ArticleScientific reports2026
Effect of multicomponent support intervention on medication adherence and self-efficacy levels in hypertension patients.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study aims to investigate the impact of a multicomponent support intervention on medication adherence and self-efficacy levels among patients with hypertension. This quasi-experimental controlled study was conducted in Turkey with 63 hypertensive patients assigned to intervention and control groups using a non-random allocation approach. Pre-test data were collected face-to-face. The intervention group received structured training on blood pressure self-monitoring using the "Hypertension Training Manual" and measured their blood pressure twice daily at home. Data were collected using the General Self-Efficacy Scale and the Medication Adherence Self-Efficacy Scale in Hypertensive Patients. The intervention consisted of a multicomponent support program including individualized education, a hypertension education booklet, home blood pressure monitoring, SMS reminders, and monthly follow-up calls. To support adherence, SMS reminders were sent three times per week for three months. Post-test data were collected online, and outcome assessments and statistical analyses were conducted by a researcher who was not involved in the intervention process. Post-test medication adherence self-efficacy scores were significantly higher in the intervention group than in the control group (45.97±5.86 vs. 39.75±5.57, p<0.001, Cohen's d=0.87). General self-efficacy scores were also significantly higher in the intervention group compared with the control group (81.16±19.18 vs. 74.53±11.30, p=0.048, Cohen's d=0.51). Statistically significant reductions in systolic and diastolic blood pressure and body mass index were observed over time in the intervention group (p < 0.001), whereas no significant differences were observed in the control group.A multicomponent educational and behavioral support intervention may contribute to improved medication adherence and self-efficacy among patients with hypertension.
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