{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:55:00Z","timestamp":1787730900130,"version":"build-2784847793"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,5,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              There is growing recognition that positive health beliefs may promote blood pressure (BP) reduction, which is critical to stroke prevention but remains a persistent challenge. Yet, studies that examine the association between positive health beliefs and\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              among stroke survivors are lacking.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Data came from the DESERVE (Discharge Educational Strategies for Reduction of Vascular Events) study, a randomized controlled trial of a skills\u2010based behavioral intervention to reduce vascular risk in a multiethnic cohort of 552 transient ischemic attack and mild\/moderate stroke patients in New York City. The exposure was perception that people can protect themselves from having a stroke (ie, prevention self\u2010efficacy) at baseline. The association between systolic BP (\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              ) reduction at 12\u2010month follow\u2010up and self\u2010efficacy was examined using linear regression adjusted for key confounders, overall and stratified by age, sex, race\/ethnicity, and intervention trial arm. Approximately three quarters endorsed self\u2010efficacy. These participants had, on average, 5.6\u00a0mm\u00a0Hg greater\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              reduction compared with those who did not endorse it (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 0.5\u201310.7 mm Hg;\n              <jats:italic>P<\/jats:italic>\n              =0.032). Self\u2010efficacy was significantly associated with greater\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              reduction, particularly among female versus male, younger versus older, and Hispanic versus non\u2010Hispanic white patients. Sensitivity analysis adjusting for baseline\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              instead of elevated\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              yielded no association between self\u2010efficacy and\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              reduction, but showed sex differences in this association (women: \u03b2=5.3; 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , \u22120.2 to 10.8;\n              <jats:italic>P<\/jats:italic>\n              =0.057; men: \u03b2=\u22123.3; 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , \u22129.4 to 2.9;\n              <jats:italic>P<\/jats:italic>\n              =0.300; interaction\n              <jats:italic>P<\/jats:italic>\n              =0.064).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Self\u2010efficacy was linked with greater\n              <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n              reduction among female stroke survivors. Targeted strategies to improve health beliefs after stroke may be important for risk factor management.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>REGISTRATION<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">URL<\/jats:styled-content>\n              :\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.clinicaltrials.gov\">https:\/\/www.clini\u200bcaltr\u200bials.gov<\/jats:ext-link>\n              ; Unique identifier:\n              <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>\n              01836354.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.014782","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T09:05:08Z","timestamp":1588064708000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Positive Health Beliefs and Blood Pressure Reduction in the DESERVE Study"],"prefix":"10.1161","volume":"9","author":[{"given":"Emily","family":"Goldmann","sequence":"first","affiliation":[{"name":"Department of Epidemiology School of Global Public Health New York University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachelle","family":"Jacoby","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Global Public Health New York University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Finfer","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Global Public Health New York University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Appleton","sequence":"additional","affiliation":[{"name":"Department of Population Health New York University Langone Health New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina S.","family":"Parikh","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences School of Global Public Health New York University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric T.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Global Public Health New York University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Boden\u2010Albala","sequence":"additional","affiliation":[{"name":"Program in Public Health, Susan and Henry Samueli College of Health Sciences University of California, Irvine CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000046"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.114.003666"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000024"},{"key":"e_1_3_1_5_2","first-page":"1","article-title":"Hypertension prevalence and control among adults: United States, 2015\u20132016","author":"Fryar CD","year":"2017","unstructured":"Fryar CD, Ostchega Y, Hales CM, Zhang G, Kruszon\u2010Moran D. 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