Date of Award


Degree Name

PhD Nursing

Dissertation Committee

Joseph F Burkard, DNSc, CRNA-Chairperson Patricia A. Roth, EdD, RN Jane M. Georges, PhD, RN David Bittleman, MD


factors impacting hypertension control, self-reported medication adherence, systolic blood pressure, veteran


Exploring factors impacting veterans’ hypertension (HTN) control is essential in reducing the common cardiovascular disease event of stroke, heart attack, chronic kidney disease and mortality. The purpose of this study was to describe multidimensional factors impacting veterans’ HTN control. Utilizing a descriptive, exploratory, cross-sectional, retrospective, convenience sampling research design, 331 electronic medical records in a VA dashboard data set were reviewed for men and women veterans between the age 24 and 98 years (M=62, SD=13) in a Southern California Veterans Affair primary care clinic from October 17, 2014 through October 17, 2016. Data were analyzed by univariate, bivariate and multivariate statistics. The study found that self-reported medication adherence to antihypertensive drugs (p < .001) was an independent predictor to veterans’ final systolic blood pressure. Future HTN control research may focus on some theory-guided multidimensional determinants of patients’ adherence to HTN treatments and HTN control outcomes fully, utilizing a consistent HTN definition defined by JNC-7.

Document Type

Dissertation: Open Access



Included in

Public Health Commons