Evidence map›Paper›PMID 37192796›Full record

ArticleBMJ open2023

Stakeholder's perspectives on acceptable interventions for promoting hypertension medication adherence in Namibia: nominal group technique.

Olivia Nakwafila, Benn Sartorius, Tonderai Washington Shumba, Tafadzwa Dzinamarira, Tivani Phosa Mashamba-Thompson

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.6field-weighted citation impact, top 6% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

5 authors at 3 institutions in 3 countries.

Olivia NakwafilaDiscipline of Public Health Medicine,School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa onakwafila@unam.na.ORCID 0000-0002-1447-6056
Benn SartoriusDiscipline of Public Health Medicine,School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Tonderai Washington ShumbaSchool of Allied Health Sciences, Department of Occupational therapy and Physiotherapy, University of Namibia, Hage Geingob Campus, Namibia.ORCID 0000-0003-3462-1043
Tafadzwa DzinamariraSchool of Health Systems&Public Health, University of Pretoria, Pretoria 0002, South Africa.
Tivani Phosa Mashamba-ThompsonDiscipline of Public Health Medicine,School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
University of Namibia · NAUniversity of Pretoria · ZAUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the most acceptable hypertension intervention package to promote hypertension adherence based on stakeholders' perspectives.

designWe employed the nominal group technique method and purposively sampled and invited key stakeholders offering hypertension services and patients with hypertension. Phase 1 was focused on determining barriers to hypertension adherence, phase 2 on enablers and phase 3 on the strategies. We employed the ranking method based on a maximum of 60 scores to establish consensus regarding hypertension adherence barriers, enablers and proposed strategies. SETTING AND

participants12 key stakeholders were identified and invited to participate in the workshop in Khomas region. Key stakeholders included subject matter experts in non-communicable diseases, family medicine and representatives of our target population (hypertensive patients).

resultsThe stakeholders reported 14 factors as barriers and enablers to hypertension adherence. The most important barriers were: lack of knowledge on hypertension (57 scores), unavailability of drugs (55 scores) and lack of social support (49 scores). Patient education emerged as the most important enabler (57 scores), availability of drugs emerged second (53 scores) and third having a support system (47 scores). Strategies were 17 and ranked as follows: continuous patient education as the most desirable (54 scores) strategy to help promote hypertension adherence, followed by developing a national dashboard to primarily monitor stock (52 scores) and community support groups for peer counselling (49 scores).

conclusionsMultifaceted educational intervention package targeting patient and healthcare system factors may be considered in implementing Namibia's most acceptable hypertension package. These findings will offer an opportunity to promote adherence to hypertension therapy and reduce cardiovascular outcomes. We recommend a follow-up study to evaluate the proposed adherence package's feasibility.

Indexed as

HypertensionFollow-Up StudiesHumansMedication AdherenceNamibiaQualitative ResearchHypertensionPUBLIC HEALTHQUALITATIVE RESEARCH

Identifiers

PMID37192796
PMCPMC10193049
OpenAlexW4376871300

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.