Using education to improve medication adherence in hypertension
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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.
Repository Posting Date
2021-07-30T13:25:39Z
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 | Quasi-Experimental Study, Other |
Research Approach | Quantitative Research |
Keywords | Medical Adherence; Hypertension Medication; Self-Care Theory; Hill-Bone Medication Adherence Scale |
Degree Information
Grantor | Grand Canyon University |
Advisor | Cartwright, JoAnna; Schneider, Maurene |
Level | DNP |
Year | 2021 |
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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.
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