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A study on usefulness of modified medication adherence scale in assessing adherence among hypertensive patients
Sethu Prabhu Shankar1, I S S Suman Babu1, Neelakandan Ramya1
1Department of General Medicine, Aarupadai Veedu Medical College and Hospital, Puducherry, India.
Insights
Medication adherence in hypertension is crucial for blood pressure control. A study found good adherence in 49% of patients, with monotherapy showing better results than polytherapy.
Area of Science:
- Cardiology
- Pharmacology
- Public Health
Background:
- Medication adherence is vital for managing hypertension and preventing cardiovascular complications.
- Understanding factors influencing adherence can improve patient outcomes.
Purpose of the Study:
- To assess medication adherence in hypertensive patients using the Modified Medication Adherence Scale (MMAS).
Main Methods:
- A cross-sectional study conducted from May to October 2017.
- Included 150 adult hypertensive patients after informed consent.
- Assessed adherence using the MMAS and analyzed data with SPSS 22.
Main Results:
- Good adherence was observed in 74 (49%) patients.
- Males (59%) showed higher adherence than females (37%).
- Monotherapy was associated with better adherence compared to polytherapy.
- Good adherence correlated with better blood pressure control.
Conclusions:
- The Modified Medication Adherence Scale (MMAS) is an effective tool for evaluating medication adherence in hypertensive individuals.
- Findings highlight the importance of adherence for blood pressure management.
Background:
Adherence to medication is important for control of blood pressure (BP) and prevention of its complications. Identifying factors which improve adherence to treatment helps in improving cardiovascular outcome.
Aim:
The aim is to study the adherence of hypertensive patients to medication using modified medication adherence scale (MMAS).
Materials And Methods:
This study was done as a cross-sectional study in the Department of General medicine in Aarupadai Veedu Medical College and Hospital, Puducherry, from May 2017 to October 2017. All adult patients of both sexes diagnosed to have hypertension were included in the study after obtaining informed consent. Adherence to hypertension was assessed using MMAS and results were analyzed. SPSS 22 software (International Business Machines Corporation, Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY) was used for statistical purposes.
Results:
A total of 150 patients were included in the study. There were 83 males and 67 females in the study. Good adherence was observed in 74 (49%) out of the total 150. Forty-nine (59%) males and 25 (37%) females were found adherent to treatment. Patients with monotherapy had a good adherence compared to those with polytherapy. Patients with good adherence had a good control of BP.
Conclusion:
MMAS is a simple and useful tool for assessing medication adherence among hypertensive patients.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

