ArticleHeart Asia2018
Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal.
Article in Heart Asia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 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
- Barriers, Enablers and Strategies for the Treatment and Control of Hypertension in Nepal: A Systematic Review.Frontiers in cardiovascular medicine · 2021Pooled it
- Support needs of people living with hypertension in Ghana: the voices of the patients.BMC primary care · 2026Article
- Equity in the continuum of hypertension care: evidence from a nationally representative survey in Nepal.BMC public health · 2026Article
- Article
- Factors contributing to uncontrolled hypertension in Ekurhuleni District, South Africa: the community health workers' perspectives. A qualitative analysis.Primary health care research & development · 2025Article
- Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study.BMC health services research · 2025Article
- A Qualitative Study on the Barriers and Enablers to Effective Hypertension Management in Ghana.Healthcare (Basel, Switzerland) · 2025Article
- Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study.PLOS global public health · 2025Article
- The role of family support in the self-rated health of older adults in eastern Nepal: findings from a cross-sectional study.BMC geriatrics · 2024Article
- Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study.Open heart · 2023Article
- Cluster randomised trial to evaluate comprehensive approach to hypertension management in Nepal: a study protocol.BMJ open · 2023Article
- Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.Annals of global health · 2023Article
- Hypertension screening, awareness, treatment, and control: a study of their prevalence and associated factors in a nationally representative sample from Nepal.Global health action · 2022Article
- Determination of level of self-reported adherence of antihypertensive drug(s) and its associated factors among patient with hypertension at a tertiary care center.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Inequalities in Undiagnosed Hypertension Among Adult Population in Bangladesh: Evidence from a Nationally Representative Survey.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 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
- Perception of obesity and overweight among adults living in suburban Nepal: a qualitative study.BMJ open · 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
- Hypertension Care Coordination and Feasibility of Involving Female Community Health Volunteers in Hypertension Management in Kavre District, Nepal: A Qualitative Study.Global heart · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHypertension is a significant and rising burden in Nepal. The disease remains undetected and inadequately managed. However, no studies have been conducted to understand the inhibiting and facilitating factors to hypertension treatment among newly diagnosed cases. This qualitative study aimed to explore barriers and facilitators to treatment among patients with newly diagnosed hypertension aged ≥18 years in Dhulikhel, Nepal.
methodsWe conducted seven focus group discussions with 35 patients with newly diagnosed hypertension identified through community surveillance of the Dhulikhel Heart Study, an observational cohort of Dhulikhel Hospital, Kathmandu University. Audiotaped discussions were transcribed, inductively coded and analysed by the thematic framework method using Atlas.ti V.7.
resultsHypertension was viewed as a rising problem in the community. Participants had limited knowledge and many misbeliefs regarding hypertension and its treatment. The major barriers included absence of symptoms, reluctance to take medicine, low perceived seriousness of the disease, challenges in behaviour change (diet and exercise), lack of family support, and lack of communication and trust with the provider. The major reported facilitating factors were fear of consequences of the disease, and family support in controlling diet and adhering to treatment.
conclusionsA number of factors emerged as barriers and facilitators to hypertension treatment. This information can be useful in designing appropriate health interventions to improve hypertension management.
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