November 27, 2006Health Education & Behavior

Self-Efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans

Q: What does this research mean for the field?

Self-efficacy mediates the negative relationship between depressive symptoms and medication adherence among hypertensive African Americans. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Why the study?

Does self-efficacy mediate the relationship between depressive symptoms and medication adherence in hypertensive African Americans?

Population

167 hypertensive African Americans followed in a primary care practice

Design

Cohort

Authors

ASAntoinette SchoenthalerGeneral / Preventive / Lipids GOGbenga OgedegbePreventive Cardiology JAJohn P. AllegranteColumbia University

Discussion

Member takes

Implication

Self-efficacy may mediate depressive effects on adherence in hypertensive African Americans; hypothesis-generating and requires prospective confirmation.

Key Points

The research aims to explore how self-efficacy influences the relationship between depressive symptoms and medication adherence among hypertensive individuals.
Mediation analysis using Kenny and Baron framework
167 hypertensive African Americans in a primary care practice
Assessment of depressive symptoms, self-efficacy, and medication adherence
Depressive symptoms linked to poor medication adherence (beta=.013, p=.036) and low self-efficacy (beta=-.008, p=.023)
Self-efficacy negatively impacts medication adherence at follow-up (beta=-.612, p<.001)
Controlling for self-efficacy makes the relationship between depressive symptoms and medication adherence non-significant (beta=.010, p=.087)

Structured PICO

Does self-efficacy mediate the relationship between depressive symptoms and medication adherence in hypertensive African Americans?

Population

167 hypertensive African Americans followed in a primary care practice

Outcome

Medication adherence

Self-efficacy mediates the negative relationship between depressive symptoms and medication adherence in hypertensive African Americans.

Cite This Study

Schoenthaler et al. (2006) studied this question.

synapsesocial.com/papers/6a1bc18dd54006be995ee646 https://doi.org/10.1177/1090198107309459

Topics

Hypertension management

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Implication

Self-efficacy may mediate depressive effects on adherence in hypertensive African Americans; hypothesis-generating and requires prospective confirmation.

Self-Efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Self-Efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider