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A Systematic Review of the Hill-Bone Compliance to Blood Pressure Therapy Scale
Yvonne Commodore-Mensah1,2, Sabianca Delva3, Oluwabunmi Ogungbe1,2
1Johns Hopkins School of Nursing, Baltimore, MD, USA.
Insights
The Hill-Bone Compliance to High Blood Pressure Therapy (HBCHBPT) Scale effectively measures medication adherence across diverse populations. Its proven psychometric properties and versatility support personalized healthcare strategies for chronic conditions.
Area of Science:
- Health Services Research
- Clinical Psychology
- Pharmacoeconomics
Background:
- Poor medication adherence is a significant barrier to managing hypertension and increases adverse health outcomes.
- Medication adherence can be assessed using direct and indirect methods.
- The Hill-Bone Compliance to High Blood Pressure Therapy (HBCHBPT) Scale is a popular indirect measure assessing adherence in appointment keeping, diet, and medication behaviors.
Purpose of the Study:
- To synthesize evidence on the psychometric properties and clinical utility of the HBCHBPT Scale.
- To explore the scale's application in diverse patient populations.
- To identify future research and clinical directions for the HBCHBPT Scale.
Main Methods:
- Systematic review of studies using the HBCHBPT Scale or its subscales.
- Searched CINAHL, PubMed, PsychInfo, Embase, and Web of Science databases.
- Data extraction and synthesis followed PRISMA guidelines.
Main Results:
- Fifty studies were included, primarily focusing on hypertension (44 studies).
- The HBCHBPT Scale demonstrated sound psychometric properties (Cronbach's α = 0.75) and sensitivity to intervention effects.
- The medication-taking subscale is widely used and performs well across various chronic conditions.
Conclusions:
- The HBCHBPT Scale exhibits global versatility, utilized in diverse settings and by various healthcare professionals.
- Strengths include robust adherence phenotyping capabilities, supporting personalized healthcare.
- The scale is a valuable tool for assessing and improving medication adherence in chronic disease management.
Background:
Poor medication adherence hampers hypertension control and increases the risk of adverse health outcomes. Medication adherence can be measured with direct and indirect methods. The Hill-Bone Compliance to High Blood Pressure Therapy (HBCHBPT) Scale, one of the most popular adherence measures, indirectly assesses adherence to hypertension therapy in three behavioral domains: appointment keeping, diet and medication adherence.
Aim:
To synthesize evidence on the use of the HBCHBPT Scale, including psychometric properties, utility in diverse patient populations, and directions for future clinical use and research.
Methods:
We searched electronic databases, specifically CINAHL, PubMed, PsychInfo, Embase, and Web of Science. We included original studies that used the HBCHBPT Scale or its subscales to measure a health outcome, or methodological studies involving translations and validations of the scale. We extracted and synthesized data following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.
Results:
Fifty studies were included in this review, 44 on hypertension, two on diabetes, and others on other chronic conditions. The scale was successfully translated into numerous languages and used in descriptive and intervention studies. The scale demonstrated sound psychometric properties (Cronbach's α coefficient 0.75) and sensitivity to capture intervention effects when used to evaluate the effectiveness of high blood pressure adherence interventions. The medication-taking subscale of HBCHBPT performs best and is widely used in diverse contexts to assess medication adherence for chronic conditions.
Conclusion:
The HBCHBPT Scale has high versatility globally and has been used in various settings by various healthcare worker cadres and researchers. The scale has several strengths, including high adherence phenotyping capabilities, contributing to the paradigm shift toward personalized health care.
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