Effect of Reminder Cards on Compliance with Antihypertensive Medication
| Autor: | J.P. Guerreiro, Ana Paula Martins, José Garçāo, Brenda Madureira, Filipa Alves da Costa, Ana Miranda, Magda Nunes de Melo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Health Policy Public Health Environmental and Occupational Health Diastole Pharmaceutical Science Pharmacy Intervention group Compliance (physiology) Regimen Mean blood pressure Blood pressure Internal medicine Physical therapy Medicine business Antihypertensive medication |
| Zdroj: | Revista Portuguesa de Farmacoterapia / Portuguese Journal of Pharmacotherapy; Vol 11 No Sup 1 (2019): Suplemento 1; S14 Revista Portuguesa de Farmacoterapia; v. 11 n. Sup 1 (2019): Suplemento 1; S14 Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP |
| ISSN: | 2183-7341 1647-354X |
| Popis: | Objective Poor compliance to antihypertensive medications has been identified as a primary cause of uncontrolled blood pressure (BP), with consequent increases in hypertension-related morbidity and mortality. Therefore, any measure known to improve compliance should be encouraged. This study assessed the impact of reminder cards on compliance to antihypertensive therapy. Method A field trial was undertaken in pharmacies located in the districts of Lisbon and Porto. Eligible participants comprised those aged 30–74 years, prescribed an angiotensin-converting enzyme inhibitor (ACEI) in monotherapy, and taken on a once-daily regimen. Patients were allocated to control group (CG) or intervention group (IG), the latter being provided with a reminder card, an alarm-type device due to remind the patient of the time to take his medication. Patients were monitored monthly during 3 months for compliance and blood pressure control. Key findings Seventy-one patients participated in the study (intervention: 35; control group: 36). Compliance was similar between the groups in the first 2 months of follow-up (97.1% IG vs 94.9% CG at first follow-up and 97.5% IG vs 94.2% CG at second follow-up) and higher in the intervention group at the end of the study (97.3% IG vs 87.3% CG; P = 0.011). There were no mean blood pressure differences between compliant and non-compliant subjects at the end of the study (P value for differences in systolic BP (Psyst) = 0.580; and P value for differences in diastolic BP (Pdlast) = 0.175). Conclusion This small-scale study indicates a possible positive impact on patients' compliance resulting from the use of reminder cards. However, this needs confirming in larger scale studies with longer monitoring periods. |
| Databáze: | OpenAIRE |
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