Barriers to adherence and hypertension control in a racially diverse representative sample of elderly primary care patients

Turner, Barbara J.; Hollenbeak, Christopher S.; Weiner, Mark G.; Have, Thomas Ten; Roberts, C.S.

doi:10.1002/pds.1766

Cited by 89 publications

(101 citation statements)

References 36 publications

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“…Результаты проведенного анализа хорошо соотно-сятся с имеющимися в литературе единичными указани-ями на комплаентность больных с более высоким АД [16]. При этом данные исследования позволяют суще-ственно уточнить последнюю зависимость.…”

Section: Discussionunclassified

“…К сожалению, в таких работах фигурирует лишь очень ограниченное число ис-следуемых показателей. Как правило, это пол, возраст и уровень артериального давления (АД) [8,16]. Соответ-ственно представляется целесообразным расширить круг изучаемых демографических и, особенно, клинических факторов, предрасполагающих к формированию типа от-ношения к гипотензивной терапии.…”

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Compliance factors in patients with arterial hypertension (univariate statistical analysis data)

Machilskaya¹,

Drobizhev²

2015

Kardiol. serdechno-sosud. khir.

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Section: Discussionunclassified

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Compliance factors in patients with arterial hypertension (univariate statistical analysis data)

Machilskaya¹,

Drobizhev²

2015

Kardiol. serdechno-sosud. khir.

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“…We contacted 440 of the 564 approved patients and, of these, 280 consented and were randomized at a 1:1 ratio using random computergenerated assignments. All subjects completed a 10-min baseline survey about barriers to adherence, 11 smoking status, general health, Prime-MD 2 question depression screen, 12 stress (one question), and knowledge about hypertension.…”

Section: Subject Recruitmentmentioning

confidence: 99%

A Randomized Trial of Peer Coach and Office Staff Support to Reduce Coronary Heart Disease Risk in African-Americans with Uncontrolled Hypertension

et al. 2012

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OBJECTIVE: Adopting features of the Chronic Care Model may reduce coronary heart disease risk and blood pressure in vulnerable populations. We evaluated a peer and practice team intervention on reduction in 4-year coronary heart disease risk and systolic blood pressure. DESIGN AND SUBJECTS: A single blind, randomized, controlled trial in two adjacent urban university-affiliated primary care practices. Two hundred eighty African-American subjects aged 40 to 75 with uncontrolled hypertension. INTERVENTION: Three monthly calls from trained peer patients with well-controlled hypertension and, on alternate months, two practice staff visits to review a personalized 4-year heart disease risk calculator and slide shows about heart disease risks. All subjects received usual physician care and brochures about healthy cooking and heart disease. MAIN MEASURES: Change in 4-year coronary heart disease risk (primary) and change in systolic blood pressure, both assessed at 6 months. KEY RESULTS: At baseline, the 136 intervention and 144 control subjects' mean 4-year coronary heart disease risk did not differ (intervention=5.8 % and control=6.4 %, P= 0.39), and their mean systolic blood pressure was the same (140.5 mmHg, p=0.83). Endpoint data for coronary heart disease were obtained for 69 % of intervention and 82 % of control subjects. After multiple imputation for missing endpoint data, the reduction in risk among all 280 subjects favored the intervention, but was not statistically significant (difference −0.73 %, 95 % confidence interval: -1.54 % to 0.09 %, p=0.08). Among the 247 subjects with a systolic blood pressure endpoint (85 % of intervention and 91 % of control subjects), more intervention than control subjects achieved a >5 mmHg reduction (61 % versus 45 %, respectively, p=0.01). After multiple imputation, the absolute reduction in systolic blood pressure was also greater for the intervention group (difference −6.47 mmHg, 95 % confidence interval: −10.69 to −2.25, P=0.003). One patient died in each study arm. CONCLUSIONS: Peer patient and office-based behavioral support for African-American patients with uncontrolled hypertension did not result in a significantly greater reduction in coronary heart disease risk but did significantly reduce systolic blood pressure.KEY WORDS: coronary heart disease; hypertension; African American; peer support.

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“…Older peoples knowledge about their drugs has been found to be poor [6][7][8][9], which might have an impact on adherence [10] and compliance [11]. A Danish study for instance investigated 348 persons (aged 75+) and found that 60 percent knew about their medication [6].…”

Section: Introductionmentioning

confidence: 99%

Healthcare utilisation and knowledge concerning prescribed drugs among older people

Kristensson

Modig

Midlöv

et al. 2010

Eur J Clin Pharmacol

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Barriers to adherence and hypertension control in a racially diverse representative sample of elderly primary care patients

Abstract: Self-reported adherence was associated with a higher blood pressure, especially in elderly black patients. To promote adherence, our data suggest targeting: filling prescriptions, prioritizing hypertension care and educating about effects of hypertension.

Cited by 89 publications

References 36 publications

Compliance factors in patients with arterial hypertension (univariate statistical analysis data)

Compliance factors in patients with arterial hypertension (univariate statistical analysis data)

A Randomized Trial of Peer Coach and Office Staff Support to Reduce Coronary Heart Disease Risk in African-Americans with Uncontrolled Hypertension

Healthcare utilisation and knowledge concerning prescribed drugs among older people

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