Efficacy of telephone and mail intervention in patient compliance with antihypertensive drugs in hypertension. ETECUM‐HTA study

Contreras, E. Márquez; GarcÍa, Onofre Vegazo; Claros, Nieves Martel; Guillén, Vicente Gil; Wichmann, Mariano de la Figuera von; Martínez, J.J. Casado; Fernández, Raúl Ambriz

doi:10.1080/08037050510008977

Cited by 75 publications

(52 citation statements)

References 15 publications

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“…13,24,25 The MA improvement in this study is larger than the improvement reported from other antihypertensive MA interventions using adherence feedback as an intervention component. 21,26 This larger degree of improvement may be due to this study's focus on persons who were nonadherent at baseline, that the intervention was delivered face-to-face, rather than by telephone, and/or by the provision of objective visual feedback from the MEMS caps.…”

Section: Discussionmentioning

confidence: 92%

Randomized Pilot Study of a Behavioral Feedback Intervention to Improve Medication Adherence in Older Adults With Hypertension

Ruppar

2010

Journal of Cardiovascular Nursing

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Section: Discussionmentioning

confidence: 92%

Randomized Pilot Study of a Behavioral Feedback Intervention to Improve Medication Adherence in Older Adults With Hypertension

Ruppar

2010

Journal of Cardiovascular Nursing

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“…Two additional studies conducted in samples of patients with hypertension have shown that interventions aimed at health care providers and/or nonadherent patients can enhance medication adherence. 19,22 These include the study by Roumie et al, which found better SBP control for a combination of provider education, alerting, and patient education compared with provider-only interventions, and by Márquez Contreras et al, which found better medication adherence and blood pressure control for either mailed or telephonic patient education compared with usual care. 19,22 The interventions in the present study were similar to those of Roumie et al, in that the PCP received both a personalized letter with a list of nonadherent patients and guideline information, and patients received a general letter describing issues related to medication adherence and education about hypertension and diabetes.…”

Section: ■■ Discussionmentioning

confidence: 99%

“…17 Kripalani et al (2007) also found that most educational interventions to help patients understand their conditions and become empowered to adhere to treatment do not improve health outcomes or adherence rates. 18 However, one of the studies reported by Haynes et al, by Márquez Contreras et al (2005), did show significant improvement in antihypertensive medication adherence and blood pressure control when educational messages provided either by nurse telephone calls (separate calls at 15 days, 7 weeks, and 15 weeks to encourage compliance) or a patient letter (information about the importance of compliance mailed at 15 days, 2 months, and 4 months) were added to usual care. 19 Rates of compliance and blood pressure control, respectively, were 96% and 63% for telephone calls, 91% and 61% for mail, and 69% and 47% for S uccessful management of diabetes and hypertension is directly associated with patient adherence to prescribed drugs.…”

Section: What Is Already Known About This Subjectmentioning

confidence: 99%

Descriptive Analysis of Mail Interventions with Physicians and Patients to Improve Adherence with Antihypertensive and Antidiabetic Medications in a Mixed-Model Managed Care Organization of Commercial and Medicare Members

Jing¹,

Naliboff²,

Kaufman³

et al. 2011

JMCP

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• There are many barriers to medication adherence especially in members with chronic disease(s) such as diabetes, hypertension, and hyperlipidemia. Many different interventions have been used to improve medication adherence including educational strategies. Effects of educational strategies alone have produced inconsistent results, and multifaceted or multidisciplinary interventions are generally more effective.• A real-time fax intervention with prescribers of antidepressant medications for patients with delayed refills (more than 10 days) did not improve adherence; average antidepressant nonadherence rates among patients with delayed refills were approximately 75% (Baumbauer et al., 2006). The combination of monthly mailed personalized letters to patients nonadherent to antidepressants and lists of nonadherent patients sent to prescribers was associated with a small difference in adherence rates (MPR of 67% or more) at 90 days (66.9% intervention vs. 65.5% control, P < 0.001) and at 180 days (52.3% intervention vs. 50.2% control, P < 0.001; Hoffman et al., 2003).• Roumie et al. (2006) in a multifaceted intervention that included letters sent to patients combined with provider education (e-mail with Web-based link with hypertension treatment guidelines) and computerized alerts to providers found significantly better mean blood pressure after 6 months of follow-up compared with provider education alone or provider alerts plus provider education, and more patients in the combination intervention with patient letters attained systolic blood pressure control (140 millimeters mercury [mm Hg]), 60% versus 42% for provider education only and 41% for provider education plus alert (P = 0.012). ABSTRACT BACKGROUND: Medication nonadherence is a major concern for many health care stakeholders. Improving medication adherence in health plan members who have both hypertension and diabetes is essential for the successful management of these chronic diseases, with anticipated outcomes in decreased health care utilization, all-cause mortality and cost. What is already known about this subject

