Evidence map›Paper›PMID 26267453›Full record

Trial reportPloS one2015

Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education.

Jennita G Meinema, Nynke van Dijk, Erik J A J Beune, Debbie A D C Jaarsma, Henk C P M van Weert, Joke A Haafkens

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  15. Updates to Adherence to Hypertension Medications.Current hypertension reports · 2018
    Review
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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

6 authors at 3 institutions in 1 country.

Jennita G MeinemaDepartment of General Practice/Family Medicine, Academic Medical Center-University of Amsterdam, Amsterdam, the Netherlands.
Nynke van DijkDepartment of General Practice/Family Medicine, Academic Medical Center-University of Amsterdam, Amsterdam, the Netherlands.
Erik J A J BeuneDepartment of Social Medicine, Academic Medical Center-University of Amsterdam, Amsterdam, the Netherlands.
Debbie A D C JaarsmaDepartment of Evidence-based medical education, University Medical Center of Groningen, Groningen, the Netherlands.
Henk C P M van WeertDepartment of General Practice/Family Medicine, Academic Medical Center-University of Amsterdam, Amsterdam, the Netherlands.
Joke A HaafkensDepartment of General Practice/Family Medicine, Academic Medical Center-University of Amsterdam, Amsterdam, the Netherlands.
Academic Medical Center · NLUniversity of Amsterdam · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent.

objectiveTo identify patient-related determinants of adherence to lifestyle and medication recommendations among hypertensive African Surinamese and Ghanaian patients with suboptimal treatment results (SBP≥140) living in the Netherlands and how culturally appropriate hypertension education (CAHE) influenced those determinants.

methodsThis study analysed data of 139 patients who participated in the CAHE trial. Univariate logistic regression analysis was used to measure the association between patient-related determinants (medication self-efficacy, beliefs about medication and hypertension, social support, and satisfaction with care) and treatment adherence. We also tested whether CAHE influenced the determinants.

resultsMedication self-efficacy and social support were associated with medication adherence at baseline. At six months, more medication self-efficacy and fewer concerns about medication use were associated with improved medication adherence. Self-efficacy was also associated with adherence to lifestyle recommendations at baseline. CAHE influenced patients' illness perceptions by creating more understanding of hypertension, its chronic character, and more concerns about the associated risks.

conclusionIn this high-risk population, health care providers can support medication adherence by paying attention to patients' medication self-efficacy, the concerns they may have about medication use and patients' perceptions on hypertension. The CAHE intervention improved patients' perception on hypertension.

Indexed as

AdultAntihypertensive AgentsBlack PeopleCultureFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleMedication AdherenceMiddle AgedNetherlandsPatient Education as TopicPatient SatisfactionSelf EfficacyTreatment OutcomeAntihypertensive Agents

Identifiers

PMID26267453
PMCPMC4534399
OpenAlexW2116888020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.