Cognitive Factors Association with Medication Adherence Among Hypertension Patients
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 hyperten...
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| Format: | Article |
| Language: | English |
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University of Hormozgan
2022-11-01
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| Series: | Iranian Evolutionary Educational Psychology Journal |
| Subjects: | |
| Online Access: | http://ieepj.hormozgan.ac.ir/article-1-232-en.pdf |
| _version_ | 1827340353181581312 |
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| author | Fazel Zinat motlagh Farzad Nikroy Narges Roustaei Ahmadali Eslami |
| author_facet | Fazel Zinat motlagh Farzad Nikroy Narges Roustaei Ahmadali Eslami |
| author_sort | Fazel Zinat motlagh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T21:17:50Z |
| format | Article |
| id | doaj.art-504647ec6e5347cc8de715e4c8d5a4dc |
| institution | Directory Open Access Journal |
| issn | 2588-4395 |
| language | English |
| last_indexed | 2024-03-07T21:17:50Z |
| publishDate | 2022-11-01 |
| publisher | University of Hormozgan |
| record_format | Article |
| series | Iranian Evolutionary Educational Psychology Journal |
| spelling | doaj.art-504647ec6e5347cc8de715e4c8d5a4dc2024-02-27T17:19:31ZengUniversity of HormozganIranian Evolutionary Educational Psychology Journal2588-43952022-11-0144204212Cognitive Factors Association with Medication Adherence Among Hypertension PatientsFazel Zinat motlagh0Farzad Nikroy1Narges Roustaei2Ahmadali Eslami3 Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran Student Counseling, Faculty of Humanities, University of Hormozgan, Bandar Abbas, Iran Department of Biostatistics and Epidemiology, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran 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.http://ieepj.hormozgan.ac.ir/article-1-232-en.pdfadherence to medicationsocial cognitive theoryhypertensionself-regulationself-efficacy |
| spellingShingle | Fazel Zinat motlagh Farzad Nikroy Narges Roustaei Ahmadali Eslami Cognitive Factors Association with Medication Adherence Among Hypertension Patients Iranian Evolutionary Educational Psychology Journal adherence to medication social cognitive theory hypertension self-regulation self-efficacy |
| title | Cognitive Factors Association with Medication Adherence Among Hypertension Patients |
| title_full | Cognitive Factors Association with Medication Adherence Among Hypertension Patients |
| title_fullStr | Cognitive Factors Association with Medication Adherence Among Hypertension Patients |
| title_full_unstemmed | Cognitive Factors Association with Medication Adherence Among Hypertension Patients |
| title_short | Cognitive Factors Association with Medication Adherence Among Hypertension Patients |
| title_sort | cognitive factors association with medication adherence among hypertension patients |
| topic | adherence to medication social cognitive theory hypertension self-regulation self-efficacy |
| url | http://ieepj.hormozgan.ac.ir/article-1-232-en.pdf |
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