Volume 4, Issue 4 (December 2022)                   IEEPJ 2022, 4(4): 204-212 | Back to browse issues page


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Zinat motlagh F, Nikroy F, Roustaei N, Eslami A. (2022). Cognitive Factors Association with Medication Adherence Among Hypertension Patients. IEEPJ. 4(4), 204-212. doi:10.52547/ieepj.4.4.204
URL: http://ieepj.hormozgan.ac.ir/article-1-232-en.html
1- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
2- Student Counseling, Faculty of Humanities, University of Hormozgan, Bandar Abbas, Iran
3- Department of Biostatistics and Epidemiology, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
4- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran , eslamiaa@gmail.com
Abstract:   (1144 Views)
Poor medication adherence in people with hypertension can lead to the development of cardiovascular complications, quality of life and reduce health care costs will increase. This study was conducted to investigate the factors related to medication adherence using social cognitive theory in hypertensive patients in Kohgiluyeh and Boyer-Ahmad provinces (Iran). This cross-sectional study was conducted among 1836 patients (male and female) with hypertension under the urban and rural health centers in Kohgiluyeh and Boyer-Ahmad provinces who met the inclusion criteria. Data collection tools were an adherence to medication questionnaire based on a modified questionnaire on the measured using the H-hypertension self-care activity level effects and the Bandura social cognitive theoretical constructs questionnaire (including self-efficacy structures, social support, outcome expectation, Outcome Expectancy and self-regulation). Data was analyzed using SPSS-21 at 95% significant level. The rate of medication treatment among participants was 74.8% (75.5% women and 73.7% men). 31.2% of participants had control over their blood pressure. Adherence to medication was weak in patients. So that 35.7% of men and 36.1% of women have medication adherence. Linear regression analysis revealed that outcome expectation, family social support, self-regulation, and outcome Expectancy accounted for a total of 59% of the variance in medication adherence. Findings indicated that the status of medication adherence in the studied patients was poor, which indicates the lack of necessary training on the importance of adherence to drug use to patients. Considering the correlation between the constructs of social cognitive theory and medication adherence, the constructs of this theory can be used in adherence to medication training in hypertensive patients.
Full-Text [PDF 252 kb]   (430 Downloads)    
Type of Study: Original | Subject: Educational Psychology
Received: 2020/11/21 | Accepted: 2021/11/28 | Published: 2022/12/1

