ArticlePLOS global public health2026
Barriers and facilitators of hypertension control among older adults living with hypertension: A mixed-methods study.
Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hypertension is a major public health challenge in Nepal, particularly among older adults, with nearly half affected and many unaware of their condition. This study explored barriers and facilitators of hypertension management among older adults in Nepal using a parallel mixed-methods design. The study was conducted in Dhulikhel Municipality between September 2024 and March 2025. The quantitative component included 197 older adults (≥60 years) with hypertension. Blood pressure and body mass index (BMI) were measured, medication adherence was assessed using the Hill-Bone Medication Adherence Scale, and multivariable logistic regression was used to identify factors associated with blood pressure control. The qualitative component explored barriers and facilitators using the Capability, Opportunity, Motivation-Behavior (COM-B) model. Seven in-depth interviews with older adults and two focus group discussions with caregivers were conducted using semi-structured guides. Audio recordings were transcribed verbatim and analyzed using a framework approach with inductive and deductive coding. Overall, 59.3% of participants had uncontrolled blood pressure. No significant associations were found between blood pressure control and age, sex, education, marital status, religion, living arrangement, comorbidities, medication adherence, or BMI. Qualitative findings identified barriers across all COM-B domains, including fatigue and forgetfulness (capability), limited social interaction, poor access to information, time constraints, and low family support (opportunity), and low motivation, stress, and anger (motivation). Facilitators included greater awareness, use of pill boxes, regular blood pressure monitoring, access to nearby health facilities, community programs, support from Female Community Health Volunteers (FCHVs) and family members, fear of complications, perceived benefits of treatment, and the desire to remain healthy for family. These findings highlight the need for behavior-centered, patient-focused hypertension management strategies that integrate pharmacological and lifestyle interventions. Applying the COM-B framework can support the development of sustainable, contextually appropriate interventions to improve hypertension management among older adults in Nepal.
Identifiers
What OpenQuestion holds
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.