Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania.
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 healt...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0000919 |
| _version_ | 1797703653930303488 |
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| author | Godfrey A Kisigo Onike C Mcharo John L Robert Robert N Peck Radhika Sundararajan Elialilia S Okello |
| author_facet | Godfrey A Kisigo Onike C Mcharo John L Robert Robert N Peck Radhika Sundararajan Elialilia S Okello |
| author_sort | Godfrey A Kisigo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T05:08:42Z |
| format | Article |
| id | doaj.art-66db107bb3ec4c5bbd836217bf475170 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T05:08:42Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-66db107bb3ec4c5bbd836217bf4751702023-09-03T08:50:21ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0128e000091910.1371/journal.pgph.0000919Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania.Godfrey A KisigoOnike C McharoJohn L RobertRobert N PeckRadhika SundararajanElialilia S OkelloHypertensive 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.https://doi.org/10.1371/journal.pgph.0000919 |
| spellingShingle | Godfrey A Kisigo Onike C Mcharo John L Robert Robert N Peck Radhika Sundararajan Elialilia S Okello Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. PLOS Global Public Health |
| title | Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. |
| title_full | Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. |
| title_fullStr | Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. |
| title_full_unstemmed | Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. |
| title_short | Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania. |
| title_sort | understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in tanzania |
| url | https://doi.org/10.1371/journal.pgph.0000919 |
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