The influence of locus control on adherence to treatment regimen among hypertensive patients
Obiageli Omeje1, Chinenye Nebo
1Department of Psychology, Enugu State University of Science and Technology, Enugu, Enugu State, Nigeria.
Insights
Hypertensive patients with an internal locus of control demonstrated better adherence to treatment regimens compared to those with an external locus of control. Understanding locus of control is key for effective patient treatment.
Area of Science:
- Health Psychology
- Behavioral Medicine
- Clinical Pharmacy
Background:
- Hypertension management requires consistent patient adherence to treatment regimens.
- Patient beliefs about control over health outcomes can influence health behaviors.
- Locus of control is a psychological construct that describes an individual's perception of the causes of events.
Purpose of the Study:
- To examine the impact of locus of control on treatment adherence in hypertensive patients.
- To determine if patients' beliefs about control influence their medication-taking behavior.
Main Methods:
- A purposive sample of 100 hypertensive patients was recruited from a university teaching hospital.
- The Multidimensional Health Locus of Control (MHLC) scale and Drug Adherence Questionnaire (DAQ) were administered.
- Data were analyzed using a one-way factorial design and analysis of variance.
Main Results:
- Patients with an internal locus of control exhibited significantly higher adherence to their treatment regimen compared to externally-oriented patients (F(1.98) = 18.2, P < 0.01).
- Internal locus of control is associated with improved treatment adherence in hypertension.
Conclusions:
- Locus of control is a critical factor to consider in developing and reviewing patient treatment plans.
- Enhancing patient adherence through understanding their locus of control can improve drug efficacy and treatment outcomes.
- Tailoring interventions based on locus of control may optimize hypertension management.
Background:
The purpose of this study was to investigate the influence of locus of control on adherence to a treatment regimen among hypertensive patients.
Methods:
The participants were 100 previously diagnosed hypertensive patients drawn from the Ituku-Ozalla University of Nigeria teaching hospital, using a purposive sampling technique. All participants were individually administered the Wallston, Wallston & Devellis (1978), Multidimensional Health Locus of Control (MHLC) scale, and Drug Adherence Questionaire (DAQ) by the researchers. A one-way factorial design and analysis of variance with unequal sample sizes were used to analyze the data.
Results:
Internally-oriented patients adhered more to their treatment regimen than externally-oriented patients, F(1.98) = 18.2 (P < 0.01).
Conclusion:
Locus of control should be taken into consideration in the review of treatment packages for patients. This is because the efficacy of drugs depends to a reasonable extent on adherence to the schedule. If drugs are not taken as prescribed, their potency may be affected or wrongly assessed.
Related Concept Videos
Locus of Control
Rotter's Locus of Control
Individuals with an internal locus of control believe that their personal efforts and decisions directly affect their...
Hypertension IV: Drug Therapy and Lifestyle Modifications
Hypertension V: Nursing Management
Hypertension and Regulation of Blood Pressure
Drug Therapy
Antianxiety Medications

