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The Diabetes Educator

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Health Education & Behavior
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A Small Group Strategy for Improving Compliance Behavior and Blood Pressure Control

Michael H. Bowler, Ph.D.

George Mason University, 4400 University Drive, Fairfax, VA 22030

Donald E. Morisky, Sc.D., MSPH

Division of Behavioral Sciences and Health Education University of California, Los Angeles, CA 90024

A brief small group structured approach to improving compliance behavior and blood pressure control is described. The group intervention is based on the results of a diagnostic baseline survey of ambulatory hypertensive patients receiving care in an inner-city hospital. It was tailored to meet the expressed needs of that population group. Three main steps characterize the intervention: examining health behaviors and compliance issues with the patients using rehearsal of specific coping skills in problem solving activity; using Locus of Control concepts to facilitate process; and encouraging the patient to practice and apply the coping skills in stressful situations. Major themes within the group sessions and general outcomes are examined.

Health Education & Behavior, Vol. 10, No. 1, 56-69 (1983)
DOI: 10.1177/109019818301000104
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