Date of Award

5-2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Program

Nursing Science

Research Advisor

Janeane N. Anderson, PhD

Committee

Lacretia Carroll, PhD; Sheree Donaldson, PhD; Elizabeth A. Tolley, PhD; Jennifer L. Valli, PhD

Keywords

African American men;Black men;High Blood Pressure;Hypertension;Mixed-Methods;Shared Decision-Making

Abstract

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.

Declaration of Authorship

Declaration of Authorship is included in the supplemental files.

ORCID

0000-0002-2532-3135

DOI

10.21007/etd.cghs.2024.0654

Additional Files
2024-003-Calhoun-DOA.pdf (192 kB)
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