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Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education

BACKGROUND: In Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent. OBJECTIVE: To identify patient-related determi...

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Autores principales: Meinema, Jennita G., van Dijk, Nynke, Beune, Erik J. A. J., Jaarsma, Debbie A. D. C., van Weert, Henk C. P. M., Haafkens, Joke A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4534399/
https://www.ncbi.nlm.nih.gov/pubmed/26267453
http://dx.doi.org/10.1371/journal.pone.0133560
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author Meinema, Jennita G.
van Dijk, Nynke
Beune, Erik J. A. J.
Jaarsma, Debbie A. D. C.
van Weert, Henk C. P. M.
Haafkens, Joke A.
author_facet Meinema, Jennita G.
van Dijk, Nynke
Beune, Erik J. A. J.
Jaarsma, Debbie A. D. C.
van Weert, Henk C. P. M.
Haafkens, Joke A.
author_sort Meinema, Jennita G.
collection PubMed
description BACKGROUND: In Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent. OBJECTIVE: To identify patient-related determinants of adherence to lifestyle and medication recommendations among hypertensive African Surinamese and Ghanaian patients with suboptimal treatment results (SBP≥140) living in the Netherlands and how culturally appropriate hypertension education (CAHE) influenced those determinants. METHODS: This study analysed data of 139 patients who participated in the CAHE trial. Univariate logistic regression analysis was used to measure the association between patient-related determinants (medication self-efficacy, beliefs about medication and hypertension, social support, and satisfaction with care) and treatment adherence. We also tested whether CAHE influenced the determinants. RESULTS: Medication self-efficacy and social support were associated with medication adherence at baseline. At six months, more medication self-efficacy and fewer concerns about medication use were associated with improved medication adherence. Self-efficacy was also associated with adherence to lifestyle recommendations at baseline. CAHE influenced patients’ illness perceptions by creating more understanding of hypertension, its chronic character, and more concerns about the associated risks. CONCLUSION: In this high-risk population, health care providers can support medication adherence by paying attention to patients’ medication self-efficacy, the concerns they may have about medication use and patients’ perceptions on hypertension. The CAHE intervention improved patients’ perception on hypertension.
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spelling pubmed-45343992015-08-24 Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education Meinema, Jennita G. van Dijk, Nynke Beune, Erik J. A. J. Jaarsma, Debbie A. D. C. van Weert, Henk C. P. M. Haafkens, Joke A. PLoS One Research Article BACKGROUND: In Western countries, better knowledge about patient-related determinants of treatment adherence (medication and lifestyle) is needed to improve treatment adherence and outcomes among hypertensive ethnic minority patients of African descent. OBJECTIVE: To identify patient-related determinants of adherence to lifestyle and medication recommendations among hypertensive African Surinamese and Ghanaian patients with suboptimal treatment results (SBP≥140) living in the Netherlands and how culturally appropriate hypertension education (CAHE) influenced those determinants. METHODS: This study analysed data of 139 patients who participated in the CAHE trial. Univariate logistic regression analysis was used to measure the association between patient-related determinants (medication self-efficacy, beliefs about medication and hypertension, social support, and satisfaction with care) and treatment adherence. We also tested whether CAHE influenced the determinants. RESULTS: Medication self-efficacy and social support were associated with medication adherence at baseline. At six months, more medication self-efficacy and fewer concerns about medication use were associated with improved medication adherence. Self-efficacy was also associated with adherence to lifestyle recommendations at baseline. CAHE influenced patients’ illness perceptions by creating more understanding of hypertension, its chronic character, and more concerns about the associated risks. CONCLUSION: In this high-risk population, health care providers can support medication adherence by paying attention to patients’ medication self-efficacy, the concerns they may have about medication use and patients’ perceptions on hypertension. The CAHE intervention improved patients’ perception on hypertension. Public Library of Science 2015-08-12 /pmc/articles/PMC4534399/ /pubmed/26267453 http://dx.doi.org/10.1371/journal.pone.0133560 Text en © 2015 Meinema et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Meinema, Jennita G.
van Dijk, Nynke
Beune, Erik J. A. J.
Jaarsma, Debbie A. D. C.
van Weert, Henk C. P. M.
Haafkens, Joke A.
Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title_full Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title_fullStr Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title_full_unstemmed Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title_short Determinants of Adherence to Treatment in Hypertensive Patients of African Descent and the Role of Culturally Appropriate Education
title_sort determinants of adherence to treatment in hypertensive patients of african descent and the role of culturally appropriate education
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4534399/
https://www.ncbi.nlm.nih.gov/pubmed/26267453
http://dx.doi.org/10.1371/journal.pone.0133560
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