Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania

Datos Bibliográficos

ID19593779
AutoresGodfrey Kisigo (0000-0001-6454-3969, Cornell University, autor de correspondencia), Onike C Mcharo (Mwanza Intervention Trials Unit), John L Robert (0000-0003-2772-4941, Mwanza Intervention Trials Unit), Robert N Peck (0000-0002-4526-2480, Cornell University), Radhika Sundararajan (0000-0002-8451-2243, Cornell University), Elialilia S Okello (0000-0002-0507-1815, Mwanza Intervention Trials Unit)
EditoresJudy Ngele Khanyola
Año2022
Volumen2
Número8
Páginase0000919
Fecha de publicación2022-08-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000919
PMID36962785
OpenAlexW4292767170
IdiomaEN
Citas recibidas5
Referencias citadas42

Hypertensive urgency is a major risk factor for cardiovascular events and premature deaths. Lack of medication adherence is associated with poor health outcomes among patients with hypertensive urgency in resource-limited settings. To inform the development of tailored interventions to improve health outcomes in this population, this study aimed at understanding facilitators and barriers to clinic attendance and medication adherence among Tanzanian adults with hypertensive urgency. We conducted in-depth interviews with 38 purposively selected participants from three groups: 1) patients with hypertension attending hypertension clinic, 2) patients with hypertension not attending hypertension clinic, and 3) clinic health workers. Interviews were conducted using a semi-structured guide which included open-ended questions with prompts to encourage detailed responses. In their narrative, patients and healthcare workers discussed 21 types of barriers/facilitators to clinic attendance and medication adherence: 12 common to both behaviors (traditional medicine, knowledge and awareness, stigma, social support, insurance, reminder cues, symptoms, self-efficacy, peer support, specialized care, social services, religious beliefs); 6 distinct to clinic attendance (transport, clinic location, appointment, patient-provider interaction, service fragmentation, quality of care); and 3 distinct to medication adherence (drug stock, side effects, medicine beliefs). The majority of identified barriers/facilitators overlap between clinic attendance and medication adherence. The identified barriers may be surmountable using tailored supportive intervention approaches, such as peer counselors, to help patients overcome social challenges of clinic attendance and medication adherence

Attendance · Family medicine · Peer support · Psychological intervention · Social support · Blood Pressure and Hypertension Studies · Medication Adherence and Compliance · Medicine · Mental Health Treatment and Access · Nursing · Psychology