Patient Compliance with Antihypertensive Medication

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Annotated Bibliography Hershey, J.C., Morton, B.G., Davis, J.B., & Reichgott, M.J. (1980). Patient compliance with antihypertensive medication. American Journal of Public Health, 70(10), 1081-1089. This article, written by healthcare professionals in the greater Philadelphia area, describes the methodology and findings of the early phase of a long-term study to determine the best ways to improve medicine taking compliance. A total of 132 subjects were selected through random sampling procedures from regular hypertension programs at The Hospital of the University of Pennsylvania in Philadelphia, PA. Patients were interviewed and filled out a questionnaire regarding how often they took their blood pressure medication. The results showed a positive relationship between blood pressure control and compliance, especially when compliance was differentiated between those who missed the occasional pill and those who missed three or more. The article notes that it is important to realize that, because the study relied on patients to accurately detail their behavior, some of the information must be taken with a grain of salt. Three variables were also found to contribute to explaining self-reported medication taking compliance. These were control over health matters, perceived barriers, and duration of treatment. The finding that perceived barriers, like side effects and complexity, can have negative effects on compliance is in line with earlier findings. This is to be
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