Ryan Shaw|Hayden B. Bosworth
Baseline medication adherence and blood pressure in a 24?month longitudinal hypertension study
Duke University|Duke University
aim objectives sought identify feasibility predictive validity easy quick selfreported measure medication adherence identify characteristics people hypertension may warrant increase attentiveness nurses address hypertensive selfmanagement needs background current control rates hypertension approximately 50 effective blood pressure control achieved people hypertension antihypertensive medication however hypertension control achieved patient adherent medication regimen patients nonadherent may need additional intervention design secondary analysis evaluated systolic blood pressure patients received usual hypertension management across 24 months sixmonth intervals methods longitudinal study 159 hypertensive patients two primary care clinics results sample 159 patients receiving care primary care facility baseline medication nonadherence associated 63 mmhg increase systolic blood pressure p lt 005 baseline 84 mmhg increase systolic blood pressure p lt 005 12 months 75 increase systolic blood pressure 24 months p lt 005 compared adherent patients respectively results also indicate significant increase systolic blood pressure across 24 months among people identified minority low financial status conclusions nonadherence antihypertensive medication baseline predictive increased systolic blood pressure 24 months postbaseline relevance clinical practice study demonstrates use easytouse questionnaire identify patients nonadherent recommend assessing medication adherence identify patients nonadherent antihypertensive medication especially vigilant patients minority considered low income