Research Topics
| Anthony J VieraSummaryAffiliation: University of North Carolina Country: USA Publications
Research Grants
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Detail Information
Publications
Clinical inquiries. How effective are hypertension self-care interventions?Anthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, USA
J Fam Pract 56:229-31. 2007- Reproducibility of masked hypertension in adults with untreated borderline office blood pressure: comparison of ambulatory and home monitoringAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, USA
Am J Hypertens 23:1190-7. 2010.... - Does an offer for a free on-line continuing medical education (CME) activity increase physician survey response rate? A randomized trialAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
BMC Res Notes 5:129. 2012..abstract:.. - Use of global coronary heart disease risk assessment in practice: a cross-sectional survey of a sample of U.S. physiciansBenjamin Shillinglaw
Department of Medicine, University of Colorado Denver School of Medicine, Denver, Colorado, USA
BMC Health Serv Res 12:20. 2012..Our objective was to examine US physicians' awareness, use, and attitudes regarding global CHD risk assessment in clinical practice, and how these vary by provider specialty... - Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literatureJonas J Swartz
Public Health Leadership Program, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC 27599 7461, USA
Int J Behav Nutr Phys Act 8:135. 2011..The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption... - High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) studyAnthony J Viera
Department of Family Medicine, The University of North Carolina at Chapel Hill, NC 27599 7595, USA
J Am Board Fam Med 21:300-8. 2008..We sought to assess primary care patients' current knowledge about various aspects of high blood pressure (BP)... - Hypertensive patients' use of blood pressure monitors stationed in pharmacies and other locations: a cross-sectional mail surveyAnthony J Viera
Department of Family Medicine, UNC Chapel Hill, USA
BMC Health Serv Res 8:216. 2008..We sought to estimate the proportion of hypertensive patients who use these types of monitors and examine whether use varies by demographic or health characteristics... - Evaluation and management of the patient with difficult-to-control or resistant hypertensionAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina 27599 7595, USA
Am Fam Physician 79:863-9. 2009..Obesity, heavy alcohol intake, high levels of dietary sodium, and interfering substances (especially nonsteroidal anti-inflammatory drugs) contribute to hypertension that is resistant or difficult to control... - The polypill to prevent cardiovascular disease: physicians' perspectivesAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
Curr Opin Cardiol 26:438-42. 2011..g. 55 years) rather than individually as a result of a clinical decision. This review summarizes recent studies describing physicians' perspectives regarding the polypill... - Tolerability of the Oscar 2 ambulatory blood pressure monitor among research participants: a cross-sectional repeated measures studyAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
BMC Med Res Methodol 11:59. 2011.... - Diurnal blood pressure pattern and development of prehypertension or hypertension in young adults: the CARDIA studyAnthony J Viera
Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA
J Am Soc Hypertens 5:48-55. 2011..Nondipping might predate a meaningful clinically detected increase in BP in some people, but more research in larger study samples is needed... - Global risk of coronary heart disease: assessment and applicationAnthony J Viera
University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina 27599, USA
Am Fam Physician 82:265-74. 2010..Many tools are available to estimate global risk, including several Web-based calculators. In the United States, tools based on the Framingham Heart Study are recommended... - Level of blood pressure above goal and clinical inertia in a Medicaid populationAnthony J Viera
Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA
J Am Soc Hypertens 4:244-54. 2010..2-10.2) times greater at visits when patients' BP was 40/20 mm Hg or higher above goal. However, even when BP was above goal at this level, treatment change occurred only 46% (95% Confidence Interval 40.2-51.8) of the time... - Effects of labeling patients as prehypertensiveAnthony J Viera
Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA
J Am Board Fam Med 23:571-83. 2010..We examined whether the label of prehypertension exerts a negative effect on patients' perceived health and whether it motivates people to adopt lifestyle recommendations to prevent hypertension... - Acceptance of a Polypill approach to prevent cardiovascular disease among a sample of U.S. physiciansAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA
