Determinants of medication adherence among hypertensive patients using the Pender's health promotion model

Hossein Goudarzi1, Majid Barati2, Saeed Bashirian2

  • 1Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Insights

Medication adherence in hypertensive patients is influenced by perceived barriers, self-efficacy, and affect. Educational programs based on Pender's Health Promotion Model can improve adherence for chronic disease management.

Area of Science:

  • Health Promotion
  • Chronic Disease Management
  • Behavioral Science

Background:

  • Medication adherence is a significant global challenge in managing chronic diseases like hypertension.
  • Understanding factors influencing adherence is crucial for effective treatment outcomes.

Purpose of the Study:

  • To identify factors associated with medication adherence among hypertensive patients.
  • To apply Pender's Health Promotion Model (HPM) to understand adherence behaviors.

Main Methods:

  • A cross-sectional study involving 463 hypertensive patients in Borujerd.
  • Data collected via questionnaires on demographics and HPM constructs.
  • Statistical analysis using Pearson correlation and linear regression.

Main Results:

  • Hypertensive patients demonstrated a generally desirable level of medication adherence.
  • Key predictors of adherence included perceived barriers, self-efficacy, activity-related affect, and following the medication regimen.
  • Pender's HPM constructs explained 42.2% of the variation in medication adherence behavior.

Conclusions:

  • Educational interventions designed using Pender's HPM are recommended.
  • These programs aim to enhance medication adherence in hypertensive populations.
  • Improving adherence is vital for better chronic disease management.
Abstract

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