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Behavior-changing methods for improving adherence to medication.

¹Department of Applied Pharmaceutical Sciences, College of Pharmacy, 41 Lower College Road, University of Rhode Island, Kingston, RI 02881, USA.

Current Hypertension Reports

|September 12, 2000

Summary

Improving long-term adherence to antihypertensive drug therapy requires behavior change strategies. Interventions tailored to a patient

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Area of Science:

Behavioral Science
Pharmacology
Health Psychology

Background:

Poor long-term adherence to antihypertensive medications is a significant clinical challenge.
New strategies are needed to predict and enhance adherence to drug regimens for hypertension management.

Purpose of the Study:

To review behavior change literature and present a new perspective on medication adherence.
To explore the application of behavior change principles to improve antihypertensive drug therapy adherence.

Main Methods:

Literature review of behavior change principles and interventions.
Examination of stage-of-change models applied to medication adherence.
Discussion of tailored interventions based on patient's stage of change.

Main Results:

Adherence to long-term medication regimens necessitates behavior change.
Behavior change principles can accelerate the adoption of medication-taking behavior.
Interventions effective in other health behaviors can be adapted for medication adherence.

Conclusions:

Tailored behavior-changing interventions, matched to a patient's stage of change, are effective.
Early stages require consciousness-raising; later stages benefit from rewards, monitoring, and reminders.
Reliable methods to measure stage of change provide a foundation for applying behavior change principles to hypertension pharmacologic management.

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