title: Association between adherence, treatment satisfaction and illness perception in hypertensive patients.
abstract: The relationship between adherence to antihypertension medications, treatment satisfaction and illness perception has not been studied so far. The primary objective of this study was to examine the association between adherence to medication, treatment satisfaction and illness perception in Lebanese hypertensive patients. The relation between medication adherence and blood pressure (BP) control was also assessed. In this cross-sectional study, patients were recruited from the physician's practice offices and community pharmacies in Beirut. Patients who had been treated for hypertension for at least 3 months were invited to participate in the study; they completed three questionnaires: the 8-item Morisky Medication Adherence Scale (MMAS-8), the Treatment Satisfaction Questionnaire for Medication (TSQM-4) and the Brief Illness Perception Questionnaire (BIPQ). BP was also measured and recorded. A total of 117 subjects were included, of whom 29.1% had poor adherence to their antihypertension treatment (MMAS-8 scores<6). The odds of having well-controlled hypertension was 3.5 times higher in patients with high adherence compared with patients with poor adherence (P=0.010). Treatment satisfaction was significantly greater in patients with good adherence (P<0.001). Neither socio-demographic, disease- nor drug-related characteristics of the participants were significantly associated with medication adherence. As for illness perception, even though the mean BIPQ score of adherent participants was lower than the mean score of non-adherent participants, this difference did not reach statistical significance. In conclusion, treatment satisfaction was found to be a predictor of adherence. Studies are needed to determine whether interventions to increase satisfaction can improve adherence and BP control.
authors: Laboratoire de Pharmacologie, Pharmacie Clinique et Contrôle de Qualité des Médicaments, Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: S
authors: S
authors: Saarti
authors: Laboratoire de Pharmacologie, Pharmacie Clinique et Contrôle de Qualité des Médicaments, Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.|Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: A
authors: A
authors: Hajj
authors: Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.|Department of Pharmacy, Hôtel-Dieu de France Hospital, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: L
authors: L
authors: Karam
authors: Department of Anesthesia and Critical Care, Hôtel-Dieu de France Hospital, Saint-Joseph University of Beirut, Beirut, Lebanon.|Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: H
authors: H
authors: Jabbour
authors: Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.|Department of Cardiology, Hôtel-Dieu de France Hospital, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: A
authors: A
authors: Sarkis
authors: Department of Public Health, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.|Department of Prosthodontics, Faculty of Dental Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: N
authors: N
authors: El Osta
authors: Laboratoire de Pharmacologie, Pharmacie Clinique et Contrôle de Qualité des Médicaments, Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.|Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.
authors: L
authors: L
authors: Rabbaa Khabbaz
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000523:psychology*; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D017060:Patient Satisfaction
chemical_list: D000959:Antihypertensive Agents