Evidence map›Paper›PMID 24624246›Full record

ArticleThe Pan African medical journal2014

Locus of control and anti-hypertensive medication adherence in Ghana.

Irene Akwo Kretchy, Frances Thelma Owusu-Daaku, Samuel Danquah

Registry-linked trialAbstract read
In one paragraph

Article in The Pan African medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010344 (Addressing Hypertension Control in Africa), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04010344 nacompletednot on this mapstarted 2019, after this paper: background citation

Addressing Hypertension Control in Africa (ADHINCRA) Study

TypeinterventionalSponsorJohns Hopkins UniversityRan2019 to 2024Enrolled240ConditionsHypertension, Diabetes, TelemedicineArmsEnhanced Usual Care Group, Usual Care Group
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  7. The Influence of Anthropometric Indices and Intermediary Determinants of Hypertension in Bangladesh.International journal of environmental research and public health · 2021
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  12. The Relationship between Health Locus of Control and Health Behaviors in Emergency Medicine Personnel.International journal of community based nursing and midwifery · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Irene Akwo KretchyDepartment of Clinical and Social Pharmacy, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology, Ghana ; Department of Pharmacy Practice and Clinical Pharmacy, University of Ghana School of Pharmacy, College of Health Sciences, Ghana.
Frances Thelma Owusu-DaakuDepartment of Clinical and Social Pharmacy, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology, Ghana.
Samuel DanquahDepartment of Psychology, University of Ghana, Legon, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedication non-adherence is a major public health problem in Ghana. Locus of control (LoC) may influence adherence to medication. In this study we examine the association between locus orientation and adherence to hypertensive medication among adult patients. We also take into account the role of medication side effects.

methodsWe conducted a hospital-based cross-sectional study involving two tertiary hospitals in southern and northern Ghana. Data were collected from 400 hypertensive patients using a structured questionnaire. We gathered information on patient's sociodemographic characteristics, health LoC, side effects of anti-hypertensive medication and adherence to anti-hypertensive medication.

resultsParticipants exhibited features of mixed LoC (both internal and external) usually referred to as bi-local expectancy. However, orientation was skewed towards external LoC. Females were marginally more likely than males to have an internal LoC. Education was associated with a greater likelihood of internal LoC. While most patients (93.3%) poorly adhered to antihypertensive medications, logistic regression model revealed that non-adherence was significantly associated with low internal LoC, medication side effects and the combined effect of medication side effects and external LoC.

conclusionMedication non-adherence, experiences of medication side effects and LoC are associated. Multifaceted intervention programmes highlighting personality characteristics like LoC may improve anti-hypertensive medication adherence.

Indexed as

Internal-External ControlMedication AdherenceAdultAgedAntihypertensive AgentsCross-Sectional StudiesEducational StatusFemaleGhanaHumansHypertensionLogistic ModelsMaleMiddle AgedSex FactorsSurveys and QuestionnairesAntihypertensive Agentsbi-local expectancycollectivismcultureGhanahypertensionindividualismLocus of controlmedication non-adherencemedication side effectspersonality

Identifiers

PMID24624246
PMCPMC3946225

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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.