Related Experiment Videos
Exploring factors influencing medication adherence in people with coexisting diabetes and hypertension: A qualitative
Pauline Tendai Maniki1, Betty Bouad Chaar1, Parisa Aslani1
1The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Background:
Medication adherence is a primary determinant of treatment success in the management of coexisting diabetes and hypertension. Most existing literature focuses on disease-specific medication adherence, neglecting factors arising from managing coexisting chronic conditions. Pinpointing factors influencing medication adherence in people with coexisting diabetes and hypertension is crucial for developing multimorbidity focused interventions.
Methods:
This study aimed to explore factors influencing medication adherence in people with coexisting diabetes and hypertension. A qualitative study was conducted with adults on medications for coexisting diabetes and hypertension, residing in Australia. In-depth interviews were conducted using a semi-structured guide to explore factors influencing medication adherence. NVivo software was used to organise and code transcripts. Thematic analysis was used to analyze the data and identify key factors influencing medication adherence.
Results:
Thirty participants were interviewed. The factors influencing medication adherence fell into five themes, which aligned with the WHO dimensions of adherence, with most comments highlighting patient and therapy-related themes. Adherence was reported to be lower when medications were taken at times that did not align with individual preferences. Intentional non-adherence was mainly driven by the burden of managing long-term medications for two chronic conditions, which resulted in frustration and emotional fatigue.
Conclusions:
Medication non-adherence in people with coexisting hypertension and diabetes is driven by diverse and interrelated factors, reflecting its complexity. Addressing these multifaceted factors requires a holistic approach that actively engages all key stakeholders (patients, healthcare providers, policy makers) to design sustainable medication adherence interventions tailored for people managing coexisting chronic conditions.
Related Concept Videos
Factors affecting Blood pressure
Physiological Factors:
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension V: Nursing Management
Hypertension IV: Drug Therapy and Lifestyle Modifications
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Hypertension and Regulation of Blood Pressure