study participants in behavioral intervention trials poses a threat to interpretation of study results and its external validity. This qualitative investigation describes the retention strategies promoted by the recruitment and retention committee of the Behavior Change Consortium, a group of 15 university-based sites(More)
OBJECTIVE To describe a mixed-methods approach to develop and test a basic behavioral science-informed intervention to motivate behavior change in 3 high-risk clinical populations. Our theoretically derived intervention comprised a combination of positive affect and self-affirmation (PA/SA), which we applied to 3 clinical chronic disease populations. (More)
BACKGROUND Poor adherence explains poor blood pressure (BP) control; however African Americans suffer worse hypertension-related outcomes. METHODS This randomized controlled trial evaluated whether a patient education intervention enhanced with positive-affect induction and self-affirmation (PA) was more effective than patient education (PE) alone in(More)
OBJECTIVE Posttraumatic Stress Disorder (PTSD) is prevalent among low-income minorities and is associated with poorer health. However, the association between PTSD and hemoglobin A1(C) (A1(C)) among patients with diabetes has not been fully described. The objective of this cross-sectional study was to evaluate associations between PTSD and A1(C) among(More)
African-Americans are disproportionately impacted by cardiovascular disease (CVD). Faith-based institutions provide a non-traditional route for health education targeted at African-Americans. This paper describes HeartSmarts, a faith-based CVD education program. Evidence-based literature was used to develop a curriculum, which was tailored by integrating(More)
OBJECTIVE Previous studies have documented that among patients with coronary artery disease (CAD), depressive symptoms are more common in women than in men. The objective of this study was to determine if this disparity was explained by gender differences in stressful life events and in perceived social support. METHODS This was a cross-sectional study(More)
BACKGROUND Social support is an important resource for chronic disease management. However, it is not routinely assessed in the context of caring for patients with cardiovascular disease or as part of the cardiovascular rehabilitation process. The objective was to develop a survey designed to measure the types of social support that are necessary in(More)
OBJECTIVE The objective was to elicit patients' perceptions regarding the meaning of hypertension and to identify the personal, social, and environmental factors that might influence their perceptions. DESIGN Qualitative study. SETTING Adult ambulatory care practice PARTICIPANTS African American patients with uncontrolled hypertension. (More)
OBJECTIVES The objectives of the study were to identify the characteristics of a problematic doctor-patient relationship from the perspective of primary care patients who are cared for by medical residents and to determine whether patients' perception of the relationship is a function of their demographic, clinical, or social attributes. DESIGN(More)