ArticleBMJ open2023
Patient activation, adherence to hypertension treatment plans and blood pressure control in Saudi Arabia: a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Association Between mHealth Literacy and Hypertension-Related KAP Among Older Adults with Hypertension: Chain-Mediating Roles of Health Empowerment and Patient Activation.Healthcare (Basel, Switzerland) · 2026Article
- The ongoing quest for the independent patient: an interview study on healthcare professionals' perspectives on integrating self-monitoring of blood pressure in hypertension care.BMC primary care · 2026Article
- The association between blood pressure control and multiple self-management behaviors in elderly patients with hypertension: a study based on latent class analysis.BMC geriatrics · 2026Article
- Patient activation and self-management in patients with coronary heart disease: the mediating role of eHealth literacy.Frontiers in public health · 2026Article
- Improving Clinical Patient Activation and Strengthening Health Outcomes: Findings from a Quasi-Experimental Study.Journal of clinical medicine · 2025Article
- Factors contributing to medication non-adherence in a hypertensive Saudi population: a literature review.Journal of medicine and life · 2025Review
- Latent Profile Analysis for Patient Activation in Patients with Essential Hypertension.Patient preference and adherence · 2025Article
- The Role of Lifestyle Modifications in Preventing and Managing Systemic Hypertension: Current Guidelines and Future Directions.Annals of African medicine · 2025Article
- Hypertension clinical pathway: Experience of Aseer region, Saudi Arabia.Journal of family & community medicineArticle
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Authors and funding
5 authors.
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Abstract
objectivesTo explore the relationship between patient activation, adherence to hypertension treatment plans, blood pressure control and other important demographic factors.
designA cross-sectional study.
settingPrimary healthcare centres in Riyadh province, Saudi Arabia.
participantsA total of 114 adults with hypertension, including 68 men and 46 women. OUTCOME MEASUREMENTS: Blood pressure control is achieved if (a) patients under 80 years of age with treated hypertension have blood pressure under 140/90 mm Hg or (b) patients aged 80 years or over with treated hypertension have blood pressure under 150/90 mm Hg. Secondary outcomes included patient activation, adherence to hypertension treatment plans and demographic factors (age, gender, education, income and comorbidity). Data were analysed using Pearson's correlation and multiple regression models.
results57% (n=66) of participants did not achieve the ideal blood pressure target. Perfect adherence to hypertension treatment plans was significantly associated with lower systolic (r=-0.38, p<0.01) and diastolic blood pressure (r=-0.50, p<0.01). Age was significantly correlated with patient activation (r=-0.20, p<0.05) and diastolic blood pressure (r=-0.33, p<0.01). There was no statistically significant association between Patient Activation Measure, systolic blood pressure and diastolic blood pressure. In the hierarchical regression analysis, adherence to hypertension treatment plans was found to be a significant predictor and explained 15% of the variance in systolic blood pressure (β=-0.36, p<0.001) and 26% of the variance in diastolic blood pressure (β=-0.51, p<0.001).
conclusionThe individual and family self-management theory can serve as an effective theory for understanding the key factors in achieving ideal blood pressure target. The majority of patients with hypertension reported lower levels of activation and poor blood pressure control. Inadequate adherence to treatment plans was related to poor blood pressure control. This work is pivotal in devising self-management interventions to assist patients in the management of hypertension disease, especially in Saudi Arabia.
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