Published In
International Journal of Healthcare Management
Document Type
Article
Publication Date
6-21-2024
Subjects
Medication adherence, Medications
Abstract
Background Non-adherence to anti-hypertensive medications is prevalent, leading to increased hospital costs and preventable deaths and disabilities. Managing patient perceptions of adherence difficulties may be key to improving adherence. Objective This study examined the potential negative effect of patients’ perceived difficulties with anti-hypertensive medication taking on adherence, along with whether and how that effect could be reduced through patient knowledge of and commitment to adherence. Method 10,867 adult U.S. residents diagnosed with essential hypertension and prescribed anti-hypertensive medications participated in a cross-sectional online survey using self-reported behaviors and perceptions. Stepwise regressions and mean difference analyses were performed. Results Perceived adherence difficulty was negatively associated with adherence behaviors (b = -.443, p < .001). This association was reduced by the moderating effects of adherence knowledge (b = .035, p < .001) and commitment to adherence (b = .008, p = .037), and their direct effects on adherence behaviors (b = .075, p < .001; b = .095, p < .001, respectively). Some differences by patient race-ethnicity and income were observed.
Rights
© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
Locate the Document
DOI
10.1080/20479700.2024.2358636
Persistent Identifier
https://archives.pdx.edu/ds/psu/42292
Citation Details
Xiao, Y., Gessl, A. S., Nakata, C., Spanjol, J., Crawford, S. Y., Sharp, L. K., & Cui, A. S. (2024). Improving anti-hypertensive medication taking: The direct and interacting effects of perceived adherence difficulty, adherence knowledge, and commitment to adherence. International Journal of Healthcare Management, 1–11.