Impact of Patient Perceptions on Compliance with Treatment for Hypertension

Bibliographic Data

ID9103899
AuthorsEugene C Nelson (0000-0002-3909-4388, Dartmouth College, corresponding author), William B Stason, Raymond Neutra (University of California, Los Angeles), Raymond R Neutra, Harold S Solomon (Harvard University), Patricia J McArdle (Harvard University)
Year1978
Volume16
Issue11
Pages893-906
Publication date1978-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197811000-00001
PMID713625
OpenAlexW2048632451
LanguageEN
Citations received19
References cited7

Patient noncompliance with medical regimens is a major obstacle in achieving hypertension control. In this study the relationships between patients' perceptions of health, disease and medical treatment and compliance were examined in personal interviews with 142 patients under treatment for hypertension. Compliance was measured in terms of blood pressure control, self-reported medication-taking, and appointment keeping. A multivariate log linear technique was used to control confounding. Blood pressure control was found to be associated with the perceived effficacy of the antihypertensive regimen, having medications prescribed for other chronic conditions, a high level of anxiety when hypertension was first diagnosed, the impact of hypertension and its treatment on lifestyle, and a higher educational level. For self-reported medication-taking, the perceived severity of hypertension, having medications prescribed for other chronic conditions and older age were predictive. Blood pressure control and self-reported medication-taking were highly correlated with each other(p = .02). Older age and being employed were the only variables that contributed independently to improved appointment keeping behavior. From these findings, it might be expected that emphasis on the effectiveness of treatment and on the potential threat posed by hypertension would motivate improved blood pressure control

Anxiety · Blood pressure · Compliance (psychology) · Confounding · Disease · Intensive care medicine · Physical therapy · Psychiatry · Regimen · Behavioral Health and Interventions · Internal Medicine · Medicine · Pharmaceutical industry and healthcare · Psychology · Psychology of Social Influence

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