Role of Illness Perceptions and Medication Beliefs on Medication Compliance of Elderly Hypertensive Cohorts

Rajpura, Jigar; Nayak, R.

doi:10.1177/0897190013493806

Cited by 49 publications

(57 citation statements)

References 13 publications

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“…The current study also found that stronger beliefs about the necessity of antihypertensive medications were related to higher medication adherence; other studies, including those involving Arab populations, have reported similar results. 2,14 No relationship was found between concerns about antihypertensive medications and medication adherence in the present study; this is inconsistent with the findings of previous research. 2,14 In the current study, subjects seemed more anxious about becoming overly dependent on their medications.…”

Section: Discussioncontrasting

confidence: 57%

“…2,14 No relationship was found between concerns about antihypertensive medications and medication adherence in the present study; this is inconsistent with the findings of previous research. 2,14 In the current study, subjects seemed more anxious about becoming overly dependent on their medications. It is likely that the low adherence level noted among patients with more concerns about their medications could be improved by addressing these fears when developing a plan of care, particularly with major concerns related to the longterm consequences or side-effects of the medication or fears of dependency.…”

Section: Discussioncontrasting

confidence: 57%

“…1 Patient beliefs about health and illness are significant predictors of medication adherence. 2 Moreover, beliefs regarding the severity of a disease, self-efficacy and the benefits of medication may explain patients' attitudes towards medication adherence, as described in the Health Beliefs Model. 3 In Oman, the prevalence of HTN is high, with up to 40% of the population affected.…”

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confidence: 99%

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Relationship Between Medication Adherence and Health Beliefs Among Patients with Hypertension in Oman: Pilot study

Al-Noumani¹,

Wu²,

Barksdale³

et al. 2017

SQUMJ

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abstract:Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale. Results: The mean MMAS score was 5.3 ± 2.0, with 48.9% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence (P = 0.012 and 0.028, respectively). Conclusion:The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients' adherence to antihypertensive medications.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 57%

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confidence: 99%

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Relationship Between Medication Adherence and Health Beliefs Among Patients with Hypertension in Oman: Pilot study

Al-Noumani¹,

Wu²,

Barksdale³

et al. 2017

SQUMJ

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“…We found that improved medication adherence after CHEP was positively associated with improved medication self-efficacy (MASES-R) and with a reduction of concerns about medications as measured by the BMQ. It is unlikely that changes in these underlying determinants of adherence to hypertension treatment [42]- [49] would have occurred without the educational intervention. More patients had begun to engage in moderate physical activity during the study period.…”

Section: Discussionmentioning

confidence: 99%

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

Odusola¹,

Nelissen²,

Hendriks³

et al. 2015

WJCD

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In sub Saharan Africa (SSA), access to affordable hypertension care through health insurance is increasing. But due to poor adherence, hypertension treatment outcomes often remain poor. Patient-centered educational interventions may reverse this trend. Using a pre-test/post-test design, * Corresponding author. A. O. Odusola et al. 182in this study we investigated the effects of a structured cardiovascular health education program (CHEP) on treatment adherence, blood pressure (BP) control and body mass index (BMI) among Nigerian hypertensive patients who received guideline-based care in a rural primary care facility, in the context of a community based health insurance program. Study participants included 149 insured patients with uncontrolled BP and/or poor self-reported medication adherence after 12 months of guideline-based care. All patients received three group-based educational sessions and usual primary care over 6 months. We evaluated changes in self-reported adherence to prescribed medications and behavioral advice (primary outcomes); systolic BP (SBP) and/or diastolic BP (DBP) and BMI (secondary outcomes); and beliefs about hypertension and medications (exploratory outcomes). Outcomes were analyzed with descriptive statistics and regression analysis. 140 patients completed the study (94%). At 6 months, more participants reported high adherence to medications and behavioral advice than at baseline: respectively, 101 (

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“…Eliciting beliefs using the BMQ, IPQ and MHLCS better predicted adherence as measured by MARS when compared to studies using the BMQ and IPQ 168,185,322 or the BMQ and MHLCS. 134 These two interaction effects suggest that there are important differences in the way beliefs associate with medication adherence, which bivariate analyses are not able to detect.…”

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confidence: 96%

Exploring the relationship between health beliefs and medication adherence in individuals with asthma

Foot¹,

Caze²,

Gujral³

et al.

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In individuals with asthma, non-adherence to inhaled corticosteroids contributes to increased exacerbations, healthcare utilisation and mortality. Understanding the beliefs an individual holds about their medicines, illness and about the controllability of their health provides a promising way to better understand non-adherence in individuals with chronic conditions. Research to date has focussed on bivariate relationships between a specific set of beliefs and medication adherence. This approach simplifies the complex, multifaceted nature of medication adherence. I suggest that investigating how different beliefs associate with medication adherence in a multivariable model may improve understanding of adherence decisions.The aim of the thesis is to investigate the relationship between beliefs about medicines, illness perceptions and locus of control beliefs with self-reported medication adherence in individuals with asthma.The first part of the thesis was to identify whether beliefs about medicines, elicited through the Beliefs about Medicines Questionnaire (BMQ), were correlated to medication adherence on a population level. The BMQ consists of two scales that seek to elicit an individual's beliefs in the necessity and concerns of taking medication. Necessity beliefs reflect medicines being protective of current and future health and concern beliefs reflect beliefs about the negative effects of medicines. Beliefs about medicines are thought to play a key role in medication-taking, but inconsistent results across different conditions and different measures of adherence makes it difficult to conclude the size of the effect at a population level. A meta-analysis was conducted to identify whether beliefs in the necessity and concerns of medicines, were significantly correlated with medication adherence across different conditions. An electronic search was conducted for manuscripts comparing scores from the BMQ to measures of medication adherence. Studies were pooled using the random-effects model to produce a mean effect size correlation. Studies were stratified for condition, adherence measure, power and study design. Ninety-four papers were included and the overall effect size correlation was 0.17 for necessity and -0.18 for concerns (p<0.0001). Necessity and concerns beliefs were correlated with medication adherence on a population level and across the majority of included conditions. The effect sizes were small with a magnitude comparable to other predictors of adherence. Exploring the role of beliefs outside the Beliefs about Medicines Framework may improve prediction and understanding of medication adherence.A cross-sectional study was conducted to explore the relationship between measures of health beliefs and medication adherence in individuals with asthma. A total of 198 participants using a preventative asthma inhaler for three or more months were recruited from two community pharmacies and via iii online advertisement. Each participant completed a survey of validated questionnaires consisting of:...

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Role of Illness Perceptions and Medication Beliefs on Medication Compliance of Elderly Hypertensive Cohorts

Abstract: The findings provide practical basis for designing interventions and programs aimed at compliance building in elderly populations having hypertension by incorporating the value and importance of patient perceptions of illness and medications in order to achieve desired patient outcomes.

Cited by 49 publications

References 13 publications

Relationship Between Medication Adherence and Health Beliefs Among Patients with Hypertension in Oman: Pilot study

Relationship Between Medication Adherence and Health Beliefs Among Patients with Hypertension in Oman: Pilot study

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

Exploring the relationship between health beliefs and medication adherence in individuals with asthma

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