title: Improvement of medication compliance in uncontrolled hypertension.
abstract: 38 hypertensive Canadian steelworkers who were neither compliant with medications nor at goal diastolic blood-pressure six months after starting treatment were allocated either to a control group or to an experimental group who were taught how to measure their own blood-pressures, asked to chart their home blood-pressures and pill taking, and taught how to tailor pill taking to their daily habits and rituals; these men were also seen fortnightly by a highschool graduate with no formal health professional training who reinforced the experimental manoeuvres and rewarded improvements in compliance and blood-pressure. Six months later, average compliance had fallen by 1.5% in the control group but rose 21.3% in the experimental group. Blood-pressures fell in 17 of 20 experimental patients (to goal in 6) and in 10 of 18 control patients (to goal in 2).
mesh_terms: D000959:Antihypertensive Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods; D002986:Clinical Trials as Topic; D004334:Drug Administration Schedule; D005500:Follow-Up Studies; D006266:Health Education; D006699:Home Care Services; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008669:Metallurgy; D009784:Occupational Diseases / Q000188:drug therapy*; D009864:Ontario; D010349:Patient Compliance; D012656:Self-Help Devices
chemical_list: D000959:Antihypertensive Agents