Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs
<em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-12-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | http://www.jphres.org/index.php/jphres/article/view/762 |
| _version_ | 1797967128120262656 |
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| author | Lilla Náfrádi Elisa Galimberti Kent Nakamoto Peter J. Schulz |
| author_facet | Lilla Náfrádi Elisa Galimberti Kent Nakamoto Peter J. Schulz |
| author_sort | Lilla Náfrádi |
| collection | DOAJ |
| description | <em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence. <br /><em>Design and methods:</em> A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients’ medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients’ acceptance of their doctor’s advice, socio-demographic and clinical characteristics. <br /><em>Results</em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor’s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients’ medication adherence and acceptance of the doctor’s advice was a covariate. <br /><em>Conclusions</em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and ii) if they address patients’ concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence. |
| first_indexed | 2024-04-11T02:26:18Z |
| format | Article |
| id | doaj.art-d13521af98a944998c4e4b8b506d122f |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T02:26:18Z |
| publishDate | 2016-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-d13521af98a944998c4e4b8b506d122f2023-01-02T22:42:05ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362016-12-015310.4081/jphr.2016.762156Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefsLilla Náfrádi0Elisa Galimberti1Kent Nakamoto2Peter J. Schulz3Institute of Communication and Health, Università della Svizzera italiana, LuganoInstitute of Communication and Health, Università della Svizzera italiana, LuganoInstitute of Communication and Health, Università della Svizzera italiana, LuganoInstitute of Communication and Health, Università della Svizzera italiana, Lugano<em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence. <br /><em>Design and methods:</em> A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients’ medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients’ acceptance of their doctor’s advice, socio-demographic and clinical characteristics. <br /><em>Results</em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor’s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients’ medication adherence and acceptance of the doctor’s advice was a covariate. <br /><em>Conclusions</em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and ii) if they address patients’ concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence.http://www.jphres.org/index.php/jphres/article/view/762medication adherencehypertensionhealth literacyself-efficacymedication beliefs |
| spellingShingle | Lilla Náfrádi Elisa Galimberti Kent Nakamoto Peter J. Schulz Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs Journal of Public Health Research medication adherence hypertension health literacy self-efficacy medication beliefs |
| title | Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs |
| title_full | Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs |
| title_fullStr | Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs |
| title_full_unstemmed | Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs |
| title_short | Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs |
| title_sort | intentional and unintentional medication non adherence in hypertension the role of health literacy empowerment and medication beliefs |
| topic | medication adherence hypertension health literacy self-efficacy medication beliefs |
| url | http://www.jphres.org/index.php/jphres/article/view/762 |
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