Academic Journal
Adherence to Antihypertensive Therapy and Its Determinants: A Systematic Review
| العنوان: | Adherence to Antihypertensive Therapy and Its Determinants: A Systematic Review |
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| المؤلفون: | Ferreira, Pedro Duarte De Sousa, Simões, José Augusto Rodrigues, Velho, Denise Alexandra Cunha |
| سنة النشر: | 2024 |
| المجموعة: | Universidade da Beira Interior: Ubi Thesis - Conhecimento Online |
| مصطلحات موضوعية: | Telemedical technology, Mobile apps (mhealth), Preventive health, Antihypertensive agents, Primary health care, Medication adherence strategies, Antihypertensive therapy, Hypertension |
| الوصف: | Hypertension is a globally prevalent condition, and low adherence to antihypertensive therapy is considered one of the main causes of poor blood pressure (BP) control. Non-adherence to antihypertensive treatment is a complex issue that can arise from various factors; however, gaining an understanding of this provides key targets for intervention strategies. This study aimed to provide an overview of the current status and recent developments regarding our understanding of the determinants of patients' adherence to antihypertensives. A systematic review was performed using the electronic databases MEDLINE/PubMed, Web of Science, Scientific Electronic Library Online (SciELO), and “Índex das Revistas Médicas Portuguesas”, which included studies published between 2017 and 2021 following the PICOS model: (P) Adult patients with the diagnosis of primary hypertension, using at least one antihypertensive agent; (I) all interventions on both pharmacological and non-pharmacological level; (C) patient’s adherence against their non-adherence; (O) changes in adherence to the therapeutic plan; and (S) any study design (except review articles) written in English, French, Spanish or Portuguese. Articles were reviewed by two researchers and their quality was assessed. Subsequently, determinants were classified according to their consistent or inconsistent association with adherence or non-adherence. Only 45 of the 635 reports identified met the inclusion criteria. Adherence was consistently associated with patient satisfaction with communication, patient-provider relationship, their treatment, and use of eHealth and mHealth strategies; a patient’s mental and physical health, including depression, cognitive impairment, frailty, and disability, previous hospitalization, occurrence of vital events; drug treatment type and appearance; and unwillingness due to health literacy, self-efficacy, and both implicit and explicit attitudes towards treatment. There were discrepancies regarding the association of other factors to adherence, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | 5;e59532; https://www.cureus.com/articles/249253-adherence-to-antihypertensive-therapy-and-its-determinants-a-systematic-review#!/; http://hdl.handle.net/10400.6/14388 |
| DOI: | 10.7759/cureus.59532 |
| الاتاحة: | http://hdl.handle.net/10400.6/14388 https://doi.org/10.7759/cureus.59532 |
| Rights: | openAccess ; http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.17E2B688 |
| قاعدة البيانات: | BASE |
| DOI: | 10.7759/cureus.59532 |
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