Análisis de los estudios publicados sobre el incumplimiento terapéutico en el tratamiento de la hipertensión arterial en España entre los años 1984 y 2005

Contreras, E. Márquez; Gil-Guillén, Vicente Francisco; Martínez, J.J. Casado; Claros, Nieves Martel; Wichmann, Mariano de la Figuera von; Pablos, J.L. Martín de; Martín, Francisco Atienza; García, Teresa Gros; García, Jacinto Espinosa

doi:10.1157/13093369

Cited by 60 publications

(9 citation statements)

References 5 publications

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“…This lack of knowledge is also consistent with other studies carried out in Spain, in which they revealed that over 50% of Spanish patients with hypertension did not follow adequately their physicians’ recommendations (Márquez Contreras et al . ). This might have account for why 65% of Spanish patients on antihypertensive drug regimens did not have their blood pressure under adequate control (Banegas ).…”

Section: Discussionmentioning

confidence: 97%

Assessing the impact of educational intervention in patients with hypertension

Ho¹,

Estrada

Agudo³

et al. 2016

Journal of Renal Care

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Section: Discussionmentioning

confidence: 97%

Assessing the impact of educational intervention in patients with hypertension

Ho¹,

Estrada

Agudo³

et al. 2016

Journal of Renal Care

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“…Márquez Contreras et al 11 warned that questionnaires have low negative predictive value, confi rmed by the fact that 43% of users with uncontrolled high blood pressure reported that they were correctly following their treatment. Another important factor is reported by Santa Helena et al, 16 and refers to the conditions in which the questionnaire is carried out, dealing with undesirable behavior, which may intimidate the interviewees.…”

Section: Discussionmentioning

confidence: 99%

Instrumento mensurador de adesão para hipertensos: contribuição da Teoria da Resposta ao Item

et al. 2013

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OBJECTIVE:To analyze, by means of Item Response Theory, an instrument to measure adherence to t treatment for hypertension. METHODS:Analytical study with 406 hypertensive patients with associated complications seen in primary care in Fortaleza, CE, Northeastern Brazil, 2011 using "Item Response Theory". The stages were: dimensionality test, calibrating the items, processing data and creating a scale, analyzed using the gradual response model. A study of the dimensionality of the instrument was conducted by analyzing the polychoric correlation matrix and factor analysis of complete information. Multilog software was used to calibrate items and estimate the scores. RESULTS:Items relating to drug therapy are the most directly related to adherence while those relating to drug-free therapy need to be reworked because they have less psychometric information and low discrimination. The independence of items, the small number of levels in the scale and low explained variance in the adjustment of the models show the main weaknesses of the instrument analyzed. The "Item Response Theory" proved to be a relevant analysis technique because it evaluated respondents for adherence to treatment for hypertension, the level of diffi culty of the items and their ability to discriminate between individuals with different levels of adherence, which generates a greater amount of information. CONCLUSIONS:The instrument analyzed is limited in measuring adherence to hypertension treatment, by analyzing the "Item Response Theory" of the item, and needs adjustment. The proper formulation of the items is important in order to accurately measure the desired latent trait.

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“…In addition, the strategies that have most improved compliance among subjects with other risk factors, such as hypertension, do not include specific activities, such as pamphlets or telephone alerts, but rather combined activities, such as group sessions coupled with mail-based back-up and support [ 22 ], or alternatively, the delivery of printed matter, appointment-reminder telephone calls and mail with educational messages about the disease [ 23 ]. In this respect, there would seem to be agreement on the need to use a combination of strategies to improve adherence, thus surpassing the possible benefits of single strategies implemented one at a time [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a combined strategy to improve therapeutic compliance and degree of control among patients with hypercholesterolaemia: a randomised clinical trial

Martínez

Rabanales-Sotos

Lago-Deibe³

et al. 2015

BMC Cardiovasc Disord

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BackgroundIn subjects with hypercholesterolaemia, cholesterol values remain above guideline levels. One of the limiting factors to the achievement of goals in such patients is therapeutic non-adherence. The aim of this study is to assess the effectiveness of an intervention designed to improve control of hypercholesterolaemic patients, consisting of a combined strategy that would include the delivery of printed information, treatment-compliance check cards and the dispatch of text messages as complementary measures in support of the intervention at the general practitioner’s practice.Methods/DesignA randomised, parallel-group clinical trial will be conducted at the family medicine outpatient facilities of eight health centres in three of Spain’s Autonomous Regions (Comunidades Autónomas), covering a total of 358 subjects aged 18 years or over with diagnosis of hypercholesterolaemia. Patients in the intervention group will be supplied with printed material with information on the disease and its management, mobile-telephone text messages with guideline summaries, reminders of forthcoming appointments and/or arrangements for making new appointments in the event of non-attendance, and self-report cards to check compliance with recommendations. Both groups -intervention and control- will receive routine recommendations from their physicians in accordance with current European clinical practice guidelines for hypercholesterolaemia and cardiovascular risk management. As regards the measurements to be made, the main variable is the proportion of subjects who attain the low density lipoprotein cholesterol levels set as a target across a follow-up period of 24 months. The secondary variables are as follows: adherence to recommendations on lifestyle and adherence to drug treatment; variation in lipid profiles and cardiovascular risk levels; appearance of cardiovascular events; physical activity; food consumption; smoking habit; anthropometric measures; blood pressure; health problems; use of hypolipidaemic agents; socio-demographic data; beliefs and expectations about preventive recommendations; and degree of satisfaction with the combined strategy.DiscussionShould this intervention prove effective, a recommendation could be issued on the application of this combined strategy to subjects with hypercholesterolaemia. It is a simple, relatively inexpensive intervention.Trial registrationClinicalTrials.gov: NCT02314663.

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Análisis de los estudios publicados sobre el incumplimiento terapéutico en el tratamiento de la hipertensión arterial en España entre los años 1984 y 2005

Abstract: The percentage of therapy non-compliance in the treatment of hypertension in Spain has fallen in recent years, although it continues to be high.

Cited by 60 publications

References 5 publications

Assessing the impact of educational intervention in patients with hypertension

Assessing the impact of educational intervention in patients with hypertension

Instrumento mensurador de adesão para hipertensos: contribuição da Teoria da Resposta ao Item

Effectiveness of a combined strategy to improve therapeutic compliance and degree of control among patients with hypercholesterolaemia: a randomised clinical trial

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