A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults

Background. A new Lebanese scale measuring medication adherence considered socioeconomic and cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale (MMAS-8). Objectives were to validate the new adherence scale and its prediction of hypertension control, compared...

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Main Authors: R. Bou Serhal, P. Salameh, N. Wakim, C. Issa, B. Kassem, L. Abou Jaoude, N. Saleh
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2018/3934296
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author R. Bou Serhal
P. Salameh
N. Wakim
C. Issa
B. Kassem
L. Abou Jaoude
N. Saleh
author_facet R. Bou Serhal
P. Salameh
N. Wakim
C. Issa
B. Kassem
L. Abou Jaoude
N. Saleh
author_sort R. Bou Serhal
collection DOAJ
description Background. A new Lebanese scale measuring medication adherence considered socioeconomic and cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale (MMAS-8). Objectives were to validate the new adherence scale and its prediction of hypertension control, compared to MMAS-8, and to assess adherence rates and factors. Methodology. A cross-sectional study, including 405 patients, was performed in outpatient cardiology clinics of three hospitals in Beirut. Blood pressure was measured, a questionnaire filled, and sodium intake estimated by a urine test. Logistic regression defined predictors of hypertension control and adherence. Results. 54.9% had controlled hypertension. 82.4% were adherent by the new scale, which showed good internal consistency, adequate questions (KMO coefficient = 0.743), and four factors. It predicted hypertension control (OR = 1.217; p value = 0.003), unlike MMAS-8, but the scores were correlated (ICC average measure = 0.651; p value < 0.001). Stress and smoking predicted nonadherence. Conclusion. This study elaborated a validated, practical, and useful tool measuring adherence to medications in Lebanese hypertensive patients.
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issn 2090-0384
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publishDate 2018-01-01
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series International Journal of Hypertension
spelling doaj-art-21647787530f49e796810232275366bb2025-02-03T01:20:38ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/39342963934296A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive AdultsR. Bou Serhal0P. Salameh1N. Wakim2C. Issa3B. Kassem4L. Abou Jaoude5N. Saleh6Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, LebanonFaculty of Pharmacy, Lebanese University, Al Hadath, LebanonDepartment of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, LebanonDepartment of Nutrition and Dietetics, Faculty of Public Health, Lebanese University, Fanar, LebanonDepartment of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, LebanonDepartment of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, LebanonDepartment of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, LebanonBackground. A new Lebanese scale measuring medication adherence considered socioeconomic and cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale (MMAS-8). Objectives were to validate the new adherence scale and its prediction of hypertension control, compared to MMAS-8, and to assess adherence rates and factors. Methodology. A cross-sectional study, including 405 patients, was performed in outpatient cardiology clinics of three hospitals in Beirut. Blood pressure was measured, a questionnaire filled, and sodium intake estimated by a urine test. Logistic regression defined predictors of hypertension control and adherence. Results. 54.9% had controlled hypertension. 82.4% were adherent by the new scale, which showed good internal consistency, adequate questions (KMO coefficient = 0.743), and four factors. It predicted hypertension control (OR = 1.217; p value = 0.003), unlike MMAS-8, but the scores were correlated (ICC average measure = 0.651; p value < 0.001). Stress and smoking predicted nonadherence. Conclusion. This study elaborated a validated, practical, and useful tool measuring adherence to medications in Lebanese hypertensive patients.http://dx.doi.org/10.1155/2018/3934296
spellingShingle R. Bou Serhal
P. Salameh
N. Wakim
C. Issa
B. Kassem
L. Abou Jaoude
N. Saleh
A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
International Journal of Hypertension
title A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
title_full A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
title_fullStr A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
title_full_unstemmed A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
title_short A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults
title_sort new lebanese medication adherence scale validation in lebanese hypertensive adults
url http://dx.doi.org/10.1155/2018/3934296
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