Review Article
A systematic review on the determinants of medication adherence in older adults with hypertension
Submitted: 11 April 2024 | Published: 25 May 2023
About the author(s)
Nurma Afiani, Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaIra Nurmala, Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Indonesia
Mahmudah Mahmudah, Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Indonesia
Full Text:
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Introduction: Medication adherence is a key element in controlling blood pressure when lifestyle modifications fail to achieved blood pressure targets. The degenerative process challenges the ability to adhere to medication in older adults.
Objective: This research aimed to systematically investigate the predictor of medication in older patients with hypertension.
Materials and Methods: A systematic searching strategy in six databases, such as Science Direct, PubMed, Proquest, SAGE, and Emerald was applied in this study. Studies after 2012 were included in this research, and then followed Preferred Reporting Items for Systematic Reviews.
Results: Of 887 studies identified, 12 were included in the data synthesis. Self-management, health literacy about hypertension and antihypertensive agent, cognitive function (memory), belief, and subjective life expectancy were identified as determinants of medication adherence in older adults with hypertension. Memory functions are the strongest determinant in medication adherence among the elderly.
Conclusions: Interventions increasing memory ability, such as strategies for remembering, rewarding, and reinforcement, are needed in the population of elderly with hypertension.
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Crossref Citations
1. Barriers and Facilitators to Medication Adherence among the Vulnerable Elderly: A Focus Group Study
Martina Horvat, Ivan Eržen, Dominika Vrbnjak
Healthcare vol: 12 issue: 17 first page: 1723 year: 2024
doi: 10.3390/healthcare12171723