Open AccessEffect of Expectation of Care on Adherence to Antihypertensive Medications Among Hypertensive Blacks: Analysis of the Counseling African Americans to Control Hypertension ( CAATCH ) Trial
Author(s) -
Grant Andrea Barnes,
Seixas Azizi,
Frederickson Keville,
Butler Mark,
Tobin Jonathan N.,
JeanLouis Girardin,
Ogedegbe Gbenga
Publication year - 2016
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12736
Subject(s) - medicine , psychological intervention , intervention (counseling) , african american , medication adherence , social support , diabetes mellitus , family medicine , psychiatry , psychology , endocrinology , ethnology , psychotherapist , history
Novel ideas are needed to increase adherence to antihypertensive medication. The current study used data from the Counseling African Americans to Control Hypertension ( CAATCH ) study, a sample of 442 hypertensive African Americans, to investigate the mediating effects of expectation of hypertension care, social support, hypertension knowledge, and medication adherence, adjusting for age, sex, number of medications, diabetes, education, income, employment, insurance status, and intervention. Sixty‐six percent of patients had an income of $20,000 or less and 56% had a high school education or less, with a mean age of 57 years. Greater expectation of care was associated with greater medication adherence ( P =.007), and greater social support was also associated with greater medication adherence ( P =.046). Analysis also showed that expectation of care mediated the relationship between hypertension knowledge and medication adherence ( P <.05). Expectation of care and social support are important factors for developing interventions to increase medication adherence among blacks.