Systematic review of motivational interventions to improve adherence to medication in patients with hypertension and meta-analysis

被引:1
|
作者
Rosendo-Silva, B. [1 ,2 ,3 ]
Ortigosa-Ferreira, A. C. [2 ]
Prazeres, F. [3 ,4 ,5 ]
Caramelo, F. [6 ,7 ,8 ]
Santiago, L. M. [9 ,10 ]
Rosendo, I. [9 ,11 ]
机构
[1] UCSP Figueira Sul, Coimbra, Portugal
[2] Univ Coimbra, Fac Med, Coimbra, Portugal
[3] Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal
[4] Univ Beira Interior, Dept Ciencias Med, Fac Ciencias Saude, Covilha, Portugal
[5] USF Beira Ria, Gafanha Da Nazare, Portugal
[6] Univ Coimbra, Ctr Innovat Biomed & Biotechnol CIBB, Coimbra, Portugal
[7] Univ Coimbra, Coimbra Inst Biomed Imaging & Translat Res CIBIT, Coimbra, Portugal
[8] Clin Acad Ctr Coimbra CACC, Coimbra, Portugal
[9] Univ Coimbra, Fac Med, Gen Practice, Family Med Clin, Coimbra, Portugal
[10] Univ Coimbra CEISUC, Ctr Hlth Studies & Res, Coimbra, Portugal
[11] USF Coimbra Ctr, Coimbra, Portugal
来源
HIPERTENSION Y RIESGO VASCULAR | 2023年 / 40卷 / 04期
关键词
Hypertension; Pharmacological adherence; Blood pressure control; Motivational interventions; GLOBAL BURDEN; CARDIOVASCULAR-DISEASE; BLOOD-PRESSURE; RISK-FACTORS; PREVALENCE; MANAGEMENT; TRIAL;
D O I
10.1016/j.hipert.2023.04.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Antihypertensive medication non-adherence is an important cause of poor control in hypertension. The role of motivational interventions to increase antihypertensive medication adherence remains unclear.Objective: To systematically review RCTs of motivational interventions for improving medica-tion adherence in hypertension.Methods: EMBASE and Pubmed were searched from inception to February 2019 for RCTs of motivational interventions for improving medication adherence in hypertension vs. usual care. Inclusion criteria: RCTs with motivational intervention to improve medication adherence in adults with hypertension. A blinded review was conducted by 2 reviewers. Disagreements were resolved by consensus/a third reviewer.Data extraction and quality appraisal was performed using the risk of bias tool from cochrane collaboration. The meta-analyses of blood pressure control used random-effects models to report mean difference and 95% CIs. Primary outcome was medication adherence and second outcome was blood pressure control.
引用
收藏
页码:174 / 196
页数:23
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