Updates to Adherence to Hypertension Medications

Curr Hypertens Rep. 2018 Apr 10;20(4):34. doi: 10.1007/s11906-018-0830-x.

Abstract

Purpose of review: The purpose of this review is to discuss recent studies that have described approaches or interventions to improve hypertension medication adherence and to suggest how providers can integrate evidenced-based approaches into routine clinical care to improve medication adherence and blood pressure control.

Recent findings: Factors that can impact medication include patient-related factors, social- and economic-related factors, health system/health care team-related factors, and therapy-related factors. Overall, a multifaceted approach is needed to improve medication adherence. Important components include (1) patient education on hypertension, its treatment modalities and its long-term complications; and (2) patient engagement building on the foundation of education. The various interventions tested have engaged patients through interactive educational sessions, health coaching, motivational interviewing, stage of change behavioral counseling, and pharmacist hypertension management. Strategies utilizing patient education and engagement are needed to improve medication adherence and blood pressure control.

Keywords: Blood pressure; Hypertension; Medication adherence.

Publication types

  • Review

MeSH terms

  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure
  • Community-Institutional Relations
  • Cultural Competency
  • Health Promotion
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / physiopathology
  • Medication Adherence / statistics & numerical data*

Substances

  • Antihypertensive Agents