ArticleJournal of clinical nursing2012
Baseline medication adherence and blood pressure in a 24-month longitudinal hypertension study.
Article in Journal of clinical nursing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis 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
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Quality of measurement properties of medication adherence instruments in cardiovascular diseases and type 2 diabetes mellitus: a systematic review and meta-analysis.Systematic reviews · 2023Pooled it
- Medication Routines and Adherence Among Hypertensive African Americans.Journal of clinical hypertension (Greenwich, Conn.) · 2015Trial
- Community-based interventions in hypertensive patients: a comparison of three health education strategies.BMC public health · 2015Trial
- Article
- Prevalence of medication adherence in patients with hypertension in Iran: A systematic review and meta-analysis of studies published in 2000-2018.ARYA atherosclerosis · 2019Article
- Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage.Frontiers in psychology · 2018Article
- Factors affecting medication adherence in community-managed patients with hypertension based on the principal component analysis: evidence from Xinjiang, China.Patient preference and adherence · 2018Article
- Motivating patient adherence to allergic rhinitis treatments.Current allergy and asthma reports · 2015Review
- The role of home blood pressure telemonitoring in managing hypertensive populations.Current hypertension reports · 2013Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
AIM AND
objectivesWe sought to identify the feasibility and predictive validity of an easy and quick self-reported measure of medication adherence and to identify characteristics of people with hypertension that may warrant increase attentiveness by nurses to address hypertensive self-management needs.
backgroundCurrent control rates of hypertension are approximately 50%. Effective blood pressure control can be achieved in most people with hypertension through antihypertensive medication. However, hypertension control can only be achieved if the patient is adherent with their medication regimen. Patients who are non-adherent may be in need of additional intervention.
designThis secondary analysis evaluated the systolic blood pressure of patients who received usual hypertension management across 24 months at six-month intervals.
methodsA longitudinal study of 159 hypertensive patients in two primary care clinics.
resultsIn a sample of 159 patients receiving care in a primary care facility, baseline medication non-adherence was associated with a 6·3 mmHg increase in systolic blood pressure (p < 0·05) at baseline, a 8·4 mmHg increase in systolic blood pressure (p < 0·05) at 12 months and a 7·5 increase in systolic blood pressure at 24 months (p < 0·05) compared with adherent patients, respectively. Results also indicate a significant increase in systolic blood pressure across 24 months among people who identified as minority and of low financial status.
conclusionsNon-adherence with antihypertensive medication at baseline was predictive of increased systolic blood pressure up to 24 months postbaseline. RELEVANCE TO CLINICAL PRACTICE: This study demonstrates the use of an easy-to-use questionnaire to identify patients who are non-adherent. We recommend assessing medication adherence to identify patients who are non-adherent with their anti-hypertensive medication and to be especially vigilant with patients who are minority or are considered low income.
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Registered trials
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