Nurse-led multimodal interventions significantly improved medication adherence (P<0.001), knowledge on hypertension, and self-efficacy among elderly patients over 6 months.
RCT (n=160)
randomized
Do nurse-led multimodal interventions improve medication adherence and blood pressure in elderly people with hypertension?
Nurse-led multimodal interventions improve medication adherence and self-efficacy in elderly hypertensive patients, though without significant short-term reductions in blood pressure.
Effect estimate: F=774.18
p-value: p=<0.001
Purpose: The study was conducted to investigate the effects of multimodal interventions on medication nonadherence, quality of life (QoL), hypertension (HTN), self-efficacy, and clinical outcome in terms of blood pressure (BP) among elderly people with HTN. Methods: An experimental design using a randomized controlled trial was adopted (N=80+80). The experimental group received multimodal interventions and the control group received routine care. Both groups were followed up at baseline and at 3 and 6 months. The data collection tools of demographic and clinical proforma, structured knowledge questionnaire on HTN ( r =0.84), Revised Medication Adherence Self-Efficacy Scale ( r =0.94), Morisky Medication Adherence Scale ( r =0.83), World Health Organization Quality of Life-BREF scale ( r =0.87), and digital BP apparatus were used. Necessary administrative permission was obtained for the study. Results: The study results proved that nurse-led multimodal interventions led to an improvement in medication adherence [ F (1.75,214.30)=774.18, p 0.05) in the experimental group over a period of 6 months. However, the clinical significance of multimodal interventions for improvements in medication adherence, QoL, knowledge on HTN, and self-efficacy was more favorable compared with the reduction in SBP and DBP scores. Conclusion: Nurses play a crucial role in improving medication adherence among elderly people with HTN. Trial details: Ethical clearance was obtained (IEC no. KH IEC 253/2012) from the Institutional Ethical Committee of Manipal University, Manipal, and the study was conducted in accordance with the Declaration of Helsinki. The study is registered under Clinical Trials Registry of India (CTRI/2017/04/008405). Informed consent was obtained from participants, and the confidentiality of information was assured. Keywords: hypertension, elderly, medication adherence, knowledge, self-efficacy, quality of life
Sheilini et al. (2019) conducted an RCT in hypertension (n=160). Nurse-led multimodal interventions vs. Routine care was evaluated on Medication adherence (F=774.18, p=<0.001). Nurse-led multimodal interventions significantly improved medication adherence (P<0.001), knowledge on hypertension, and self-efficacy among elderly patients over 6 months.