Clinicians and patients with hypertension: Unsettled issues about compliance

Rudd, Peter

doi:10.1016/0002-8703(95)90368-2

Cited by 147 publications

(81 citation statements)

References 33 publications

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“…There is often miniscule benefit and occasional 'backfires' for the patient, resulting in excess fault-finding and nagging. 15,[48][49][50] Importantly for adherence and review behaviours, consumers overwhelmingly agreed that they have enough assistance to remember to take, and feel confident in managing, their medicines. However, this significantly declines for the less experienced group (see Results).…”

Section: Resultsmentioning

confidence: 99%

Using a problem detection study (PDS) to identify and compare health care provider and consumer views of antihypertensive therapy

et al. 2003

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The objectives of this study were to ascertain consumer knowledge and behaviour about hypertension and treatment and to compare these with health care providers' perceptions (of 'most' consumers). The design for the study was a problem detection study (PDS): focus groups and then survey. Focus groups and survey participants were convenience samples of consumers, doctors, nurses and pharmacists. The main outcome measures were agreement on a 5-point Likert scale with statements about consumers' knowledge and behaviour about high blood pressure and medication. The survey identified areas of consensus and disagreement between consumers and health providers. While general knowledge and concordance with antihypertensive therapy among consumers was good, consequences such as eye and kidney disease, interactions with herbal medicines, and how to deal with missing a dose were less well known. Side effects were a problem for over one-quarter of participants, and cost was a problem in continuing therapy. Half the consumers had not received sufficient written information. Providers overall disagreed that most consumers have an adequate understanding of the condition. They agreed that most consumers adhere to therapy and can manage medicines; and about their own profession's role in information provision and condition management. Consumers confirmed positive provider behaviour, suggesting opportunities for greater communication between providers about actions taken with their consumers. In conclusion, the PDS methodology was useful in identifying consumer opinions. Differences between consumer and provider responses were marked, with consumers generally rating their knowledge and behaviour above providers' ratings of 'most' consumers. There are clear gaps to be targeted to improve the outcomes of hypertension therapy.

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Section: Resultsmentioning

confidence: 99%

Using a problem detection study (PDS) to identify and compare health care provider and consumer views of antihypertensive therapy

et al. 2003

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“…This calls for more focus and care regarding the behavioural aspects of the management of hypertension 24 rather than restricting doctor's attention to the choice of one type of drug or another. Ignoring behavioral aspects of the management of patients could lead to unnecessary and harmful escalation of a drug regimen 25 .…”

Section: Discussionmentioning

confidence: 99%

Non Compliance Pattern of Anti Hypertensive Treatment

et al. 2016

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“…23 To adjust for potential confounders, we included additional demographic and clinical characteristics identified from previous studies. [5][6][7][8]10,28,29 The factors included age, gender, marital status, education, household income, employment status, health insurance status, duration of antihypertensive medication, smoking status and drinking status. Cancer stage was included as a subgroup to assess the impact of competing risks on hypertension management.…”

Section: Measurementsmentioning

confidence: 99%

“…[5][6][7][8][9] According to the Health Belief Model, certain behavioral factors, such as perceived risk for the disease and perceived benefit of treatment, [10][11][12] could also affect the management of hypertension. Unlike hypertensive patients without cancer, cancer survivors with hypertension are more likely to consider cancer recurrence, metastasis and a second primary cancer as major health concerns, and usually require more complex care.…”

Section: Introductionmentioning

confidence: 99%

Comparison of hypertension management between cancer survivors and the general public

et al. 2012

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Proper management of hypertension is important for better survival and quality of life of cancer survivors who have hypertension. We aimed to compare hypertension management between cancer survivors and the general population. A nationwide, multicenter, cross-sectional survey was administered to adult cancer patients, currently receiving treatment or follow-up, who had been diagnosed with hypertension. Comparison group was selected from among participants in the health behavior survey of the third Korean National Health and Nutrition Examination Survey. Self-reported hypertension management was surveyed, including antihypertensive medication adherence, frequency of blood pressure (BP) monitoring and perceived BP control. Multivariate logistic regression analysis was used to evaluate the relationship between cancer survivorship and each outcome measure. Compared with the general population, cancer survivors were more likely to report full adherence (92.7% vs. 73.0%; adjusted odds ratio (aOR) ¼ 3.45; 95% confidence interval (CI), 2.08-5.73), more frequent BP measurement (X24 per year: 50.1% vs. 24.7%; aOR ¼ 2.51; 95% CI, 1.83-3.46), and very good perceived BP control (60.8% vs. 26.2%; aOR ¼ 4.34; 95% CI, 3.13-6.02). Cancer survivors appear to be better with antihypertensive medication adherence and BP monitoring than those without cancer, and as a result, they appear to be under better BP control. However, several methodological limitations of our study prompt further research on this issue.

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Clinicians and patients with hypertension: Unsettled issues about compliance

Cited by 147 publications

References 33 publications

Using a problem detection study (PDS) to identify and compare health care provider and consumer views of antihypertensive therapy

Using a problem detection study (PDS) to identify and compare health care provider and consumer views of antihypertensive therapy

Non Compliance Pattern of Anti Hypertensive Treatment

Comparison of hypertension management between cancer survivors and the general public

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