A five-variable composite can identify noncompliant rural elderly hypertensive patients, setting the stage for targeted interventions to improve adherence.
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Hypothesis-generating for adherence screening in elderly hypertensives; prospective validation needed before clinical adoption.
This study sought indicators of patient noncompliance with medications prescribed for hypertension. A sample of 62 elderly, rural hypertensive patients were interviewed regarding demographics, history and knowledge of hypertension, quality of life, the physician-patient relationship, drug use, and side effects encountered. A five-variable composite was able to detect the patients who were defined as noncompliant. The composite included: 1) number of chronic illnesses, 2) perceived amount of time the physician spends with the patient, 3) the patient's household composition, 4) family history of hypertension, 5) and whether hypertension affects work or home activities. More accurate identification of noncompliant patients sets the stage for interventions to improve compliance.
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McLane et al. (1995) studied this question.
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