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[Evaluation of patient compliance among hypertensive patients treated by specialists]

X Girerd1, A Radauceanu, J M Achard

  • 1Service de médecine interne, hôpital Broussais, 96, rue Didot, 75014 Paris.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|September 29, 2001
PubMed

Insights

A self-report questionnaire effectively assessed medication compliance in hypertension patients. The Compliance Evaluation Test identified factors linked to poor adherence, aiding physicians in managing nonadherence.

Area of Science:

  • Cardiology
  • Pharmacology
  • Health Services Research

Background:

  • Hypertension management requires consistent medication adherence.
  • Assessing patient compliance is crucial for effective treatment outcomes.
  • Self-report methods offer a practical approach to evaluating medication adherence.

Purpose of the Study:

  • To evaluate the efficacy of a self-report questionnaire in assessing antihypertensive therapy compliance.
  • To identify factors associated with medication noncompliance in hypertensive patients referred to specialists.

Main Methods:

  • A study involving 484 treated hypertensive patients referred to hypertension clinics.
  • Utilized the validated Compliance Evaluation Test (CET) questionnaire to assess medication compliance.
  • Defined compliance levels: 'good compliant' (0 'Yes'), 'minor noncompliant' (1-2 'Yes'), and 'noncompliant' (3+ 'Yes').

Main Results:

  • 39% of patients were 'good compliant', 53% 'minor noncompliant', and 8% 'noncompliant'.
  • Logistic regression confirmed statistical differences based on age, sex, education, blood pressure, and tablet count.
  • The CET score showed good agreement with compliance assessed by missed pills.

Conclusions:

  • Self-report interviews, specifically the CET, are valuable tools for assessing medication compliance in clinical practice.
  • The CET effectively detects factors linked to poor adherence, such as younger age, higher blood pressure, and multiple daily tablets.
  • Implementing the CET can assist physicians in addressing nonadherence issues among hypertensive patients.
Abstract

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