Determinants of adherence to medical regimens by hypertensive patients

  title={Determinants of adherence to medical regimens by hypertensive patients},
  author={Annette L. Stanton},
  journal={Journal of Behavioral Medicine},
  • A. Stanton
  • Published 1 August 1987
  • Medicine, Psychology
  • Journal of Behavioral Medicine
This study employed multivariate analyses and structural modeling procedures to examine a model for the determinants of adherence to medical regimens. [] Key Method Fifty adult hypertensive patients at a health maintenance organization completed questionnaires and participated in home interviews over a 10-week period.
Modeling adherence to therapeutic regimens in patients with hypertension.
  • Y. Roh
  • Medicine, Psychology
    Taehan Kanho Hakhoe chi
  • 2005
Findings suggest that nursing interventions to promote patient adherence should focus on the promotion of self-efficacy including improvement in patient-provider relationship and social support, and reduction in depression.
Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis
A meta-analysis was conducted to examine whether social support was related to adherence to healthy lifestyle and treatment medication in hypertensive patients and found functional social support, but not structuralsocial support, was associated with adherence.
Workplace Social Capital and Adherence to Antihypertensive Medication: A Cohort Study
Higher age, obesity, and presence of somatic co-morbidities were all associated with better adherence, but this was not the case for co-workers' assessments or self-reported workplace social capital.
Social support and patient adherence to medical treatment: a meta-analysis.
  • M. Dimatteo
  • Psychology
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 2004
In a review of the literature from 1948 to 2001, 122 studies were found that correlated structural or functional social support with patient adherence to medical regimens. Meta-analyses establish
Family support, physical impairment, and adherence in hemodialysis: An investigation of main and buffering effects
Results indicated that patients holding perceptions of a more supportive family environment exhibited significantly more favorable adherence to fluid-intake restrictions than did patients reporting less family support, which suggests that the influence of support on adherence is more attributable to a main or direct effect, as opposed to a buffering process in the face of increased physical impairment.
The challenge of patient adherence
Knowing the patient as a person allows the health professional to understand elements that are crucial to the patient's adherence: beliefs, attitudes, subjective norms, cultural context, social supports, and emotional health challenges, particularly depression.
Workplace Social Capital and Adherence to Antihypertensive Medication Oksanen, Tuula
No consistent evidence is found to support the hypothesized effect of workplace social capital on adherence to drug therapy among employees with chronic hypertension.
Magnitude and associated factors of poor medication adherence among diabetic and hypertensive patients visiting public health facilities in Ethiopia during the COVID-19 pandemic
Health facility type, income level, comorbidity, and current substance use history showed a statistically significant association with poor adherence to medication in Addis Ababa, Ethiopia during the COVID-19 pandemic.
Medication barriers and anti-hypertensive medication adherence: The moderating role of locus of control
Future efforts to improve medication adherence should consider the patient's perceived level of medication barriers in conjunction with their locus of control, which was beneficial when barriers to medication adherence are low, but at high perceived barriers, locu of control plays less of a role in medication adherence.
Personality traits as predictors of adherence in adolescents with type I diabetes.
  • K. Wheeler, A. Wagaman, D. McCord
  • Medicine
    Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
  • 2012
A pattern of significant correlations between the Conscientiousness and Neuroticism personality domains and one or more self-reported adherence behaviors was revealed and provided useful information to clinicians as they design and monitor individualized diabetes management regimens for adolescents.


Sociobehavioral Determinants of Compliance with Health and Medical Care Recommendations
The review suggests that certain health beliefs, health-related motivations, perceptions of psychological and other costs of the recommended action, various aspects of the doctor-patient relationship, and social influence arc the most productive dimensions for present intervention and further exploration.
Strategies for enhancing patient compliance
A number of practical interventions with demonstrated efficacy in enhancing patient adherence are reviewed, including improving patients' levels of information concerning the specifics of their regimens and reinforcing essential points with review, discussion, and written instruction.
Perceptions of Control and Causality as Predictors of Compliance and Coping in Hemodialysis
In the present study we examined the relationships among hemodialysis patients' perceptions of control over their health, attributions of causality, and staff ratings of coping and compliance.
Medical compliance and the clinician-patient relationship: a review.
  • T. Garrity
  • Medicine, Psychology
    Social science & medicine. Part E, Medical psychology
  • 1981
The medical interview satisfaction scale: Development of a scale to measure patient perceptions of physician behavior
The development of a scale to measure patient satisfaction with an encounter with a physician or other primary care provider is reported and the distribution of satisfaction scores is broader than that reported for other scales and approaches the normal in shape.
The Health Belief Model: A Decade Later
A critical review of 29 HBM-related investigations published during the period 1974-1984, tabulates the findings from 17 studies conducted prior to 1974, and provides a summary of the total 46 HBM studies.
Development of the Multidimensional Health Locus of Control (MHLC) Scales
The development of the Multidimensional Health Locus of Control scales is described. Scales have been developed to tap beliefs that the source of reinforcements for health-related behaviors is
Alienation and learning in a hospital setting.
This paper presents a controlled, and situationally specific, test of a common assertion regarding alienation in modern society. The hypothesis is tested that differences in alienation (i.e., in