Evidence map›Paper›PMID 33402985›Full record

ArticleAfrican health sciences2020

Adherence to drug therapy among hypertensive patients attending two district hospitals in Ghana.

Emmanuel Sarkodie, Daniel Kwame Afriyie, Araba Hutton-Nyameaye, Seth Kwabena Amponsah

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  14. Twenty years ofAfrican health sciences · 2020
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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

4 authors at 3 institutions in 1 country.

Emmanuel SarkodieDepartment of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho, Ghana.
Daniel Kwame AfriyiePharmacy Department, Ghana Police Hospital, Cantonments, Accra, Ghana.
Araba Hutton-NyameayeDepartment of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho, Ghana.
Seth Kwabena AmponsahDepartment of Pharmacology and Toxicology, School of Pharmacy, University of Ghana, Legon, Ghana.
University of Health and Allied Sciences · GH37 Military Hospital · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA major drawback to the management of hypertension among patients is poor adherence to pharmacotherapy. Factors that influence non-adherence to antihypertensive drugs could vary, depending on the prevailing condition of patient and setting. Knowledge of adherence patterns and behavior of hypertensive patients to pharmacotherapy could improve health-directed policies towards hypertension management.

objectiveThe objective of this study was to determine factors that influence adherence to oral antihypertensive drugs among patients attending two district hospitals in the Volta Region of Ghana.

methodsThe study was cross-sectional. Respondents were hypertensive patients attending Krachi West District (n=187) and Hohoe Municipal (n=183) hospitals between March 2016 to May 2016. Data was collected using a structured questionnaire and Morisky 8 Item Measurement of adherence scale.

resultsAdherence to oral antihypertensive drugs was 89.2%. However, more than half of these respondents appeared to have uncontrolled blood pressure; and this may be due to self-response bias, blood pressure being measured only on the day of the interview or use of fake drugs (which was not assessed in this study). The strongest predictors of adherence were; knowledge on hypertension, perception of severity of condition and the amount of alcohol consumed in a day by respondents.

conclusionGood adherence to oral antihypertensive drugs was observed in this population despite uncontrolled hypertension in a number of the respondents. The three independent predictors of adherence to antihypertensive medications in this study were respondent's knowledge about hypertension, perception of severity of their condition and the amount of alcohol consumed in a day. Regular patient education and counseling by medical practitioners should be encouraged in these settings to improve patient adherence.

Indexed as

Drug MonitoringHealth Knowledge, Attitudes, PracticeAdultAgedAntihypertensive AgentsBlood PressureBlood Pressure DeterminationCross-Sectional StudiesFemaleGhanaHospitals, DistrictHumansHypertensionMaleMedication AdherenceMiddle AgedAntihypertensive AgentsAdherenceantihypertensive drugGhanahypertension

Identifiers

PMID33402985
PMCPMC7751545
OpenAlexW3091997243

What OpenQuestion holds

Textmetadata
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.