Prev Med 52:10-5. 2011..To examine US physicians' self-reported knowledge about the Polypill, factors considered in deciding whether to prescribe it, and acceptance of prescribing it for cardiovascular disease (CVD) prevention... - Understanding interobserver agreement: the kappa statisticAnthony J Viera
Robert Wood Johnson Clinical Scholars Program, University of North Carolina, USA
Fam Med 37:360-3. 2005..A limitation of kappa is that it is affected by the prevalence of the finding under observation. Methods to overcome this limitation have been described... - Odds ratios and risk ratios: what's the difference and why does it matter?Anthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
South Med J 101:730-4. 2008..Readers should also look to see that a confidence interval is provided with any report of an OR or RR. A greater understanding of ORs and RRs allows readers to draw more accurate interpretations of research findings... - How and why do patients use home blood pressure monitors?Anthony J Viera
Department of Family Medicine, UNC Chapel Hill, Chapel Hill, North Carolina 27599 7595, USA
Blood Press Monit 13:133-7. 2008..We also examined whether those using HBPM provide written reports of measurements to their doctor and whether they have ever had their monitor checked... - Effects of sex, age, and visits on receipt of preventive healthcare services: a secondary analysis of national dataAnthony J Viera
Robert Wood Johnson Clinical Scholars Program, University of North Carolina, Chapel Hill, NC, USA
BMC Health Serv Res 6:15. 2006..Sex and age may exert a combined influence on receipt of preventive services with differences due to number of ambulatory care visits... - Adults' lack of a usual source of care: a matter of preference?Anthony J Viera
Robert Wood Johnson Clinical Scholars Program, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Ann Fam Med 4:359-65. 2006..We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care... - The new "normal" blood pressure: what are the implications for family medicine?Anthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
J Am Board Fam Med 20:45-51. 2007..The purposes of this study were to describe the proportion of adults in a family medicine practice with normal BP and the proportions with prehypertension and hypertension and to examine associations with having normal BP... - Eliminating bias in randomized controlled trials: importance of allocation concealment and maskingAnthony J Viera
Department of Family Medicine, University of North Carolina, NC 27599 7595, USA
Fam Med 39:132-7. 2007..In contrast to allocation concealment, masking cannot always be incorporated into a randomized controlled trial. Both allocation concealment and masking add to the elimination of bias in randomized controlled trials... - Predisease: when does it make sense?Anthony J Viera
Department of Family Medicine, 590 Manning Drive, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7595, USA
Epidemiol Rev 33:122-34. 2011.... - Validation of the HEM-780REL with easy wrap cuff for self-measurement of blood pressure according to the European Society of Hypertension International ProtocolAnthony J Viera
Department of Family Medicine, Division of Cardiology, University of North Carolina at Chapel Hill, North Carolina 27599 7595, USA
Blood Press Monit 12:335-8. 2007..We tested the accuracy of the HEM-780REL automatic blood pressure monitor with Easy Wrap Cuff... - Lifestyle modification advice for lowering or controlling high blood pressure: who's getting it?Anthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7595, USA
J Clin Hypertens (Greenwich) 9:850-8. 2007..35; 95% CI, 1.98-2.81). This study demonstrates that older persons, persons not taking antihypertensive medication, and individuals who are not overweight or obese are less likely to report receiving LSM advice... - Diagnosis of secondary hypertension: an age-based approachAnthony J Viera
Department of Family, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, USA
Am Fam Physician 82:1471-8. 2010..Therefore, all children with confirmed hypertension should have an evaluation for an underlying etiology that includes renal ultrasonography... - Lifestyle modifications to lower or control high blood pressure: is advice associated with action? The behavioral risk factor surveillance surveyAnthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599 7595, USA
J Clin Hypertens (Greenwich) 10:105-11. 2008..62; 95% confidence interval [CI], 1.56-1.67), reduce salt (PR, 1.53; 95% CI, 1.48-1.58), exercise (PR, 1.41; 95% CI, 1.36-1.47), and reduce alcohol consumption (PR, 1.78; 95% CI, 1.70-1.87)... - Preliminary study of a school-based program to improve hypertension awareness in the communityAnthony J Viera
University of North Carolina, Department of Family Medicine, Chapel Hill, NC 27599, USA
Fam Med 40:264-70. 2008..We studied the results of the program on the outcomes of parental knowledge about high blood pressure (BP) and their reports of having seen or intending to see a health professional about their BP... - Use of home blood pressure monitoring by hypertensive patients in primary care: survey of a practice-based research network cohortAnthony J Viera
