ArticlePharmacy world & science : PWS2007
The journey to concordance for patients with hypertension: a qualitative study in primary care.
Article in Pharmacy world & science : PWS, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019).Hypertension research : official journal of the Japanese Society of Hypertension · 2019Guideline
- Lay perspectives on hypertension and drug adherence: systematic review of qualitative research.BMJ (Clinical research ed.) · 2012Pooled it
- Promotion of behavioural change in people with hypertension: an intervention study.Pharmacy world & science : PWS · 2008Trial
- Strategies for improving the treatment and control of hypertension in Japan.Journal of human hypertension · 2024Review
- Therapeutic concordance improves blood pressure control in patients with resistant hypertension.Pharmacological research · 2023Article
- Hypertension management: experiences, wishes and concerns among older people-a qualitative study.BMJ open · 2019Article
- Being as an iceberg: hypertensive treatment adherence experiences in southeast of Iran.Global health action · 2015Article
- Lessons learned from a survey of the diagnosis and treatment journeys of postmenopausal women with hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2013Article
- Explanatory models of hypertension among Nigerian patients at a University Teaching Hospital.Ethnicity & health · 2012Article
- Factors affecting adherence to antihypertensive medication in Greece: results from a qualitative study.Patient preference and adherence · 2010Article
- Obesity Modifies the Association of Race/Ethnicity with Medication Adherence in the CARDIA Study.The patient · 2008Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to explore, using qualitative methods, the perspectives of patients with hypertension on issues relating to concordance in prescribing.
methodThis study took place in NHS general practices in Northern Ireland. A purposeful sample of patients who had been prescribed anti-hypertensive medication for at least one year were invited to participate in focus groups or semi-structured interviews; data were analysed using constant comparison.
main outcome measuresThe perspectives of patients with hypertension on issues relating to concordance in prescribing.
resultsTwenty-five individuals participated in five focus groups; two participated in semi-structured interviews. Participants felt they could make valuable contributions to consultations regarding their management. They were prepared to negotiate with GPs regarding their medication, but most deferred to their doctor's advice, perceiving doctors' attitudes and time constraints as barriers to their greater involvement in concordant decision-making. They had concerns about taking anti-hypertensive drugs, were aware of lifestyle influences on hypertension and reported using personal strategies to facilitate adherence and reduce the need to take medication.
conclusionsParticipants indicated a willingness to be involved in concordance in prescribing anti- hypertensive medication but needed health professionals to address their concerns and confusion about the nature of hypertension. These findings suggest that there is a need for doctors and other healthcare professionals with responsibility for prescribing to develop skills specifically to explore the beliefs and views underlying an individual's medication use. Such skills may need to be developed through specific training programmes at both undergraduate and postgraduate level.
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Registered trials
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