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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.
Background:
Poor adherence in treatment and medication is a global issue in curing the chronic diseases such as hypertension. The present study was conducted to identify the factors related with medication adherence among hypertensive patients referred to the health centers of Borujerd based on the Pender's Health Promotion Model (HPM).
Materials And Methods:
This cross-sectional study was conducted on 463 patients who were referred to the comprehensive health centers of Borujerd city by cluster sampling method in 2019. The data were collected using a questionnaire including demographic variables and Pender's HPM constructs. Data were analyzed by SPSS 18 software using Pearson correlation coefficient and linear regression.
Results:
The mean and standard deviation of the participants' age was 63.29 ± 11.2 years. The results showed that hypertensive patients had a relatively desirable level of medication adherence behavior. Perceived barriers (β = -0.169), perceived self-efficacy (β = 0.196), activity related affect (β = 0.232), and following medication regimen (β = 0.225) were the best predictors of performing the medication adherence behavior. In total, different structures of the HPM explained 42.2% of the variation of medication adherence behavior changes.
Conclusions:
According to the findings, the design of educational programs using HPM is recommended to increase the medication adherence among hypertensive patients.
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