Quality of Life and Antihypertensive Drug Therapy

Joel Handler, MD

In This Article

Interventions to Enhance Patient Adherence to Medication Prescriptions

Successful interventions to improve patient adherence to therapy demonstrate modest efficacy, are multi-layered, and involve both educational and behavioral strategies.[46,47,48,49,50,51] Several factors have been shown to increase patient adherence to therapy: 1) patient self-monitoring via home BPs[49] ; 2) oral and written reminders to both patients and health care providers and assurances that medications are safe and adverse effects are relatively uncommon; and 3) family support. Patients knowledgeable of their goal BP are probably more likely to achieve it.[52] Studies have looked at different levels of intervention to improve adherence -- going from modest, less extensive behavior change to more intensive and extensive behavioral intervention.[53] In general, even a modest behavior change intervention with a health educator, occasional phone calls, and some increase in physical activity can help to increase adherence to therapy. That is good news. Modest interventions seem to work.