Sarah D C Harvey, Clare L Stacey
Being kind in unkind spaces: a qualitative examination of how medical educators and first year medical students perceive empathy training
Frontiers in sociology
hypertension htn significantly increases risk stroke heart disease leading causes death disability globally particularly among older adults antihypertensive medication proven treatment blood pressure control preventing complications however medication adherence rates older adults htn low review systematically identified factors influencing medication adherence older adults htn applied prisma guidelines conducted systematic searches pubmed medline google scholar july 2022 identify preliminary studies reporting factors influencing medication adherence among older adults htn convergent integrated analysis framework suggested joanna briggs institute systematic reviews adopted data synthesis initially 448 articles identified title abstract screening 16 articles qualified fulltext review phase three articles excluded reporting irrelevant populations focusing issues beyond reviews aim leaving thirteen studies final review data synthesis fifteen themes extracted key findings included studies prevalent themes included number medications used 539 n7 studies financial status 385 n5 sex 385 n5 age 301 n4 duration disease 231 n3 comorbidities 231 n3 health compliance 231 n3 themes education health literacy health belief medication belief perception illness patientphysician relationship selfefficacy social support also identified findings review highlight critical areas developing innovative evidencebased programs improve medication adherence hypertensive older adults insights review contribute improving medication adherence preventing future health complications