Examining the Shared Decision-Making Preferences of Adult Black Men with Hypertension in the U.S. Mid-South Region: A Mixed Methods Approach

Purpose. This study aimed to explore what factors are related to Black men’s shared decision-making (SDM) preferences for selecting hypertension (HTN) treatment and management options with a healthcare clinician. Methods. Researchers employed an exploratory sequential mixed methods design to explore factors influencing Black adult men's preferences for involvement in SDM regarding HTN treatment. Qualitative interviews with N=16 Black men identified factors related to SDM involvement, while a quantitative phase with N=105 Black men examined factors that could predict the level of involvement in SDM for HTN treatment. Results. Trust and having a female clinician were a significant independent predictor of decision-making involvement among men in this study (b = 9.09; t(102) = 3.07; p = .003). Engaging in the SDM process with a female clinician increased the desired level of decision-making involvement for HTN treatment and management. Conclusion. Findings from this study suggest that clinician gender is a key factor that influences SDM involvement preferences. Future research should focus on targeted questions to delve deeper into the specific aspects of SDM in gender-discordant patient-clinician relationships.

Name thesis:degree_name

Doctor of Philosophy (PhD)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Nursing Science

Year

2024

Author dc:creator

• Calhoun, Samantha Faith

Contributors dc:contributor

• Janeane N. Anderson, PhD

• African American men;Black men;High Blood Pressure;Hypertension;Mixed-Methods;Shared Decision-Making
• Medicine and Health Sciences

Repository record dc:identifier

https://dc.uthsc.edu/dissertations/670

OAI identifier oai:identifier

oai:dc.uthsc.edu:dissertations-1670