Key result
Higher self-efficacy links strongly to better medication adherence in hypertension.
Why the study?
The relationship between self-efficacy and adherence to treatment in hypertensive patients was not well established.
Does higher self-efficacy improve medication adherence in patients with hypertension?
Cross-Sectional (n=90)
No
Does higher self-efficacy improve medication adherence in patients with hypertension?
Effect estimate: Correlation coefficient 0.638
p-value: p=0.001
Higher self-efficacy is strongly associated with better medication adherence in hypertensive patients, underscoring the clinical importance of promoting patient confidence in managing their condition.
May guide adherence interventions in hypertension; leaves open causality and requires prospective trials before practice change.
Hypertension is a state of blood pressure above normal that has an impact on increasing morbidity and mortality rates. Hypertension generally makes sufferers have a low life expectancy and still choose to coexist with hypertension. In increasing life expectancy, hypertensive patients need high self-efficacy . A patient with high self-efficacy had twice the chance of showing better adherence to treatment when compared to patients with low self-efficacy. Objective to find out the relationship between self-efficacy and adherence to treatment for hypertension. This study is included in an observational analytical study with a cross sectional design approach. The subjects of this study were selected using a random sampling technique using 90 subjects who suffered from hypertension. The method used to measure self-efficacy was using the Medication Adherence Self-Efficacy Scale-Revision (MASES-R) and measuring medication adherence was using the Morisky Medication Adherence Scale -8 (MMAS-8). The validity test results showed that 8 questions were valid (r = 0.300), while the reliability test indicated that the MASES-R questionnaire (r = 0.990) and the MMAS-8 questionnaire (r = 0.674) were considered reliable. The results showed that there was a relationship between self-efficacy and treatment compliance in hypertensive patients at the Bambu Apus Health Center where P-Value = 0.01 = < (0.05) with a contingency coefficient value of 0.638 meaning that the strength between variables at a very strong level with the direction of a positive relationship. There is a relationship between self-efficacy and adherence to treatment for hypertension (P-Value < 0.05).
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Haryati et al. (2025) conducted a cross-sectional in Hypertension (n=90). High self-efficacy vs. Low self-efficacy was evaluated on Medication adherence (Correlation coefficient 0.638, p=0.001). Higher levels of self-efficacy were significantly associated with better medication adherence in patients with hypertension.
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