Patient perceptions and adherence to hypertension management plans: A cross-sectional study

BackgroundHypertension is a major public health concern in Saudi Arabia, with poor medication adherence and inadequate self-care contributing to uncontrolled blood pressure and increased morbidity.AimThis study aimed to assess levels of medication adherence and self-care behaviors among hypertensive patients in Saudi Arabia and to explore how patient perceptions-behavior, motivation, and self-efficacy-affect adherence.MethodsA cross-sectional study was conducted among 408 hypertensive patients using the Morisky Medication Adherence Scale (MMAS-8) and the Hypertension Self-Care Profile. Data were analyzed using SPSS v29.ResultsLow medication adherence was reported by 88.2% of participants. Females showed higher self-care perceptions, while males had higher adherence scores (P = 0.0088). Younger adults (18-29 years) had the lowest adherence and self-care scores. Significant negative correlations were found between MMAS scores and self-efficacy (r = -0.251).ConclusionPatient perceptions, particularly self-efficacy, are strongly associated with adherence. Culturally tailored behavioral interventions are needed to improve hypertension management outcomes.