Identification of psychosocial factors of noncompliance in hypertensive patients

Abstract

This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or overregistered from January to June 2004, who had been on treatment for at least 3 months, were screened. Previously validated self-administered questionnaires were used to assess the compliance and psychosocial factors. A total of 240 hypertensive patients were recruited in the study. Of these, 55.8% were noncompliant to medication. Logistic regression showed that age (adjusted odds ratio (OR): 0.96; 95% confidence interval (CI): 0.92-0.997; P: 0.035), patient satisfaction (adjusted OR: 0.97; 95% CI: 0.93-0.998; P: 0.036) and medication barrier (adjusted OR: 0.95; 95% CI: 0.91-0.987; P: 0.009) were significant predictors of medication noncompliance. Therefore, younger age, poor patient satisfaction and medication barrier were identified as independent psychosocial predictors of medication noncompliant in hypertensive patients.

Adherence to Capecitabine Treatment and Contributing Factors among Cancer Patients in Malaysia

“…Data on the adherence to capecitabine was collected using a self-reported questionnaire called Medication Compliance Questionnaire (MCQ) (Hassan et al, 2006). Data on contributing factors was collected mainly from medical records except for socio-demographic characteristics, and healthcare-system related factors; selfreported questionnaires (MCQ) and Patient Satisfaction with Healthcare Questionnaire (PSHC).…”

“…It had been validated with internal consistency of Cronbach's α = 0.67 and 0.84 for respective domains, with test-retest single measure intraclass correlation coefficients (ICC) were 0.78 and 0.93 (Hassan et al, 2006). PSHC comprises of four domains, consists of overall patient satisfaction, satisfaction with appointment satisfaction with doctors service and satisfaction with pharmacy services.…”

“…Most of these domains are usually covered under the assessment of medication-taking behaviour and medication-stopping behaviour, evaluated in most of validated self-report questionnaires (Hassan et al, 2006). The association between complimentary medicines and adherence has been studied in other chronic diseases but not specifically among cancer patients.…”

“…Occurrence of medication inconvenience and side effects have been widely studied as the contributing factors to adherence and the result was frequently found to be significant regardless of any type of chronic diseases (Hassan et al, 2006;Spoelstra and Given, 2011;AlGhurair et al, 2012;A hmad et al, 2013;Verbrugghe et al, 2013).…”

“…In a study conducted among hypertensive patients in a teaching hospital in Kelantan, poor overall patient satisfaction was found to significantly reduce the level of adherence by three-percent odds (Hassan et al, 2006 DOI:http://dx.doi.org/10.7314/APJCP.2014.15.21.9225 Adherence to Capecitabine Treatment and Contributing Factors among Cancer Patients In Malaysia on the potential factors of non-adherence among cancer patients, limited sample size, univariable analysis with lack of confounder control and low generalizability due to restricted study population require more similar studies on the same issues to be conducted.…”