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Factors associated with non-adherence to three hypertension self-management behaviors: preliminary data for a new

Matthew J Crowley1, Janet M Grubber, Maren K Olsen

  • 1Center for Health Services Research in Primary Care, Durham VA Medical Center, HSR&D (152), 508 Fulton Street, Durham, NC 27705, USA. matthew.crowley@dm.duke.edu

Journal of General Internal Medicine
|August 29, 2012
PubMed

Insights

Identifying patients with hypertension who struggle with self-management is crucial. A new instrument helps pinpoint non-adherence to medication, diet, and exercise, correlating with higher blood pressure.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Science

Background:

  • Clinicians face challenges identifying patients unlikely to adhere to hypertension self-management.
  • Non-adherence impacts blood pressure control and healthcare costs.

Purpose of the Study:

  • Identify risk factors for non-adherence to medication, diet, and exercise in hypertension patients.
  • Evaluate an instrument's association with self-management non-adherence and blood pressure.

Main Methods:

  • Cross-sectional analysis of randomized trial data from 636 primary care patients with hypertension.
  • Collected demographic, socioeconomic, psychosocial, and health belief factors.
  • Measured self-reported adherence to medication, diet, exercise, and blood pressure (SBP/DBP).

Main Results:

  • Identified patient factors linked to non-adherence in medication use, diet, and exercise.
  • Developed composite variables indicating the number of non-adherence risk factors.
  • These composites identified subgroups with higher non-adherence likelihood and were associated with elevated SBP and DBP.

Conclusions:

  • Factors associated with non-adherence to hypertension self-management behaviors were identified.
  • A novel instrument demonstrated association with non-adherence and blood pressure.
  • This instrument shows potential for improved identification of non-adherent hypertension patients.
Abstract

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