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Adherence therapy for medication non-compliant patients with hypertension: A randomised controlled trial

Deane, K. H. O.; Alhalaiqa, F.; Nawafleh, A. H.; Gray, Richard; Clark, A.

Authors

K. H. O. Deane

F. Alhalaiqa

A. H. Nawafleh

Richard Gray

A. Clark



Abstract

The objective of this study is to establish the efficacy of adherence therapy (AT) compared with treatment as usual (TAU) in reducing blood pressure (BP) in non-compliant hypertensive patients. This study was designed as a parallel-group single-blind randomised controlled trial. The study was carried out at three general hospital outpatient clinics in Jordan. A total of 136 non-compliant hypertensive patients with a mean baseline BP of 164.5 mm Hg (s.d. 10.0) over 102.2 mm Hg (s.d. 7.0) participated in the study. 7 weekly 20-min sessions of AT in addition to TAU. The main outcome of this study is systolic blood pressure (SBP) at 11-weeks follow-up. In all, 68 patients received TAU and 68 AT. Intention-to-treat analysis included all participants randomised. AT lowered SBP by 23.11 mm Hg (95% CI: 25.85, 20.36) and diastolic BP (DBP) by 15.18 mm Hg (95% CI: 17.55, 12.80) at 11 weeks compared with TAU. Adherence (measured by pill counting) was also improved in the AT group by 37% at 11 weeks compared with TAU. No significant adverse events were reported. AT increases adherence to medication for hypertension which then leads to a clinically important reduction in BP. © 2012 Macmillan Publishers Limited All rights reserved.

Citation

Alhalaiqa, F., Deane, K. H. O., Nawafleh, A. H., Clark, A., & Gray, R. (2012). Adherence therapy for medication non-compliant patients with hypertension: A randomised controlled trial. Journal of Human Hypertension, 26(2), 117-126. https://doi.org/10.1038/jhh.2010.133

Journal Article Type Article
Publication Date Feb 1, 2012
Journal Journal of Human Hypertension
Print ISSN 0950-9240
Electronic ISSN 1476-5527
Publisher Springer Nature [academic journals on nature.com]
Peer Reviewed Peer Reviewed
Volume 26
Issue 2
Pages 117-126
DOI https://doi.org/10.1038/jhh.2010.133
Keywords randomised controlled trial, adherence, therapy, compliance, beliefs about medication
Public URL https://uwe-repository.worktribe.com/output/965239
Publisher URL http://dx.doi.org/10.1038/jhh.2010.133