References
1. Abegaz, T. M., Shehab, A., Gebreyohannes, E. A., Bhagavathula, A. S., & Elnour, A. A. (2017). Nonadherence to antihypertensive drugs: a systematic review and meta-analysis. Medicine, 96(4). [DOI:10.1097/MD.0000000000005641]
2. Angeli, F., Reboldi, G., Trapasso, M., Aita, A., & Verdecchia, P. (2019). Managing hypertension in 2018: which guideline to follow? Heart Asia, 11(1). [DOI:10.1136/heartasia-2018-011127]
3. Barati, M., Darabi, D., Moghimbeigi, A., & Afsar, A. (2011). Self-regulation behaviors of hypertension and related factors among hypertensive patients. Journal of Fasa University of Medical Sciences, 1(3), 116-122.
4. Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., . . . Deo, R. (2018). Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation, 137(12), e67-e492. [DOI:10.1161/CIR.0000000000000558]
5. Borhaninejad, V., Iranpour, A., Shati, M., Tahami, A. N., Yousefzadeh, G., & Fadayevatan, R. (2017). Predictors of self-care among the elderly with diabetes type 2: using social cognitive theory. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11(3), 163-166. [DOI:10.1016/j.dsx.2016.08.017]
6. Castro, L. L., Lanna, C. C. D., Rocha, M. P., Ribeiro, A. L. P., & Telles, R. W. (2018). Recognition and control of hypertension, diabetes, and dyslipidemia in patients with rheumatoid arthritis. Rheumatology International, 38(8), 1437-1442. [DOI:10.1007/s00296-018-4084-3]
7. Criswell, T. J., Weber, C. A., Xu, Y., & Carter, B. L. (2010). Effect of self‐efficacy and social support on adherence to antihypertensive drugs. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 30(5), 432-441. [DOI:10.1592/phco.30.5.432]
8. Desormais, I., Amidou, S. A., Houehanou, Y. C., Houinato, S. D., Gbagouidi, G. N., Preux, P. M., . . . Lacroix, P. (2019). The prevalence, awareness, management and control of hypertension in men and women in Benin, West Africa: the TAHES study. BMC cardiovascular disorders, 19(1), 1-12. [DOI:10.1186/s12872-019-01273-7]
9. Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: theory, research, and practice. John Wiley & Sons.
10. Hennein, R., Hwang, S. J., Au, R., Levy, D., Muntner, P., Fox, C. S., & Ma, J. (2018). Barriers to medication adherence and links to cardiovascular disease risk factor control: the Framingham Heart Study. Internal medicine journal, 48(4), 414-421. [DOI:10.1111/imj.13687]
11. House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh Community Health Study. American journal of epidemiology, 116(1), 123-140. [DOI:10.1093/oxfordjournals.aje.a113387]
12. Méndez, M. J. M., & Muñoz, C. P. (2011). Adaptación al español de la «Escala de apoyo social percibido específico para la enfermedad» de Revenson et al., 1991. Psicothema, 23(4), 795-801.
13. Mirzaei, M., Mirzaei, M., Bagheri, B., & Dehghani, A. (2020). Awareness, treatment, and control of hypertension and related factors in adult Iranian population. BMC Public Health, 20, 1-10. [DOI:10.1186/s12889-020-08831-1]
14. Mirzaei, M., Moayedallaie, S., Jabbari, L., & Mohammadi, M. (2016). Prevalence of hypertension in Iran 1980-2012: a systematic review. The Journal of Tehran University Heart Center, 11(4), 159.
15. Naderi, S. H., Bestwick, J. P., & Wald, D. S. (2012). Adherence to drugs that prevent cardiovascular disease: meta-analysis on 376,162 patients. The American journal of medicine, 125(9), 882-887. e881. [DOI:10.1016/j.amjmed.2011.12.013]
16. Nielsen, J. Ø., Shrestha, A., Neupane, D., & Kallestrup, P. (2017). Non-adherence to anti-hypertensive medication in low-and middle-income countries: a systematic review and meta-analysis of 92443 subjects. Journal of human hypertension, 31(1), 14-21. [DOI:10.1038/jhh.2016.31]
17. Omidi, A., Khodaveisi, M., Mirzaei, Z., Rezvani, M., & Moghimbeighi, A. (2017). The Effect of Education Self-Care Behaviors on the Hypertension in Postmenopausal Women. Avicenna Journal of Nursing and Midwifery Care, 25(4), 121-130. [DOI:10.30699/sjhnmf.25.4.121]
18. Poorhoseini, H.-R., & Shafiee, A. (2020). A general Report of the National Plan for High Blood Pressure Control at Tehran Heart Center in 2019. Commonity Health, 7(3), 340-344.
19. Safari, M., & Shojaeizadeh, D. (2009). Theories Models and methods of health education and promotion. Asar-E Sobhan Publishing, Iran, 22-24.
20. Salem, H., Hasan, D. M., Eameash, A., El-Mageed, H. A., Hasan, S., & Ali, R. (2018). Worldwide prevalence of hypertension: A pooled meta-analysis of 1670 studies in 71 countries with 29.5 million participants. Journal of the American College of Cardiology, 71(11S), A1819-A1819. [DOI:10.1016/S0735-1097(18)32360-X]
21. Siegel, D., Lopez, J., & Meier, J. (2007). Antihypertensive medication adherence in the Department of Veterans Affairs. The American journal of medicine, 120(1), 26-32. [DOI:10.1016/j.amjmed.2006.06.028]
22. Uchmanowicz, B., Jankowska, E. A., Uchmanowicz, I., & Morisky, D. E. (2019). Self-reported medication adherence measured with morisky medication adherence scales and its determinants in hypertensive patients aged≥ 60 years: a systematic review and meta-analysis. Frontiers in Pharmacology, 10, 168. [DOI:10.3389/fphar.2019.00168]
23. Vijayaraghavan, M., Jacobs, E. A., Seligman, H., & Fernandez, A. (2011). The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults. Journal of Health Care for the Poor and Underserved, 22(4), 1279-1291. [DOI:10.1353/hpu.2011.0131]
24. Warren-Findlow, J., & Seymour, R. B. (2011). Prevalence rates of hypertension self-care activities among African Americans. Journal of the National Medical Association, 103(6), 503-512. [DOI:10.1016/S0027-9684(15)30365-5]
25. Warren-Findlow, J., Seymour, R. B., & Brunner Huber, L. R. (2012). The association between self-efficacy and hypertension self-care activities among African American adults. Journal of community health, 37, 15-24. [DOI:10.1007/s10900-011-9410-6]
26. Wrobel, M. J., Figge, J. J., & Izzo Jr, J. L. (2011). Hypertension in diverse populations: a New York State Medicaid clinical guidance document. Journal of the American Society of Hypertension, 5(4), 208-229. [DOI:10.1016/j.jash.2011.05.003]

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