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“…Kedua metode tersebut efektif dalam memperbaiki ketaatan pasien dibandingkan dengan kontrol; jumlah subjek yang terkontrol memiliki TD 47,2% pada kelompok kontrol (CI 54,0-54,4) dan 61,3% pada kelompok dengan surat (CI 54,1-68,5%) dan 63,3% (CI 56,4-70,2%) (p<0,05) dengan metode telepon. 34 Usaha untuk meningkatkan ketaatan berdasarkan dimensi ketaatan dapat dilihat pada Tabel 1.…”

Section: Metode Untuk Mengukur Ketaatan Terapi Pasienunclassified

The Effect of Patient Medication Adherence on the Outcome of Cardiovascular-Related Diseases

Suhadi

2014

Indones J Clin Pharm

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AbstrakKetaatan terapi jangka panjang adalah perilaku pasien dalam penggunaan obat, pengaturan diet, dan/atau perubahan pola hidup sebagai hasil persetujuan pasien terhadap rekomendasi penyedia layanan kesehatan. Persistensi terapi merupakan keberlanjutan terapi meliputi durasi pasien tidak meninggalkan terapinya. Ketaatan terapi pasien dipengaruhi oleh faktor sistem kesehatan, pasien, sosioekonomi, terapi, dan kondisi penyakit. Artikel ini bertujuan untuk mengevaluasi penelitian-penelitian terkait ketaatan terapi yang meliputi definisi, prevalensi, faktor-faktor, intervensi untuk ketaatan, dan dampak ketaatan terhadap luaran terapi. Penelitian-penelitian yang diulas dipilih secara purposive dari database jurnal dan situs website terpercaya. Berdasarkan hasil ulasan ditemukan bahwa intervensi nonfarmakologi tidak konsisten hasilnya terhadap peningkatan ketaatan, demikian juga dampak ketaatan terhadap luaran terapi hasilnya bervariasi mulai dari tidak berefek sampai dengan efek ringan dan kuat. Luaran ketaatan meskipun tidak pasti, peningkatan ketaatan tetap diperlukan untuk memastikan obat digunakan dan bekerja dengan baik pada pasien. Hasil positif ketaatan yang ditemukan misalnya pasien yang taat akan mengalami perbaikan prognosis pada pasien hipertensi. Ketidaktaatan terapi pasien dapat meningkatkan kematian, lebih banyak pasien terpaksa masuk rumah sakit, dan memerlukan tambahan biaya terapi yang lebih besar. Kata kunci: Intervensi nonfarmakologi, ketaatan terapi, luaran terapi, persistensi terapi The Effect of Patient Medication Adherence on the Outcome of Cardiovascular-Related Diseases AbstractLong-term adherence is affected by the patient behavior to medicine administration, diet management, and/ or life-style changes as the result of the patients' concordance to the health-providers' recommendations. Therapy persistence is defined as the medication sustainability of the patients or the duration without discontinue of the therapy. Patients' medication adherence is affected by health care system, patients, socioeconomics, therapies, and disease condition factors. This article aimed to evaluate the studies on medication adherence including the definition, prevalence, affecting factors, intervention to increase adherence, and the outcome therapy due to adherence. Purposive method was performed to select the articles from reliable journal database and websites. The result showed that there was inconsistent result of nonpharmacological intervention to enhance the medication adherence; the effect of adherence on therapeutic outcome was found from no and mild effect to intense effect. Though the effect of adherence on therapeutic outcome was inconsistent, efforts to increase adherence should be implemented to ensure that the patients get appropriate administration of the medicine. Medication adherence improved prognosis among hypertensive patients, meanwhile nonadherence increased the patients' mortality rate, hospital admission, and cost of therapy.

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Efficacy of telephone and mail intervention in patient compliance with antihypertensive drugs in hypertension. ETECUM‐HTA study

Abstract: TIG and MIG are effective measures for improving patient compliance in hypertension.

Cited by 75 publications

References 15 publications

Randomized Pilot Study of a Behavioral Feedback Intervention to Improve Medication Adherence in Older Adults With Hypertension

Randomized Pilot Study of a Behavioral Feedback Intervention to Improve Medication Adherence in Older Adults With Hypertension

Descriptive Analysis of Mail Interventions with Physicians and Patients to Improve Adherence with Antihypertensive and Antidiabetic Medications in a Mixed-Model Managed Care Organization of Commercial and Medicare Members

The Effect of Patient Medication Adherence on the Outcome of Cardiovascular-Related Diseases

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