Trial reportJournal of general internal medicine2013
Factors associated with non-adherence to three hypertension self-management behaviors: preliminary data for a new instrument.
Trial report in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00237692 (Behavioral/Pharmacological Telemedicine Interventions for BP Control), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
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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.
Behavioral/Pharmacological Telemedicine Interventions for BP Control
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- A systematic review on experimental studies about patient adherence to treatment.Pharmacology research & perspectives · 2024Pooled it
- Interventions to increase the pharmacological adherence on arterial hypertension in Latin America: a systematic review.International journal of public health · 2020Pooled it
- Factors associated with antihypertensive medication non-adherence: a systematic review.Journal of human hypertension · 2017Pooled it
- Pooled it
- A Web-Based Self-Titration Program to Control Blood Pressure in Patients With Primary Hypertension: Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Medication non-adherence after myocardial infarction: an exploration of modifying factors.Journal of general internal medicine · 2015Trial
- Economic impact of standardized hypertension treatment on household income in Argentina: a longitudinal analysis, 2019-2024.Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Self-management assessment tools for people with hypertension: a scoping review.BMC nephrology · 2025Article
- Identifying barriers, facilitators, and interventions to support healthy eating in pregnant women with or at risk for hypertensive disorders of pregnancy.Cardiovascular digital health journal · 2022Article
- Reported self-management of hypertension among adult hypertensive patients in a developing country: a cross-sectional study in a Nigerian tertiary hospital.African health sciences · 2021Article
- Article
- Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia.BMC health services research · 2019Article
- Epidemiology of Childhood Onset Essential Hypertension.Journal of human hypertension · 2018Observational
- Patients' Attitudes and Approaches to the Self-Management of Hypertension: Perspectives from an Australian Qualitative Study in Community Pharmacy.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2017Article
- Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Interventions aimed at improving performance on medication adherence metrics.International journal of clinical pharmacy · 2014Article
- A qualitative study on hypertensive care behavior in primary health care settings in Malaysia.Patient preference and adherence · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundClinicians have difficulty in identifying patients that are unlikely to adhere to hypertension self-management. Identifying non-adherence is essential to addressing suboptimal blood pressure control and high costs.
objectives1) To identify risk factors associated with non-adherence to three key self-management behaviors in patients with hypertension: proper medication use, diet, and exercise; 2) To evaluate the extent to which an instrument designed to identify the number of risk factors present for non-adherence to each of the three hypertension self-management behaviors would be associated with self-management non-adherence and blood pressure.
designCross-sectional analysis of randomized trial data. PATIENTS: Six hundred and thirty-six primary care patients with hypertension. MEASUREMENTS: 1) Demographic, socioeconomic, psychosocial, and health belief-related factors; 2) measures of self-reported adherence to recommended medication use, diet recommendations, and exercise recommendations, all collected at baseline assessment; 3) systolic blood pressure (SBP) and diastolic blood pressure (DBP).
resultsWe identified patient factors associated with measures of non-adherence to medications, diet, and exercise in hypertension. We then combined risk factors associated with ≥1 adherence measure into an instrument that generated three composite variables (medication, diet, and exercise composites), reflecting the number of risk factors present for non-adherence to the corresponding self-management behavior. These composite variables identified subgroups with higher likelihood of medication non-adherence, difficulty following diet recommendations, and difficulty following exercise recommendations. Composite variable levels representing the highest number of self-management non-adherence risk factors were associated with higher SBP and DBP.
conclusionsWe identified factors associated with measures of non-adherence to recommended medication use, diet, and exercise in hypertension. We then developed an instrument that was associated with non-adherence to these self-management behaviors, as well as with blood pressure. With further study, this instrument has potential to improve identification of non-adherent patients with hypertension.
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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.