Hypertensive patients' experience with adherence therapy for enhancing medication compliance: a qualitative exploration

被引:8
作者
Alhalaiqa, Fadwa [1 ]
Deane, Katherine H. O. [1 ]
Gray, Richard [1 ]
机构
[1] Univ E Anglia, Sch Nursing Sci, Fac Hlth, Norwich NR4 7TJ, Norfolk, England
关键词
adherence therapy; compliance; hypertension; pragmatic approach; qualitative; thematic analysis; BLOOD-PRESSURE CONTROL; ANTIHYPERTENSIVE MEDICATION; PHARMACIST INVOLVEMENT; CARDIOVASCULAR RISK; CARE; INTERVENTION; TRIAL; PERSPECTIVES; SUPPORT; IMPACT;
D O I
10.1111/j.1365-2702.2012.04321.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectives To investigate the experience of non-compliant hypertensive patients who had received seven sessions of adherence therapy (AT) as part of a randomised controlled trial. Background AT is a patient-centred approach used to explore patient attitudes, beliefs and discrepancy toward medications that aimed to enhance patients' medication-taking behaviour. Design Qualitative analysis of semi-structured interviews with patients who had completed an AT intervention. Methods A convenience sample of 10 hypertensive patients who received AT as part of an exploratory randomised controlled trial (ISRCTN99494659) were included. Thematic analysis of semi-structured interviews exploring patient's views and experiences of AT was used. Results Five major themes of AT emerged; modifying attitudes and beliefs, positive impact on self efficacy, therapist motivation, positive impact on well-being and a well-designed intervention. Conclusions patients' views about the benefit of AT were entirely consistent with our proposed mechanism of action for this intervention; that is by improving patient's beliefs and attitudes regarding taking drugs, and finding solutions to barriers that prevent adherence, patients become more complaint with their medication which in turn has a positive impact on clinical outcomes [i.e. blood pressure, hypertension complication (stroke, myocardial infarction, and recurrent hospitalisation)]. Relevance to clinical practice Exploring patients' experience with AT and recognising these five elements help in tailoring a new effective strategy according to individual needs for enhancing adherence to prescribed drugs.
引用
收藏
页码:2039 / 2052
页数:14
相关论文
共 56 条
[1]   Adherence therapy for medication non-compliant patients with hypertension: a randomised controlled trial [J].
Alhalaiqa, F. ;
Deane, K. H. O. ;
Nawafleh, A. H. ;
Clark, A. ;
Gray, R. .
JOURNAL OF HUMAN HYPERTENSION, 2012, 26 (02) :117-126
[2]   Knowledge and adherence to antihypertensive therapy in primary care: results of a randomized trial [J].
Amado Guirado, Ester ;
Pujol Ribera, Enriqueta ;
Pacheco Huergo, Valeria ;
Borras, Josep M. .
GACETA SANITARIA, 2011, 25 (01) :62-67
[3]  
[Anonymous], 1996, Qualitative Research Design: an Interactive Approach
[4]   Do we need methodological theory to do qualitative research? [J].
Avis, M .
QUALITATIVE HEALTH RESEARCH, 2003, 13 (07) :995-1004
[5]   Patients' decisions about whether or not to take antihypertensive drugs: qualitative study [J].
Benson, J ;
Britten, N .
BRITISH MEDICAL JOURNAL, 2002, 325 (7369) :873-876A
[6]  
Boyatzis R. E., 1998, TRANSFORMING QUALITA
[7]  
Braun V., 2006, Qualitative Research in Psychology, V3, P77, DOI 10.1191/1478088706qp063oa
[8]  
CHRISTOPHER DM, 2000, MANAGED CARE, V9, pS2
[9]  
COOPER LA, 2011, J GEN INTERNAL MED, V26, P1
[10]  
CRESS JW, 2003, RES DESIGN QUALITATI