Date of Award


Degree Name



College of Health Professions

Type of Degree


Document Type


First Advisor

Diana Stotts

Second Advisor

Karen Stanley

Third Advisor

Jack Terry


Introduction: The purpose of this study was to discover the barriers to health promoting lifestyles among the Appalachian veteran population with uncontrolled hypertension.

Design: A quantitative research study was conducted over five months using a non-experimental, descriptive research design. Pender’s Health Promotion Model served as the study’s framework. Subjects were recruited from a primary care setting through advertisement within the hospital. A convenience sample of thirty-two subjects was obtained.

Method: The Health Promotion Lifestyle Profile (HPLP) II survey assessed for barriers to controlled hypertension in the following areas: health-promoting lifestyle, health responsibility, stress management, spiritual growth, interpersonal relationships, nutrition, and physical activity.

Findings: Moderately significant correlations were noted between uncontrolled hypertension and four out of six health promoting dimensions.

Conclusion: An elevation in systolic blood pressure correlated to poor interpersonal relationships, spiritual growth, and health responsibility was correlated to elevated systolic pressure. Ineffective stress management was found to elevate systolic and diastolic blood pressures.


Veterans -- Diseases -- Appalachian Region.

Veterans -- Health and hygiene -- Appalachian Region.

Health promotion -- Appalachian Region.