Abstract

Hypertension affects one in three American adults and is the leading modifiable risk factor of atherosclerotic cardiovascular disease deaths (Arnett et al., 2019). Medication adherence to antihypertensive medications plays an important role in controlling hypertension. Adherence is affected by multiple factors such as medication side effects, multiple medication regimens, and being asymptomatic, as well as social and economic factors, patient-related factors, therapy-related factors, comorbid conditions, and health care system factors (Egan, 2019). Frequent interactions between patients and providers and medication refill reminders have shown to improve medication adherence in cardiac patients (Lambert-Kerzner et al., 2015), thus this project focused on using frequent communication between the patient and provider in an attempt to improve mediation adherence. Over a three-month period, telephone calls were made to patients biweekly to assess their level of medication adherence. Use of the Morisky Green Levine Adherence Scale allowed for assessment of adherence change and pharmacy refill compliance was assessed by telephone confirmation. The project found that frequent communication was not statistically significant in improving medication adherence, although most of the participants verbalized that they had a positive experience and that the frequent communication made them feel more accountable.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28030822; ProQuest document ID: 2438896718. The author still retains copyright.

Author Details

Adrienne E. Thorne, DNP, AGACNP-BC, FNP-BC

Sigma Membership

Omicron Gamma

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Qualitative Research

Keywords:

Hypertension, Medication Adherence, Adults, Medication Compliance

Advisor

Denise Lyons

Second Advisor

Stacy Lourie

Degree

DNP

Degree Grantor

Wilmington University

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-07-30

Full Text of Presentation

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