Hypertension
Conditions
Keywords
hypertension, medication adherence, motivational interviewing
Brief summary
Patients with hypertension have an increased risk of stroke and myocardial infarction. However, poor adherence to treatment with antihypertensives and lipid-lowering agents occurs frequently within this patient group. The purpose of this study is to investigate whether a complex tailored intervention in a hospital setting will lead to increased medication adherence and fewer cardiovascular events when compared to a usual care group. Interventions focus on motivational interviewing, medication review and telephone follow up.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Age: 18 years or older * Patients receiving ambulatory treatment for hypertension in a hospital setting * The patient or a carer usually dispenses the patient's medications * Patient lives in the Southern Region of Denmark * Written consent
Exclusion criteria
* Lives in a care home or institution * Receive dose dispensed medicine from a pharmacy * Medicine is dispensed by a nurse in the patient's home * Correctional mental health patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent of patients that are at least 80% adherent (Medication possession rate > 0.8) to antihypertensives and statins | One year from inclusion |
Secondary
| Measure | Time frame |
|---|---|
| Non-persistence with antihypertensives and statins measured by percent of patients that are not supplied with medications for more than three continuous months | One year from inclusion |
| Reduction in systolic and diastolic blood pressure | One year from inclusion |
| Composite endpoint (stroke, myocardial infarction or cardiovascular death) | One year from inclusion |
Countries
Denmark