Abstract

Antihypertensive medication non-adherence is a common problem in healthcare. Currently, the project site has no program to increase medication adherence (MA) in their hypertensive patients. Therefore, the purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Million Hearts program impacted the adherence to antihypertensive medication among adult patients, with known hypertension (HTN) in a primary care clinic setting in New York, over a four week period. Orem's self-care theory and Ajzen's theory of planned behavior were the project's theoretical foundation. Data on MA was measured using the Hill-Bone Medication Adherence Scale HB-MAS scale in hypertensive adults aged 18 years and older (n = 15) at baseline and at four weeks. A two-tailed paired sample t-test showed that there was a clinical and statistically significant improvement in patients MA (M = 35.6; SD = 1.55; p = 0.00). The results of the Million Hearts program may increase MA adherence in this population of patients. Based on the results, it is recommended that the project is sustained at the site, blood pressure measurements are trended over a year to determine if the increased MA improves the blood pressure measurements.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28320075; ProQuest document ID: 2515773515. The author still retains copyright.

Author Details

Chinyere Oghide, DNP, NP-C

Sigma Membership

Theta Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Medical Adherence, Hypertension Medication, Self-Care Theory, Hill-Bone Medication Adherence Scale

Advisor

JoAnna Cartwright

Second Advisor

Maurene Schneider

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2021

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

wf_yes

Download

Share

COinS