Observational studyJournal of the American Heart Association2021
Association Between Patient-Clinician Relationships and Adherence to Antihypertensive Medications Among Black Adults: An Observational Study Design.
Observational study in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Examining the relationship between healthcare practitioners' communication and patient adherence to treatment: a systematic review.BMC health services research · 2026Pooled it
- Adherence to antihypertensives in the United States: A comparative meta-analysis of 23 million patients.Journal of clinical hypertension (Greenwich, Conn.) · 2024Pooled it
- Pooled it
- The impact of communication training on the clinical care of hypertension in general practice: a cluster randomized controlled trial in China.BMC primary care · 2024Trial
- A successful intervention to improve medication adherence in Black patients with hypertension: Mediation analysis of 28-site TEAM trial.Journal of the American Pharmacists Association : JAPhATrial
- Applying the Target Study Conceptual Model to Measure Racial and Ethnic Disparities in Hypertension Treatment Intensification.Epidemiology (Cambridge, Mass.) · 2026Article
- Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators.Annals of family medicine · 2025Article
- Exploring the impact of three-dimensional patient satisfaction structure on adherence to medication and non-pharmaceutical treatment: a cross-sectional study among patients with hypertension in rural China.BMC primary care · 2025Article
- The dialogue dilemma: the role of patient-clinician communication for low-income people who smoke and manage multiple conditions.Frontiers in medicine · 2025Article
- Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care.PloS one · 2025Article
- Improving medication adherence in cardiovascular disease.Nature reviews. Cardiology · 2024Review
- Review
- Correlation between Usual Source of Care and Medication Adherence in Patients with Hypertension.Korean journal of family medicine · 2024Article
- Supplemental Nutrition Assistance Program and Adherence to Antihypertensive Medications.JAMA network open · 2024Observational
- Medication Adherence of Older Adults with Hypertension: A Systematic Review.Patient preference and adherence · 2024Review
- Role of Sex in the Association of Socioeconomic Status With Cardiovascular Health in Black Americans: The Jackson Heart Study.Journal of the American Heart Association · 2023Article
- Health Communication Research Informs Inflammatory Bowel Disease Practice and Research: A Narrative Review.Crohn's & colitis 360 · 2023Article
- Finding meaning: a realist-informed perspective on social risk screening and relationships as mechanisms of change.Frontiers in health services · 2023Article
- Prevalence, Treatment, and Control of Hypertension Among US Women of Reproductive Age by Race/Hispanic Origin.American journal of hypertension · 2022Article
- Blood Pressure Control Among Non-Hispanic Black Adults Is Lower Than Non-Hispanic White Adults Despite Similar Treatment With Antihypertensive Medication: NHANES 2013-2018.American journal of hypertension · 2022Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 1 country.
Funding
Abstract
Background We assessed the associations between patient-clinician relationships (communication and involvement in shared decision-making [SDM]) and adherence to antihypertensive medications. Methods and Results The 2010 to 2017 Medical Expenditure Panel Survey (MEPS) data were analyzed. A retrospective cohort study design was used to create a cohort of prevalent and new users of antihypertensive medications. We defined constructs of patient-clinician communication and involvement in SDM from patient responses to the standard questionnaires about satisfaction and access to care during the first year of surveys. Verified self-reported medication refill information collected during the second year of surveys was used to calculate medication refill adherence; adherence was defined as medication refill adherence ≥80%. Survey-weighted multivariable-adjusted logistic regression models were used to measure the odds ratio (OR) and 95% CI for the association between both patient-clinician constructs and adherence. Our analysis involved 2571 Black adult patients with hypertension (mean age of 58 years; SD, 14 years) who were either persistent (n=1788) or new users (n=783) of antihypertensive medications. Forty-five percent (n=1145) and 43% (n=1016) of the sample reported having high levels of communication and involvement in SDM, respectively. High, versus low, patient-clinician communication (OR, 1.38; 95% CI, 1.14-1.67) and involvement in SDM (OR, 1.32; 95% CI, 1.08-1.61) were both associated with adherence to antihypertensives after adjusting for multiple covariates. These associations persisted among a subgroup of new users of antihypertensive medications. Conclusions Patient-clinician communication and involvement in SDM are important predictors of optimal adherence to antihypertensive medication and should be targeted for improving adherence among Black adults with hypertension.
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Registered trials
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.