Adherence to Antihypertensive Therapy

Erin Peacock1, Marie Krousel-Wood2

  • 1Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.

Insights

Improving adherence to blood pressure medication is crucial for hypertension management. Multicomponent, patient-centered strategies like simplifying regimens and reducing costs show promise for better medication adherence and blood pressure control.

Area of Science:

  • Cardiology
  • Pharmacology
  • Health Services Research

Background:

  • Adherence to antihypertensive medication is a critical, modifiable factor in managing hypertension.
  • Effective blood pressure (BP) control requires addressing the complex nature of medication adherence.

Purpose of the Study:

  • To review multicomponent, patient-centered interventions for improving antihypertensive medication adherence and BP control.
  • To identify promising strategies and areas for future research in hypertension management.

Main Methods:

  • Literature review of studies on antihypertensive medication adherence and BP control.
  • Analysis of interventions including regimen simplification, cost reduction, allied health professional involvement, and BP self-monitoring.

Main Results:

  • Regimen simplification, reduced out-of-pocket costs, allied health professional interventions, and BP self-monitoring are promising strategies.
  • Further research is needed on technology-mediated interventions, adherence mechanisms, and sex-race differences.

Conclusions:

  • Multicomponent, patient-centered interventions are essential for improving antihypertensive medication adherence.
  • Understanding individual determinants and leveraging technology can enhance patient-specific approaches to hypertension management.

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