title: Hypertensive patients' experience with adherence therapy for enhancing medication compliance: a qualitative exploration.
abstract: OBJECTIVE
  To investigate the experience of non-compliant hypertensive patients who had received seven sessions of adherence therapy (AT) as part of a randomised controlled trial.
  
  
  BACKGROUND
  AT is a patient-centred approach used to explore patient attitudes, beliefs and discrepancy toward medications that aimed to enhance patients' medication-taking behaviour.
  
  
  METHODS
  Qualitative analysis of semi-structured interviews with patients who had completed an AT intervention.
  
  
  METHODS
  A convenience sample of 10 hypertensive patients who received AT as part of an exploratory randomised controlled trial (ISRCTN99494659) were included. Thematic analysis of semi-structured interviews exploring patient's views and experiences of AT was used.
  
  
  RESULTS
  Five major themes of AT emerged; modifying attitudes and beliefs, positive impact on self efficacy, therapist motivation, positive impact on well-being and a well-designed intervention.
  
  
  CONCLUSIONS
  patients' views about the benefit of AT were entirely consistent with our proposed mechanism of action for this intervention; that is by improving patient's beliefs and attitudes regarding taking drugs, and finding solutions to barriers that prevent adherence, patients become more complaint with their medication which in turn has a positive impact on clinical outcomes [i.e. blood pressure, hypertension complication (stroke, myocardial infarction, and recurrent hospitalisation)].
  
  
  CONCLUSIONS
  Exploring patients' experience with AT and recognising these five elements help in tailoring a new effective strategy according to individual needs for enhancing adherence to prescribed drugs.
authors: School of Nursing Sciences, Faculty of Health, University of East Anglia, Norwich, UK. F.AL-Halaiqa@uea.ac.uk
authors: Fadwa
authors: F
authors: Alhalaiqa
authors: Katherine H O
authors: KH
authors: Deane
authors: Richard
authors: R
authors: Gray
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001294:Attitude to Health; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000523:psychology; D009042:Motivation; D010349:Patient Compliance; D036301:Qualitative Research; D020377:Self Efficacy
chemical_list: D000959:Antihypertensive Agents