Association between adherence, treatment satisfaction and illness perception in hypertensive patients

Abstract

The relationship between adherence to antihypertension medications, treatment satisfaction and illness perception has not been studied so far. The primary objective of this study was to examine the association between adherence to medication, treatment satisfaction and illness perception in Lebanese hypertensive patients. The relation between medication adherence and blood pressure (BP) control was also assessed. In this cross-sectional study, patients were recruited from the physician's practice offices and community pharmacies in Beirut. Patients who had been treated for hypertension for at least 3 months were invited to participate in the study; they completed three questionnaires: the 8-item Morisky Medication Adherence Scale (MMAS-8), the Treatment Satisfaction Questionnaire for Medication (TSQM-4) and the Brief Illness Perception Questionnaire (BIPQ). BP was also measured and recorded. A total of 117 subjects were included, of whom 29.1% had poor adherence to their antihypertension treatment (MMAS-8 scores<6). The odds of having well-controlled hypertension was 3.5 times higher in patients with high adherence compared with patients with poor adherence (P=0.010). Treatment satisfaction was significantly greater in patients with good adherence (P<0.001). Neither socio-demographic, disease- nor drug-related characteristics of the participants were significantly associated with medication adherence. As for illness perception, even though the mean BIPQ score of adherent participants was lower than the mean score of non-adherent participants, this difference did not reach statistical significance. In conclusion, treatment satisfaction was found to be a predictor of adherence. Studies are needed to determine whether interventions to increase satisfaction can improve adherence and BP control.

Utility of the Morisky Medication Adherence Scale in gout: a prospective study

“…The majority (61.9%) of our gout patients had good (medium to high) adherence to ULT on MMAS-8, compatible with the adherence described in other chronic diseases27–29 using the same tool. As expected from a self-report measure, adherence in our gout cohort appears to be high, similar to another study of adherence to ULT, where adherence was assessed through the Medication Adherence Report Scale 25…”

Occupational burnout and empathy influence blood pressure control in primary care physicians

“…Several recent studies have analyzed treatment adherence and BP control performance in primary care [17]. Poor control has been associated with multiple factors, including the use of minimally active drugs, reluctance among physicians to combine antihypertensives with other medications, [18] poor adherence to treatment, [19] and failure to implement lifestyle modifications, such as dietary changes.…”

Satysfakcja i preferencje pacjentów dotyczące leczenia lanreotydem Autogel w akromegalii

“…In light of the burden of long-term parenteral treatment, patient treatment perception is critical, primarily for adherence to treatment and thus for achieving optimal treatment effects [8]. To accurately gauge patient preference, a survey of patient-reported outcomes is considered preferable, as it helps determine the efficacy of treatment and interpret clinical results from a patient's perspective, and it supports the treating physician in making decisions about the patient's therapy.…”