4.3 Review

Updates to Adherence to Hypertension Medications

Journal

CURRENT HYPERTENSION REPORTS
Volume 20, Issue 4, Pages -

Publisher

SPRINGER
DOI: 10.1007/s11906-018-0830-x

Keywords

Medication adherence; Blood pressure; Hypertension

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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. Summary Strategies utilizing patient education and engagement are needed to improve medication adherence and blood pressure control.

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