uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Medication persistence to antihypertensive drug treatment: a cross-sectional study of attitudes towards hypertension and medication in persistent and non-persistent patients
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Div Cardiovasc Med, Stockholm, Sweden.
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Div Cardiovasc Med, Stockholm, Sweden.
Karolinska Inst, Ctr Pharmacoepidemiol, Dept Med, Stockholm, Sweden.
Karolinska Inst, Ctr Pharmacoepidemiol, Dept Med, Stockholm, Sweden.
Show others and affiliations
2019 (English)In: Blood Pressure, ISSN 0803-7051, E-ISSN 1651-1999, Vol. 28, no 5, p. 309-316Article in journal (Refereed) Published
Abstract [en]

Purpose: To study the differences in attitudes towards hypertension and drug treatment between patients persistent and non-persistent to antihypertensive drug treatment.

Materials and methods: Cross-sectional study on patients with hypertension treated at 25 primary healthcare centres in Stockholm, Sweden. Questionnaires were sent to the patients 3-12 months after initiation of antihypertensive drug treatment. Persistent medication users, defined as patients with less than 30 days without tablet supply between prescription refills, were compared with non-persistent users by scores from Likert scales: Brief-Illness Perception Questionnaire (Brief IPQ, 0-10) and Beliefs about Medicines Questionnaire (BMQ General, 4-20 and BMQ Specific, 5-25).

Results: A total of 711 patients were included in the final analyses (mean age: 62 years; 50% women), of whom 609 (86%) were classified as persistent and 102 (14%) as non-persistent by analyses of their filled prescriptions. Likert scales from the Brief-IPQ showed (all p<0.02) that persistent patients believed that hypertension was a chronic condition (median 6 vs. 4), that hypertension had less consequences on their life (median 2 vs. 3) and that they can prevent cardiovascular disease by taking antihypertensive treatment (median 7 vs. 5). Likert scales from the BMQ General showed (all p<0.02) that persistent patients believed that there are potential benefits from taking the treatment (median 16 vs. 16), and they did not believe that the doctors put too much trust in drugs (median 12 vs. 13). Further, results from the BMQ Specific showed that they believed that the antihypertensive drugs are necessary for them in order to maintain or improve their own health (median 17 vs. 16).

Conclusions: Primary healthcare providers should further emphasize the chronicity of hypertension diagnosis and the benefits of treatment, to improve the patients' medication persistence to antihypertensive treatment.

Place, publisher, year, edition, pages
2019. Vol. 28, no 5, p. 309-316
Keywords [en]
Antihypertensive drug, hypertension, medication adherence, medication persistence, primary health care
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:uu:diva-398158DOI: 10.1080/08037051.2019.1627858ISI: 000490514700005PubMedID: 31203660OAI: oai:DiVA.org:uu-398158DiVA, id: diva2:1374760
Funder
Swedish Heart Lung Foundation, 20130467Swedish Heart Lung Foundation, 20150463Available from: 2019-12-02 Created: 2019-12-02 Last updated: 2019-12-10Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Qvarnström, Miriam

Search in DiVA

By author/editor
Qvarnström, Miriam
In the same journal
Blood Pressure
Social and Clinical Pharmacy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 8 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf