Enhancing medication compliance and prescribing practice
Hypertensive patients' experience with adherence therapy for enhancing medication compliance: a qualitative exploration
Article first published online: 27 FEB 2013
© 2013 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 13-14, pages 2039–2052, July 2013
How to Cite
Alhalaiqa, F., Deane, K. H. and Gray, R. (2013), Hypertensive patients' experience with adherence therapy for enhancing medication compliance: a qualitative exploration. Journal of Clinical Nursing, 22: 2039–2052. doi: 10.1111/j.1365-2702.2012.04321.x
- Issue published online: 8 JUN 2013
- Article first published online: 27 FEB 2013
- Manuscript Accepted: 23 JUN 2012
- adherence therapy;
- pragmatic approach;
- thematic analysis
Aims and objectives
To investigate the experience of non-compliant hypertensive patients who had received seven sessions of adherence therapy (AT) as part of a randomised controlled trial.
AT is a patient-centred approach used to explore patient attitudes, beliefs and discrepancy toward medications that aimed to enhance patients' medication-taking behaviour.
Qualitative analysis of semi-structured interviews with patients who had completed an AT intervention.
A convenience sample of 10 hypertensive patients who received AT as part of an exploratory randomised controlled trial (ISRCTN99494659) were included. Thematic analysis of semi-structured interviews exploring patient's views and experiences of AT was used.
Five major themes of AT emerged; modifying attitudes and beliefs, positive impact on self efficacy, therapist motivation, positive impact on well-being and a well-designed intervention.
patients' views about the benefit of AT were entirely consistent with our proposed mechanism of action for this intervention; that is by improving patient's beliefs and attitudes regarding taking drugs, and finding solutions to barriers that prevent adherence, patients become more complaint with their medication which in turn has a positive impact on clinical outcomes [i.e. blood pressure, hypertension complication (stroke, myocardial infarction, and recurrent hospitalisation)].
Relevance to clinical practice
Exploring patients' experience with AT and recognising these five elements help in tailoring a new effective strategy according to individual needs for enhancing adherence to prescribed drugs.