Why the study?
Hypertension is a major contributor to global morbidity and mortality, but managing and controlling it in Ghana faces numerous challenges.
Do interpersonal factors influence the perceived effectiveness of hypertension management in adult hypertensive patients in Ghana?
Cross-Sectional (n=350)
No
Do interpersonal factors influence the perceived effectiveness of hypertension management in adult hypertensive patients in Ghana?
Interpersonal factors, particularly education level, self-efficacy, and perceived barriers, significantly influence the effectiveness of hypertension management, highlighting the need for targeted self-management education.
Answers are grounded in this paper and cite their sources.
Supports assessing perceived barriers in hypertension care; leaves open whether interventions improve control in prospective trials.
Background and Aims Hypertension, a leading noncommunicable disease, significantly contributes to global morbidity and mortality. Despite its prevalence, managing and controlling hypertension in Ghana faces numerous challenges. This study aimed to assess interpersonal factors hindering hypertension management in Ghana's Ashanti region. Methods Using a pretested questionnaire, we collected quantitative data from 350 hypertensive patients receiving care at the Komfo Anokye Teaching Hospital. Descriptive and inferential statistics were used for data analysis. Results Medication nonadherence was prevalent (56.3%), with moderate knowledge of hypertension (49.7%) and high physical inactivity (66.6%). Patients with tertiary education (adjusted odds ratios [AOR] = 6.151, 95% CI = 1.240–30.505; p = 0.03), moderate (AOR = 2.540, 95% CI = 1.016–6.350; p = 0.05), and higher self‐efficacy/ability (AOR = 2.632, 95% CI = 1.030–6.725; p = 0.04) had enhanced ability to manage their hypertension condition. Conversely, divorced/separated individuals (AOR = 0.073, 95% CI = 0.008–0.700; p = 0.02), those with a family income exceeding GHS 2000.00 (AOR = 0.081, 95% CI = 0.012–0.532; p = 0.009), disease duration exceeding 15 years (AOR = 0.293, 95% CI = 0.092–0.930; p = 0.04), adequate hypertension knowledge (AOR = 0.312, 95% CI = 0.110–0.879; p = 0.03), and higher perceived barriers (AOR = 0.312, 95% CI = 0.159–0.611; p = 0.001) had lower odds of successful management. Conclusion Interpersonal factors play a huge role in hypertension management in the Ashanti Region of Ghana. Targeted health education and self‐management are recommended in improving medication adherence and adopting healthier lifestyles among these patients from Komfo Anokye Teaching Hospital. More qualitative research is needed to deepen understanding and inform effective intervention strategies.
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Sambah et al. (2025) conducted a cross-sectional in Hypertension (n=350). High perceived barriers to hypertension management vs. Low perceived barriers was evaluated on Perceived effectiveness of hypertension management (AOR 0.312, 95% CI 0.159-0.611, p=0.001).
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