Development and evaluation of a nurse practitioner-directed medication adherence program for adults with hypertension in an academic medical center
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Dr. Adrienne E. Thorne, DNP, AGACNP-BC, FNP-BC
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- Omicron Gamma
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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.
Repository Posting Date
2021-07-30T13:17:51Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Qualitative Research |
Keywords | Hypertension; Medication Adherence; Adults; Medication Compliance |
Degree Information
Grantor | Wilmington University |
Advisor | Lyons, Denise; Lourie, Stacy |
Level | DNP |
Year | 2020 |
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