{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T05:10:05Z","timestamp":1774329005240,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T00:00:00Z","timestamp":1694217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Psychological impacts of hypertension diagnostic testing and new hypertension diagnoses are unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>BP-CHECK was a randomized diagnostic study conducted in 2017\u20132019 in an integrated healthcare system. Participants with no hypertension diagnosis or medications and elevated blood pressure (BP) were randomized to one of three diagnostic regimens: (i) Clinic, (ii) Home, or (iii) Kiosk. Participants completed questionnaires at baseline, after completion of the diagnostic regimens, and at 6 months. Outcomes included changes from baseline in health-related quality of life (HRQOL), BP-related worry, and thoughts about having a stroke or heart attack.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Participants (n\u2005=\u2005482) were mostly over age 50 (77.0%), and White race (80.3%). HRQOL did not significantly change from baseline to 3 weeks or 6 months. Among all participants, BP-related worry and concerns about having a heart attack or stroke increased significantly from baseline to 3 weeks, with heart attack and stroke concerns significantly higher in the Kiosk compared Clinic and Home groups. At 6 months, thoughts about having a heart attack or stroke returned to baseline overall and in the Kiosk group, however BP-related worry was significantly higher among those with, compared to those without, a new hypertension diagnosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The hypertension diagnostic process did not lead to short-term or intermediate-term changes in self-reported HRQOL. However, BP-related worry increased short-term and persisted at 6 months among individuals with a new hypertension diagnosis. Results warrant validation in more representative populations and additional exploration of the impacts of this worry on psychological well-being and hypertension control.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>ClinicalTrials.gov Identifier<\/jats:title>\n                  <jats:p>NCT03130257.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajh\/hpad083","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T15:53:07Z","timestamp":1694188387000},"page":"69-76","source":"Crossref","is-referenced-by-count":2,"title":["Is Hypertension Diagnostic Testing and Diagnosis Associated With Psychological Distress?"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3040-3436","authenticated-orcid":false,"given":"B B","family":"Green","sequence":"first","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"},{"name":"Washington Permanente Medical Group , Seattle, Washington , USA"},{"name":"Department of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine , Pasadena, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M L","family":"Anderson","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J B","family":"McClure","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"},{"name":"Department of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine , Pasadena, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y N","family":"Hall","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Hansell","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4847-5596","authenticated-orcid":false,"given":"C","family":"Hsu","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K L","family":"Margolis","sequence":"additional","affiliation":[{"name":"HealthPartners Institute , Minneapolis, Minnesota , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S A","family":"Munson","sequence":"additional","affiliation":[{"name":"Department of Human Centered Design and Engineering, University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,9]]},"reference":[{"key":"2023121606072882000_CIT0001","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1001\/jama.2021.4987","article-title":"Screening for hypertension in adults: US Preventive Services Task Force reaffirmation recommendation statement","volume":"325","author":"Krist","year":"2021","journal-title":"JAMA"},{"key":"2023121606072882000_CIT0002","doi-asserted-by":"crossref","first-page":"192","DOI":"10.7326\/M14-1539","article-title":"Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: a systematic review for the U.S. Preventive Services Task Force","volume":"162","author":"Piper","year":"2015","journal-title":"Ann Intern Med"},{"key":"2023121606072882000_CIT0003","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1001\/jama.2020.21669","article-title":"Screening for hypertension in adults: updated evidence report and systematic review for the US Preventive Services Task Force","volume":"325","author":"Guirguis-Blake","year":"2021","journal-title":"JAMA"},{"key":"2023121606072882000_CIT0004","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jpsychores.2013.01.009","article-title":"Are there consequences of labeling patients with prehypertension? 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