Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study
Background. Effective antihypertensive treatment depends on patient compliance regarding prescribed medications. We assessed the impact of beliefs related towards antihypertensive medication on blood pressure control in a population-based sample treated for hypertension. Methods. We used data from t...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2019/9385397 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547505885151232 |
|---|---|
| author | Theresa Tiffe Caroline Morbach Viktoria Rücker Götz Gelbrich Martin Wagner Hermann Faller Stefan Störk Peter U. Heuschmann |
| author_facet | Theresa Tiffe Caroline Morbach Viktoria Rücker Götz Gelbrich Martin Wagner Hermann Faller Stefan Störk Peter U. Heuschmann |
| author_sort | Theresa Tiffe |
| collection | DOAJ |
| description | Background. Effective antihypertensive treatment depends on patient compliance regarding prescribed medications. We assessed the impact of beliefs related towards antihypertensive medication on blood pressure control in a population-based sample treated for hypertension. Methods. We used data from the Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression (STAAB) study investigating 5000 inhabitants aged 30 to 79 years from the general population of Würzburg, Germany. The Beliefs about Medicines Questionnaire German Version (BMQ-D) was provided in a subsample without established cardiovascular diseases (CVD) treated for hypertension. We evaluated the association between inadequately controlled hypertension (systolic RR >140/90 mmHg; >140/85 mmHg in diabetics) and reported concerns about and necessity of antihypertensive medication. Results. Data from 293 participants (49.5% women, median age 64 years [quartiles 56.0; 69.0]) entered the analysis. Despite medication, half of the participants (49.8%) were above the recommended blood pressure target. Stratified for sex, inadequately controlled hypertension was less frequent in women reporting higher levels of concerns (OR 0.36; 95%CI 0.17-0.74), whereas no such association was apparent in men. We found no association for specific-necessity in any model. Conclusion. Beliefs regarding the necessity of prescribed medication did not affect hypertension control. An inverse association between concerns about medication and inappropriately controlled hypertension was found for women only. Our findings highlight that medication-related beliefs constitute a serious barrier of successful implementation of treatment guidelines and underline the role of educational interventions taking into account sex-related differences. |
| format | Article |
| id | doaj-art-535732d531df4dcd91e168204037ea9e |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-535732d531df4dcd91e168204037ea9e2025-02-03T06:44:33ZengWileyInternational Journal of Hypertension2090-03842090-03922019-01-01201910.1155/2019/93853979385397Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort StudyTheresa Tiffe0Caroline Morbach1Viktoria Rücker2Götz Gelbrich3Martin Wagner4Hermann Faller5Stefan Störk6Peter U. Heuschmann7Institute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyComprehensive Heart Failure Center, University of Würzburg, GermanyInstitute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyInstitute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyInstitute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyInstitute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyComprehensive Heart Failure Center, University of Würzburg, GermanyInstitute of Clinical Epidemiology and Biometry, University of Würzburg, GermanyBackground. Effective antihypertensive treatment depends on patient compliance regarding prescribed medications. We assessed the impact of beliefs related towards antihypertensive medication on blood pressure control in a population-based sample treated for hypertension. Methods. We used data from the Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression (STAAB) study investigating 5000 inhabitants aged 30 to 79 years from the general population of Würzburg, Germany. The Beliefs about Medicines Questionnaire German Version (BMQ-D) was provided in a subsample without established cardiovascular diseases (CVD) treated for hypertension. We evaluated the association between inadequately controlled hypertension (systolic RR >140/90 mmHg; >140/85 mmHg in diabetics) and reported concerns about and necessity of antihypertensive medication. Results. Data from 293 participants (49.5% women, median age 64 years [quartiles 56.0; 69.0]) entered the analysis. Despite medication, half of the participants (49.8%) were above the recommended blood pressure target. Stratified for sex, inadequately controlled hypertension was less frequent in women reporting higher levels of concerns (OR 0.36; 95%CI 0.17-0.74), whereas no such association was apparent in men. We found no association for specific-necessity in any model. Conclusion. Beliefs regarding the necessity of prescribed medication did not affect hypertension control. An inverse association between concerns about medication and inappropriately controlled hypertension was found for women only. Our findings highlight that medication-related beliefs constitute a serious barrier of successful implementation of treatment guidelines and underline the role of educational interventions taking into account sex-related differences.http://dx.doi.org/10.1155/2019/9385397 |
| spellingShingle | Theresa Tiffe Caroline Morbach Viktoria Rücker Götz Gelbrich Martin Wagner Hermann Faller Stefan Störk Peter U. Heuschmann Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study International Journal of Hypertension |
| title | Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study |
| title_full | Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study |
| title_fullStr | Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study |
| title_full_unstemmed | Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study |
| title_short | Impact of Patient Beliefs on Blood Pressure Control in the General Population: Findings from the Population-Based STAAB Cohort Study |
| title_sort | impact of patient beliefs on blood pressure control in the general population findings from the population based staab cohort study |
| url | http://dx.doi.org/10.1155/2019/9385397 |
| work_keys_str_mv | AT theresatiffe impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT carolinemorbach impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT viktoriarucker impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT gotzgelbrich impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT martinwagner impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT hermannfaller impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT stefanstork impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy AT peteruheuschmann impactofpatientbeliefsonbloodpressurecontrolinthegeneralpopulationfindingsfromthepopulationbasedstaabcohortstudy |