Defining Meaningful Change in Antihypertensive Medication Adherence in Adults with Established Hypertension: Implications for Clinical Practice

Med Clin North Am. 2023 Nov;107(6S):e39-e52. doi: 10.1016/j.mcna.2023.06.008. Epub 2023 Jul 23.ABSTRACTUncontrolled hypertension and low antihypertensive medication adherence remain significant clinical challenges. There is a critical need to detect meaningful change in adherence in clinical settings. The authors determined that a ≥2-point change in the 4-item Krousel-Wood Medication Adherence Scale score represents meaningful change in antihypertensive medication adherence. Among a sample of participants in an ongoing clinical trial, 5.9% experienced a decline in adherence, which was associated with higher blood pressure (BP) and a higher prevalence of uncontrolled BP at 6 months. Meaningful change in medication adherence behavior may be key in managing hypertension to improve BP control and health outcomes.PMID:38609280 | DOI:10.1016/j.mcna.2023.06.008
Source: The Medical Clinics of North America - Category: General Medicine Authors: Source Type: research