Evidence map›Paper›PMID 42519458›Full record

ArticlePatient preference and adherence2026

Knowledge, Attitudes, and Practices on Antihypertensive Therapy Among Older Patients with Hypertension: Structural Equation Modeling Analysis.

Shenghua Li, Hao Zhang, Jinming Zhang, Xia Liu

Abstract read
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Article in Patient preference and adherence, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Shenghua LiGeneral Practice Department, Shanghai Taikang Shenyuan Rehabilitation Hospital, Shanghai, People's Republic of China.
Hao ZhangGeneral Practice Department, Shanghai Taikang Shenyuan Rehabilitation Hospital, Shanghai, People's Republic of China.
Jinming ZhangRehabilitation Department, Shanghai Taikang Shenyuan Rehabilitation Hospital, Shanghai, People's Republic of China.
Xia LiuPharmacy Department, Shanghai Taikang Shenyuan Rehabilitation Hospital, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to examine the medication knowledge, attitudes, and practices (KAP) of older hypertensive patients regarding antihypertensive therapy and to confirm the theoretical relationships among these domains. Patients and Methods: A cross-sectional study was conducted from July to October 2023 among older hypertensive patients to assess their KAP regarding antihypertensive therapy. Structural equation modeling (SEM) was employed to assess the relationships among the KAP dimensions. Results: A total of 561 valid responses from older hypertensive patients were included in the final analysis (response rate 74.7%). Older hypertensive patients exhibited a moderate level of knowledge (median 24, IQR 22-26), generally positive attitudes (median 23, IQR 19-24), and practices (median 33, IQR 27-37). SEM analysis revealed that knowledge directly influenced attitude (β=0.497, P<0.001) and practice (β=0.331, P<0.001). Attitude directly influenced practice (β=0.484, P<0.001). Knowledge also indirectly influenced practice through its effect on attitudes (β=0.241, P<0.001). Conclusion: This study largely confirmed the expected KAP pathway in older hypertensive patients receiving antihypertensive therapy, showing that knowledge supports attitudes and, both directly and indirectly, influences practice. Although attitudes and practices were generally favorable, the moderate knowledge level and specific knowledge gaps suggest that targeted educational interventions remain necessary.

Indexed as

attitudescross-sectional studyhypertension therapyknowledgeolder patients with hypertensionpractices

Identifiers

PMID42519458
PMCPMC13382933

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