Impact of multimodal interventions on medication nonadherence among elderly hypertensives: a randomized controlled study

Sheilini, Melita and Hande, Manjunatha H and Prabhu, Mukhyaprana M and Pai, Mamatha Shivananda and George, Anice (2019) Impact of multimodal interventions on medication nonadherence among elderly hypertensives: a randomized controlled study. Patient Preference and Adherence, 13. pp. 549-559. ISSN 1177-889X

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Abstract

Purpose: The study was conducted to investigate the effects of multimodal interventions on medication nonadherence, quality of life (QoL), hypertension (HTN), self-efficacy, and clinical outcome in terms of blood pressure (BP) among elderly people with HTN. Methods: An experimental design using a randomized controlled trial was adopted (N=80+80). The experimental group received multimodal interventions and the control group received routine care. Both groups were followed up at baseline and at 3 and 6 months. The data collection tools of demographic and clinical proforma, structured knowledge questionnaire on HTN (r=0.84), Revised Medication Adherence Self-Efficacy Scale (r=0.94), Morisky Medication Adherence Scale (r=0.83), World Health Organization Quality of Life-BREF scale (r=0.87), and digital BP apparatus were used. Necessary administrative permission was obtained for the study. Results: The study results proved that nurse-led multimodal interventions led to an improvement in medication adherence [F(1.75,214.30)=774.18, p<0.001], knowledge on HTN [F(2,244)=43.83, p<0.001], and self-efficacy [F(1,122)=3.99, p=0.04] of elderly people on antihypertensives over a period of 6 months. Overall QoL did not exhibit any statistically significant improvement, and no statistically significant reductions in the systolic BP (SBP) and diastolic BP (DBP) scores were obtained (p>0.05) in the experimental group over a period of 6 months. However, the clinical significance of multimodal interventions for improvements in medication adherence, QoL, knowledge on HTN, and self-efficacy was more favorable compared with the reduction in SBP and DBP scores. Conclusion: Nurses play a crucial role in improving medication adherence among elderly people with HTN.

Item Type: Article
Uncontrolled Keywords: Hypertension; elderly; medication adherence; knowledge; self-efficacy; uality of life.
Subjects: Medicine > KMC Manipal > Medicine
Nursing > MCON Manipal > Child Health
Nursing > MCON Manipal > Medical Surgical
Depositing User: KMC Library
Date Deposited: 24 Apr 2019 06:22
Last Modified: 24 Apr 2019 06:22
URI: http://eprints.manipal.edu/id/eprint/153721

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