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April 12, 2004Archives of Internal Medicine419 citations

How Can We Improve Adherence to Blood Pressure–Lowering Medication in Ambulatory Care?

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KSKnut SchroederTFTom FaheySEShah Ebrahim

Structured PICO

Does reducing the number of daily doses improve adherence to blood pressure-lowering medication in ambulatory care?

P
Population
Patients taking blood pressure-lowering medication in ambulatory care
I
Intervention
Reducing the number of daily doses, motivational strategies, and complex interventions
O
Outcome
Adherence to blood pressure-lowering medication

Reducing the number of daily doses of antihypertensive medication is an effective first-line strategy to improve patient adherence.

Limitations

  • Less evidence of an effect on blood pressure reduction
  • Need for more carefully designed randomized controlled trials to evaluate motivational strategies and complex interventions

Abstract

Reducing the number of daily doses appears to be effective in increasing adherence to blood pressure-lowering medication and should be tried as a first-line strategy, although there is so far less evidence of an effect on blood pressure reduction. Some motivational strategies and complex interventions appear promising, but we need more evidence on their effect through carefully designed randomized controlled trials.

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Cite This Study

Schroeder et al. (2004) studied this question.

synapsesocial.com/papers/69df3eca6324afb55d591aa5https://doi.org/10.1001/archinte.164.7.722
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improved patients compliance through use of a daily drug reminder chart.1977 · 66 citations
  2. 2Effect of health education in promoting prescription refill compliance among patients with hypertension.1991 · 113 citations
  3. 3Effect of value-added utilities on prescription refill compliance and health care expenditures for hypertension.1993 · 54 citations
  4. 4RANDOMISED CLINICAL TRIAL OF STRATEGIES FOR IMPROVING MEDICATION COMPLIANCE IN PRIMARY HYPERTENSION1975 · 506 citations
  5. 5A Randomized Controlled Trial of Compliance Improving Strategies in Soweto Hypertensives1991 · 33 citations