Evaluation of medication adherence in hypertensive patients and influential factors

Boratas, Selma; Kılıç, Hülya Fırat

doi:10.12669/pjms.344.14994

Cited by 23 publications

(22 citation statements)

References 14 publications

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“…Results of the multiple logistic regression analysis showed that duration of illness and number of chronic diseases were found significantly associated with medication non‐adherence. Consistent with the current study findings, Boratas & Kilic found a significant association between duration of illness and medication non‐adherence in patients with hypertension in Turkey . A study conducted by Marinho et al .…”

Section: Discussionsupporting

confidence: 91%

“…Consistent with the current study findings, Boratas & Kilic found a significant association between duration of illness and medication non-adherence in patients with hypertension in Turkey. [28] A study conducted by Marinho et al [29] has also found that increased duration of disease was associated with increased risk of non-adherence to medications in patients with type 2 diabetes in Brazil. Another study reported that longer duration of disease was a predictor of medication non-adherence in patients with diabetes in Gaza, but this association was not statistically significant.…”

Section: Discussionmentioning

confidence: 97%

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Non‐adherence to pharmacotherapy and its associated factors among patients with angina in Jordan

Jarab

Rababa’h

Almousa

et al. 2020

J Pharm Health Serv Res

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Objective The study aim was to explore factors associated with medication non‐adherence in patients with angina in Jordan. Methods The current study was conducted in the outpatient cardiac clinic at the Royal Medical Services Hospital in Amman. Variables including socio‐demographics, biomedical variables in addition to disease and therapy factors were collected for 500 patients with angina using medical records and custom‐designed questionnaire. Medication adherence was assessed using the validated 4‐item Morisky Medication Adherence Scale. Logistic regression was performed to develop a model with variables that best predicted medication non‐adherence. Key findings The majority of the study patients (79.4%) were found non‐adherent to the prescribed medications. Regression analysis identified duration of illness (P < 0.037; OR = 1.090) and number of chronic diseases (P < 0.035; OR = 1.621) as significant predictors of medication non‐adherence. Conclusion Clinical pharmacists should focus on improving medication adherence for patients with angina. Patients who have longer duration of angina and those with multiple comorbid diseases should be specifically targeted in future pharmaceutical care programmes designed to improve health outcomes for patients with angina in Jordan.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Non‐adherence to pharmacotherapy and its associated factors among patients with angina in Jordan

Jarab

Rababa’h

Almousa

et al. 2020

J Pharm Health Serv Res

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“…Medication adherence is a dynamic process and can vary in individuals as well as populations, possibly increasing around clinic visits in individuals or decreasing with disease duration [ 47 , 62 ]; on the contrary, this study found that adherence to hypertension treatment improved with age and duration of diagnosis which was similar to the results of a study in Pakistan [ 63 ]. Furthermore, assessment of adherence often overestimates actual adherence, especially using a self-assessment method, as in this study with 80.4% of participants rating themselves to be adherent to treatment.…”

Section: Discussionsupporting

confidence: 81%

Assessing Barriers to and Level of Adherence to Hypertension Therapy among Palestinians Living in the Gaza Strip: A Chance for Policy Innovation

Abu-El-Noor

Aljeesh

Böttcher

et al. 2020

International Journal of Hypertension

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Introduction. Hypertension is a major health concern, especially in low-income countries. Nonadherence and poor or no persistence in adhering to hypertension treatment regimens result in uncontrolled high blood pressure, increasing rates of mortality and morbidity, and preventable healthcare costs. The aim of this study was to assess the level of adherence and barriers to treatment regimens among hypertensive patients living in the Gaza Strip, Palestine. Methods. A convenience sample of 648 participants completed the Hill-Bone Compliance to High Blood Pressure Therapy Scale. The great majority of participants (n = 521, 80.4%) was highly adherent to their treatment regimen, 123 participants (18.98%) were classified as moderately nonadherent, and 4 (0.62%) participants were classified as highly nonadherent to their hypertension treatment regimen. Participants of this study showed the highest adherence rate to the domain of medication adherence (mean of 1.42 out of 4) followed by appointment keeping (mean 1.8), while they were least adherent to diet (mean of 2.18). The greatest three barriers to adherence to the recommended treatment regimen reported by participants were inability to exercise, inability to resist fast and fried food, and inability to keep themselves away from salty foods. Conclusion. Overall adherence to medication in Gaza was surprisingly good in patients with a diagnosis of hypertension for at least one year. However, adherence to lifestyle advice or dietary regimes remains poor. A combination of interventions using low-cost mobile technology, combined with face-to-face interventions by healthcare professionals, can be applied to improve adherence to hypertension treatment regimens in order to reduce the consequences of uncontrolled blood pressure.

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“…Different factors may influence patient adherence to hypertension medications ranging from patient-related characteristics such as gender, and age, to the duration of having hypertension, and the frequency of blood pressure measurement. 8 , 9 In addition, there are other several factors of which patients’ beliefs about medication are considered an important aspect in their motivation to take the medication as prescribe. 10 Medication beliefs are thought to be more consistent in predicting adherence than demographic variables, and account for almost 20% of the variance in adherence behaviour.…”

Section: Introductionmentioning

confidence: 99%

<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

Shahin

Kennedy

Cockshaw

et al. 2020

PPA

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Purpose The study assessed the association between medication beliefs and adherence in Middle Eastern refugees and migrants in Australia, and also examined differences between the two groups regarding beliefs and adherence to medication. Patients and Methods A total of 319 Middle Eastern refugees and migrants with hypertension were approached via various social groups in Australia and asked to complete Arabic versions of the Beliefs about Medicine Questionnaire (BMQ) and the Medication Adherence Questionnaire. BMQ scores (necessity and concerns scales) were classified as “accepting”, “indifferent”, “ambivalent” or “skeptical”. Multiple mediation modelling was applied to examine the role of necessity and concerns scales as mediators between migration status and medication adherence. Results There were significant associations between medication adherence and medication beliefs scores (necessity and concerns scales) ( p =0.0001). Necessity and concern were mediators in the relationship between migration status and medication adherence. Significant differences were found between refugees and migrants for medication adherence and medication beliefs. Refugees were likely to have less necessity, and more concern beliefs than migrants, and were also less likely to adhere to medications. Almost 30% of refugees could be classified as skeptical and 40% as ambivalent. In contrast, 50% of migrants had accepting beliefs, and around 35% held ambivalent beliefs. Refugees and migrants with “accepting” beliefs reported the highest adherence to medication and those holding “skeptical” beliefs reported the lowest adherence. Conclusion Medication beliefs are potentially modifiable and are reasonable targets for clinical interventions designed to improve medication adherence. Understanding these beliefs and the likely differences between refugees and migrants is crucial to provide specific and targeted advice to each group independently in order to improve medication adherence and overall health.

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Evaluation of medication adherence in hypertensive patients and influential factors

Cited by 23 publications

References 14 publications

Non‐adherence to pharmacotherapy and its associated factors among patients with angina in Jordan

Non‐adherence to pharmacotherapy and its associated factors among patients with angina in Jordan

Assessing Barriers to and Level of Adherence to Hypertension Therapy among Palestinians Living in the Gaza Strip: A Chance for Policy Innovation

<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

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