Lilla Náfrádi|Elisa Galimberti|Kent Nakamoto|Peter Schulz
Intentional and Unintentional Medication Non-Adherence in Hypertension: The Role of Health Literacy, Empowerment and Medication Beliefs
Università della Svizzera italiana|Università della Svizzera italiana|Università della Svizzera italiana|Università della Svizzera italiana
medication nonadherence major public health issue creating obstacles effective treatment hypertension examining underlying factors deliberate nondeliberate nonadherence crucial address problem thus goal present study assess sociodemographic clinical psychological determinants intentional unintentional nonadherencea crosssectional survey conducted march 2015 april 2016 sample consisted hypertension patients holding least one medical prescription n109 measurements assessed patients medication adherence health literacy empowerment selfefficacy medication beliefs patients acceptance doctors advice sociodemographic clinical characteristicspatients occasionally engaged either intentional unintentional nonadherence reported lower adherence selfefficacy higher medication concern beliefs lower meaningfulness scores less likely accept doctors treatment recommendations patients occasionally engaged unintentional nonadherence younger experienced side effects compared completely adherent patients adherence selfefficacy mediator effect health literacy patients medication adherence acceptance doctors advice covariateregarding research implications health literacy adherence selfefficacy assessed simultaneously investigating factors nonadherence regarding practical implications adherence could increased physicians doublecheck whether patients accept treatment advice given ii address patients concerns medications steps could especially important patients characterized lower selfefficacy likely engage occasional nonadherence