Screening for Noncompliance Among Patients With Hypertension
Is Self-Report the Best Available Measure
Bibliographic Data
| ID | 9102085 |
|---|---|
| Authors | Thomas S Inui (University of Washington, corresponding author), William B Carter (University of Washington), Roger E Pecoraro (University of Washington) |
| Year | 1981 |
| Volume | 19 |
| Issue | 10 |
| Pages | 1061-1064 |
| Publication date | 1981-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198110000-00008 |
| PMID | 7311638 |
| OpenAlex | W2039541749 |
| Language | EN |
| Citations received | 8 |
The substantial prevalence of noncompliance with drugs in populations of patients with treated hypertension suggests that a reliable, clinically applicable screening test for this behavior is needed. Among employed white males, patient response to a nonjudgmental clinician inquiry has been reported to be highly predictive of noncompliance when positive but relatively insensitive (40 per cent). We assessed the performance of patient self-report in a demographically different population and confirmed the generalizability of prior observations. A compound decision rule combining blood pressure and verbal inquiry observations, however, had higher sensitivity (83 per cent) for noncompliance in our population than self-report alone (55 per cent) and could be considered for use when the prevalence of noncompliance among uncontrolled hypertensives is sufficiently high. Because 40 per cent of well-controlled hypertensives in our test population were noncompliant by pill-count, a question is raised regarding the need for "stepping down" drug therapy in some individuals under treatment for high blood pressure
Blood pressure · Environmental health · Generalizability theory · Physical therapy · Pill · Population · Behavioral Health and Interventions · Blood Pressure and Hypertension Studies · Internal Medicine · Medication Adherence and Compliance · Medicine · Pharmacology · Psychology
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| Unique citing works | 8 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 1986 - 2006 (21) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |