Adherence to Antihypertensive Therapy

Med Clin North Am. 2017 Jan;101(1):229-245. doi: 10.1016/j.mcna.2016.08.005.

Abstract

Adherence to antihypertensive medication remains a key modifiable factor in the management of hypertension. The multidimensional nature of adherence and blood pressure (BP) control call for multicomponent, patient-centered interventions to improve adherence. Promising strategies to improve antihypertensive medication adherence and BP control include regimen simplification, reduction of out-of-pocket costs, use of allied health professionals for intervention delivery, and self-monitoring of BP. Research to understand the effects of technology-mediated interventions, mechanisms underlying adherence behavior, and sex-race differences in determinants of low adherence and intervention effectiveness may enhance patient-specific approaches to improve adherence and disease control.

Keywords: Hypertension; Interventions; Medication adherence.

Publication types

  • Review

MeSH terms

  • Antihypertensive Agents / administration & dosage
  • Antihypertensive Agents / economics
  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure*
  • Drug Combinations
  • Electronic Mail
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / physiopathology
  • Medication Adherence*
  • Patient Education as Topic
  • Reminder Systems
  • Social Support
  • Text Messaging

Substances

  • Antihypertensive Agents
  • Drug Combinations