Trial reportAmerican journal of health promotion : AJHP
Medication adherence among rural, low-income hypertensive adults: a randomized trial of a multimedia community-based intervention.
Trial report in American journal of health promotion : AJHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Do health education initiatives assist socioeconomically disadvantaged populations? A systematic review and meta-analyses.BMC public health · 2023Pooled it
- Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications.The Cochrane database of systematic reviews · 2020Pooled it
- The Effectiveness of Self-Management Interventions for Individuals with Low Health Literacy and/or Low Income: A Descriptive Systematic Review.Journal of general internal medicine · 2018Pooled it
- Effect Sizes and Primary Outcomes in Large-Budget, Cardiovascular-Related Behavioral Randomized Controlled Trials Funded by NIH Since 1980.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Pooled it
- Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis.Current hypertension reports · 2015Pooled it
- Cultural relevance in medication adherence interventions with underrepresented adults: systematic review and meta-analysis of outcomes.Preventive medicine · 2014Pooled it
- How Does Indonesian Chronic Disease Patient Adhere to Their Treatment? A Cross-Sectional Analysis of 11,408 Subjects.Patient preference and adherence · 2025Article
- Effect of Self-Measuring Blood Pressure Program on Hypertension Control: Analysis by Diabetes Status, Age, Gender, and Race in Rural Arizona.Clinics and practice · 2024Article
- Antihypertensive and Statin Medication Adherence Among Medicare Beneficiaries.American journal of preventive medicine · 2022Article
- Evaluation of a Pharmacist-Led Telephonic Medication Therapy Management Program in Rural Arizona: Implications for Community Health Practice.Clinics and practice · 2022Article
- Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.Contemporary clinical trials communications · 2021Article
- Assessing the Effect of a Telepharmacist's Recommendations During an Integrated, Interprofessional Telehealth Appointment and Their Alignment with Quality Measures.Journal of managed care & specialty pharmacy · 2019Article
- Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru.AIDS care · 2018Article
- Perceived Social Standing, Medication Nonadherence, and Systolic Blood Pressure in the Rural South.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2016Article
- Acceptability of delivering and accessing health information through text messaging among community health advisors.JMIR mHealth and uHealth · 2013Article
- 'Too much trouble for what I get out of it': acceptability of cancer screening tests among low-income rural men and women in the Deep South.Public health · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
purposeExamine the effectiveness of a community-based, multimedia intervention on medication adherence among hypertensive adults.
designRandomized controlled trial.
settingRural south Alabama. SUBJECTS: Low-income adults (N = 434) receiving medication at no charge from a public health department or a Federally Qualified Health Center.
interventionBoth interventions were home-based and delivered via computer by a community health advisor. The adherence promotion (AP) intervention focused on theoretical variables related to adherence (e.g., barriers, decisional balance, and role models). The cancer control condition received general cancer information. MEASURES: Adherence was assessed by pill count. Other adherence-related variables, including barriers, self-efficacy, depression, and sociodemographic variables, were collected via a telephone survey. ANALYSIS: Chi-square analysis tested the hypothesis that a greater proportion of participants in the AP intervention are ≥80% adherent compared to the control group. General linear modeling examined adherence as a continuous variable.
resultsParticipants receiving the intervention did not differ from individuals in the control group (51% vs. 49% adherent, respectively; p = .67). Clinic type predicted adherence (p < .0001), as did forgetting to take medications (p = .01) and difficulty getting to the clinic to obtain medications (p < .001).
conclusionsMultilevel interventions that focus on individual behavior and community-level targets (e.g., how health care is accessed and delivered) may be needed to improve medication adherence among low-income rural residents.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.