ArticlePatient preference and adherence2014
A qualitative study on hypertensive care behavior in primary health care settings in Malaysia.
Article in Patient preference and adherence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Physical activity experience of patients with hypertension: a systematic review and synthesis of qualitative literature.BMC public health · 2024Pooled it
- Self-management in young and middle-aged patients with hypertension: a systematic review and meta-synthesis of qualitative studies.Systematic reviews · 2024Pooled it
- The Long and Winding Road: A Systematic Literature Review Conceptualising Pathways for Hypertension Care and Control in Low- and Middle-Income Countries.International journal of health policy and management · 2022Pooled it
- Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries-A Qualitative Systematic Review with Meta-Synthesis.International journal of environmental research and public health · 2021Pooled it
- Facilitators and Barriers to Chronic Disease Self-Management and Mobile Health Interventions for People Living With Diabetes and Hypertension in Cambodia: Qualitative Study.JMIR mHealth and uHealth · 2020Trial
- Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study.BMC health services research · 2025Article
- Study on health seeking behaviour and determinants of undiagnosed hypertension in poor households in the Philippines, part of the RESPOND study (SHARP-RESPOND).PLOS global public health · 2025Article
- Development and validation of a video-based intervention on self-care practices for patients with hypertension in Malaysian primary care settings.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Safety and efficacy of oil palm phenolic supplementation in improving lipid profile among hyperlipidemic adults: a phase 2, randomized, double-blind, placebo-controlled clinical trial.Frontiers in pharmacology · 2023Article
- Self-Care Management for Hypertension in Southeast Asia: A Scoping Review.Journal of multidisciplinary healthcare · 2022Article
- Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania.PLOS global public health · 2022Article
- Barriers and facilitators for treatment and control of high blood pressure among hypertensive patients in Kathmandu, Nepal: a qualitative study informed by COM-B model of behavior change.BMC public health · 2021Article
- Challenges experienced by patients with hypertension in Ghana: A qualitative inquiry.PloS one · 2021Article
- A Qualitative Study on Barriers to Treatment and Control of Hypertension Among Patients at Dessie Referral Hospital, Northeast Ethiopia, Ethiopia: Healthcare Workers' Perspective.Integrated blood pressure control · 2021Article
- The Role of Health Care Quality in Hypertension Self-Management: A Qualitative Study of the Experience of Patients in a Public Hospital, North-West Ethiopia.Integrated blood pressure control · 2021Article
- Conveying hypertension message: An investigation into the language and content used in primary health clinics in South Africa.African journal of primary health care & family medicine · 2020Article
- Improvement of nutritional intake for the low-income urban dwellers with hypertension in Malaysia.SAGE open medicine · 2020Article
- Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran.International journal of hypertension · 2018Article
- Models of care for chronic conditions in low/middle-income countries: a 'best fit' framework synthesis.BMJ global health · 2018Article
- Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal.Heart Asia · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to explore patients' experiences with their illnesses and the reasons which influenced them in not following hypertensive care recommendations (antihypertensive medication intake, physical activity, and diet changes) in primary health clinic settings. PATIENTS AND
methodsA qualitative methodology was applied. The data were gathered from in-depth interviews with 25 hypertensive patients attending follow-up in nine government primary health clinics in two districts (Hulu Langat and Klang) in the state of Selangor, Malaysia. The transcribed data were analyzed using thematic analysis.
resultsThere was evidence of lack of patient self-empowerment and community support in Malaysian society. Most of the participants did not take their antihypertensive medication or change their physical activity and diet after diagnosis. There was an agreement between the patients and the health care professionals before starting the treatment recommendation, but there lacked further counseling and monitoring. Most of the reasons given for not taking antihypertensive medication, not doing physical activity and not following diet recommendations were due to side effects or fear of the side effects of antihypertensive medication, patients' attitudes, lack of information from health care professionals and insufficient social support from their surrounding environment. We also observed the differences on these reasons for nonadherence among the three ethnic groups.
conclusionHealth care professionals should move toward supporting adherence in the management of hypertensive patients by maintaining a dialogue. Patients need to be given time to enable them to overcome their inhibition of asking questions and to accept the recommendations. A self-management approach must be responsive to the needs of individuals, ethnicities, and communities.
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