Department of Family Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, Chapel Hill, NC 27599 7595, USA
J Clin Hypertens (Greenwich) 10:280-6. 2008..96; 95% CI, 1.08-3.56). The factor most strongly associated with use of HBPM was recalling a doctor's recommendation to do so (OR, 7.93; 95% CI, 4.96-12.7)... - The contribution of hypertension to black-white differences in likelihood of coronary artery disease detected during elective angiographyMatthew A Triplette
Department of Public Health Leadership, University of North Carolina at Chapel Hill, USA
Am J Hypertens 24:181-6. 2011.... - A hypertension risk score for middle-aged and older adultsAbhijit V Kshirsagar
Department of Medicine, UNC Kidney Center and Division of Nephrology and Hypertension, School of Medicine, Chapel Hill, NC 27599, USA
J Clin Hypertens (Greenwich) 12:800-8. 2010..75-0.78) in the testing sample at 3, 6, and 9 years of follow-up. This risk calculator may aide health care providers in guiding discussions with patients about the risk for progression to hypertension... - Influence of a tobacco-free hospital campus policy on smoking status of hospital employeesCarol Ripley-Moffitt
University of North Carolina at Chapel Hill, 27599 7595, USA
Am J Health Promot 25:e25-8. 2010..To examine the influence of a tobacco-free hospital campus (TFHC) policy on employee smoking behavior... - The MD-MPH program at the University of North Carolina at Chapel HillRussell Harris
UNC School of Medicine, UNC School of Public Health, Chapel Hill, NC, USA
Acad Med 83:371-7. 2008.... - Interventions for individuals with low health literacy: a systematic reviewStacey L Sheridan
Department of Medicine, University of North Carolina at Chapel Hill, North Carolina 27599, USA
J Health Commun 16:30-54. 2011..Evidence for the effects of interventions on other outcomes was either limited or mixed. Multiple interventions show promise for mitigating the effects of low health literacy and could be considered for use in clinical practice... - Interventions to improve transitional care between nursing homes and hospitals: a systematic reviewMichael A LaMantia
Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 58:777-82. 2010..Although preliminary evidence supports adoption of these methods to improve transitions between nursing home and hospital, further research is needed to define target populations and outcomes measures for high-quality transitional care... - Assessing and promoting physical activity in African American barbershops: results of the FITStop pilot studyLaura A Linnan
University of North Carolina, Chapel Hill, USA
Am J Mens Health 5:38-46. 2011..92. Barbershops offer an effective setting for recruiting African American men and conducting physical measurements as well as an interesting possible location for conducting future interventions... - Cost-effectiveness of electrocardiography vs. electrocardiography plus limited echocardiography to diagnose LVH in young, newly identified, hypertensivesPeter J Leese
Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Am J Hypertens 23:592-8. 2010..However, the introduction of limited echo within the past decade has made sonographic imaging of the heart less expensive and more available for routine screening... - The effect of giving global coronary risk information to adults: a systematic reviewStacey L Sheridan
University of North Carolina, Chapel Hill, 27599, USA
Arch Intern Med 170:230-9. 2010..Whether it improves outcomes is currently unknown... - Volunteerism among surgeons: an exploration of attitudes and barriersKatharine L McGinigle
School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Am J Surg 196:300-4. 2008..The purpose of the current study was to explore attitudes and barriers to volunteering... - Research published in 2003 by U.S. family medicine authorsDonald E Pathman
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599 7595, USA
J Am Board Fam Med 21:6-16. 2008.... - Quality of reporting on randomised controlled trials of auriculotherapy for painGary N Asher
Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599 7595, USA
Acupunct Med 29:122-6. 2011.... - Do clinicians tell patients they have prehypertension?Anthony J Viera
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill
J Am Board Fam Med 24:117-8. 2011..The clinical utility of the prehypertension label is questionable. We sought to estimate how often patients with prehypertension are being told about it by their primary care clinicians...
Research Grants
- Reproducibility and Clinical Implications of Masked HypertensionAnthony J Viera; Fiscal Year: 2010..The findings are expected to lead to clinical strategies enabling greater recognition of hypertension, and therefore, ultimately to a reduction in cardiovascular morbidity and mortality in the population. ..