Application of the health belief model to improve the understanding of antihypertensive medication adherence among Chinese patients

Patient Education and Counseling
Zhao YueWang Bin

Abstract

We aimed to gain insight into antihypertensive medication adherence on the basis of a well-developed behavior theory. A cross-sectional study of Chinese hypertensive patients was conducted using the health belief model as a theoretical framework. The HBM explained 48.8% of the variance in antihypertensive medication adherence with an overall prediction accuracy was 82.8%. After adjusting for controlling factors, the HBM explained 50.5% of the variance in antihypertensive medication adherence with an overall prediction accuracy of 86.2%. Higher levels of perceived susceptibility (p = 0.017), cues to action (p=0.034), and self-efficacy (p = 0.002) and a lower level of perceived barriers (p < 0.001) were significantly associated with better antihypertensive medication adherence. The risk factors of older age (p = 0.037), longer duration of HTN (p = 0.003), longer duration of drug use (p = 0.001), and taking a combination of antiplatelet agents (p < 0.001) were significantly associated with better antihypertensive medication adherence and influenced different HBM constructs. The HBM is reliable in predicting medication adherence among Chinese hypertensive patients. Intervention programs in clinical practice could be guided by the r...Continue Reading

References

Jan 1, 1984·Health Education Quarterly·N K Janz, M H Becker
Apr 1, 1984·ANS. Advances in Nursing Science·V L Champion
Oct 13, 2001·Journal of Dental Research·G LeloupJ Vreven
Oct 27, 2001·Journal of Clinical Pharmacy and Therapeutics·E VermeireJ Denekens
Dec 12, 2003·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sabina De Geest, Eduardo Sabaté
Nov 4, 2005·The New England Journal of Medicine·Ronald J Campbell
Feb 27, 2007·The Milbank Quarterly·Richard P T M GrolMichel Wensing
Oct 11, 2007·The Annals of Pharmacotherapy·Brandy McGinnisJohn F Steiner
Apr 18, 2008·The European Respiratory Journal·S OlsenJ Douglas
May 6, 2008·The Journal of Clinical Hypertension·Donald E MoriskyHarry J Ward
Jan 8, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·J N Harvey, V L Lawson
Jul 28, 2010·Sleep & Breathing = Schlaf & Atmung·Gilla K Shapiro, Colin M Shapiro
Jan 28, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Moonhee GangYoungshin Song
Feb 4, 2014·Seizure : the Journal of the British Epilepsy Association·Aifang YangMingkang Zhong

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Citations

Oct 23, 2016·Research in Social & Administrative Pharmacy : RSAP·Yasser M AlatawiMeshari M Alrayees
Oct 19, 2016·Patient Education and Counseling·Shuaishuai YangYindong Li
Jan 26, 2017·Medicine·Tadesse Melaku AbegazAsim Ahmed Elnour
Mar 14, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·Z K LumJ Y-C Lee
Nov 30, 2018·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Sheila A Williams
Nov 22, 2018·Korean journal of family medicine·Young Gyu Cho
Jun 9, 2019·BMC Complementary and Alternative Medicine·Jennifer HubertyRuben Mesa
Oct 21, 2020·Journal of Human Hypertension·Iraj ZarebanL A R Stein
Nov 6, 2020·International Journal of Hypertension·Daniel G/TsadikAlemayehu Worku
Jan 31, 2021·International Journal of Clinical Pharmacy·Sajid MahmoodKifayat Ullah Shah
May 14, 2020·The Journal of Cardiovascular Nursing·Sarah C HaynesUNKNOWN Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group

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