Bulpitt: Reasons For Non-adherence

Question 1

Method?

Answer 1

Review article of research identifying problems with taking medication with serious side effects for hypertension.
Qualitative.

Question 2

Procedure?

Answer 2

Statistical analysis of physical+psy effects of medial adherence for hypertension (work, well being, hobbies, personal life, etc.)

Question 3

Results?

Answer 3

Anti-hypertension medication= sleepiness, dizziness, lack of sexual functioning in men, cognitive functioning

Curb et al: 8% dropped out due to sexual problems

Medical research council: 15% dropped out due to side effects

Question 4

Conclusions?

Answer 4

When costs, such as side effects, outweigh the benefits of treating an asymptomatic problem (like hypertension) there is a less likely chance of adherence.

Question 5

Pros?

Answer 5

• concurrent validity= variety of reviews
• qualitative= more detail about reasons behind behaviour
• holistic= takes into account psychological+physiological

Question 6

Cons?

Answer 6

• researcher bias as interpretation of review articles
• temporal validity= due to social/cultural change results may less valid
• social desirability when discussing sexual problems

Question 7

Aim?

Answer 7

To review research on adherence in hypertensive patients.

Question 8

Background?

Answer 8

• 1 in 2 patients don’t adhere

* reasons= side effects, forgetfulness, not understanding, cost of drugs etc.