Evidence map›Paper›PMID 30130358›Full record

ArticleThe Journal of cardiovascular nursing

Health Beliefs and Medication Adherence in Omanis With Hypertension.

Huda Al-Noumani, Jia-Rong Wu, Debra Barksdale, George Knafl, Esra AlKhasawneh, Gwen Sherwood

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In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 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.

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, 4 syntheses or guidelines pooled it.

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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.

Huda Al-NoumaniHuda Al-Noumani, PhD, RN Assistant Professor, Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman. Jia-Rong Wu, PhD, RN Associate Professor, School of Nursing, University of North Carolina at Chapel Hill. Debra Barksdale, PhD, RN, FNP-BC, CNE, FAANP, FAAN Professor, School of Nursing, Virginia Commonwealth University, Richmond. George Knafl, PhD Professor, School of Nursing, University of North Carolina at Chapel Hill. Esra AlKhasawneh, PhD, RN, FAAN Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman. Gwen Sherwood, PhD, RN, FAAN Professor, School of Nursing, University of North Carolina at Chapel Hill.
Jia-Rong Wu
Debra Barksdale
George Knafl
Esra AlKhasawneh
Gwen Sherwood

Funding

A Family-Focused, Literacy-Sensitive Intervention to Improve Medication AdherenceK23NR014489 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WU, JIA-RONG · 2013 to 2015
$379k
NINR NIH HHS K23 NR014489
6 · The paper itself

Abstract

backgroundPatients' health beliefs are essential to improve medication adherence among patients with hypertension.

objectiveOur objective was to examine the relationship between (1) patients' beliefs about hypertension, medication, and self-efficacy and medication adherence and (2) medication adherence and blood pressure control in Oman.

methodsThis cross-sectional study included 215 participants with hypertension. Participants completed 4 questionnaires (Arabic version) to measure medication adherence, beliefs about hypertension severity, beliefs about medication, and self-efficacy. Bivariate and multivariate logistic regression was used to conduct the analyses.

resultsHigher self-efficacy (odds ratio [OR], 2.59; 95% confidence interval [CI], 1.54-4.37), stronger beliefs about medication necessity (OR, 1.98; 95% CI, 1.21-3.23), increased age (OR, 1.06; 95% CI, 1.03-1.10), and fewer medication concerns (OR, 0.34; 95% CI, 0.20-0.57) were related to high medication adherence. Moreover, uncontrolled blood pressure was less likely in participants with high medication adherence (OR, 0.47; 95% CI, 0.24-0.93).

conclusionsPatients' beliefs are important consideration to improve medication adherence. Clinically, patients' beliefs should be assessed, and strategies to improve medication adherence should incorporate beliefs as a key component to improve antihypertensive medication adherence. Patient education and counseling regarding hypertension and necessity and side effects of medications are important to maximize positive beliefs and improve medication adherence.

Indexed as

Attitude to HealthCultureDrug MonitoringSelf EfficacyAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedOmanSelf ReportYoung Adult

Identifiers

PMID30130358
PMCPMC6179908

What OpenQuestion holds

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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.