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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.
Abstract:
Adherence to antihypertensive medication remains a key modifiable factor in the management of hypertension. The multidimensional nature of adherence and blood pressure (BP) control call for multicomponent, patient-centered interventions to improve adherence. Promising strategies to improve antihypertensive medication adherence and BP control include regimen simplification, reduction of out-of-pocket costs, use of allied health professionals for intervention delivery, and self-monitoring of BP. Research to understand the effects of technology-mediated interventions, mechanisms underlying adherence behavior, and sex-race differences in determinants of low adherence and intervention effectiveness may enhance patient-specific approaches to improve adherence and disease control.
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