Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study

Huda Al-Noumani; Jia Rong Wu; Debra Barksdale; Esra Alkhasawneh; George Knafl; Gwen Sherwood

doi:10.18295/squmj.2017.17.03.012

Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study

Huda Al-Noumani, Jia Rong Wu, Debra Barksdale, Esra Alkhasawneh, George Knafl, Gwen Sherwood

College of Nursing

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale. Results: The mean MMAS score was 5.3 ± 2.0, with 48.9% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence (P = 0.012 and 0.028, respectively). Conclusion: The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients’ adherence to antihypertensive medications.

Original language	English
Pages (from-to)	e329-e333
Journal	Sultan Qaboos University Medical Journal
Volume	17
Issue number	3
DOIs	https://doi.org/10.18295/squmj.2017.17.03.012
State	Published - Aug 2017

Bibliographical note

Publisher Copyright:
© 2017, Sultan Qaboos University. All rights reserved.

Funding

Ethical approval for this pilot study was obtained from both the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA (IRB #15-0684), and the Research and Ethical Review and Approval Committee of the Ministry of Health in Muscat. All of the participants provided informed written consent prior to their inclusion in the pilot study.

Funders	Funder number
Ministry of Health in Muscat
Carolina Population Center, University of North Carolina at Chapel Hill	15-0684

Keywords

Health behavior
Hypertension
Medication adherence
Oman
Self efficacy

ASJC Scopus subject areas

General Medicine

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10.18295/squmj.2017.17.03.012

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title = "Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study",

abstract = "Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale. Results: The mean MMAS score was 5.3 ± 2.0, with 48.9\% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence (P = 0.012 and 0.028, respectively). Conclusion: The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients{\textquoteright} adherence to antihypertensive medications.",

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year = "2017",

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AU - Barksdale, Debra

AU - Alkhasawneh, Esra

AU - Knafl, George

AU - Sherwood, Gwen

PY - 2017/8

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N2 - Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale. Results: The mean MMAS score was 5.3 ± 2.0, with 48.9% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence (P = 0.012 and 0.028, respectively). Conclusion: The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients’ adherence to antihypertensive medications.

AB - Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence Self-Efficacy Scale. Results: The mean MMAS score was 5.3 ± 2.0, with 48.9% of patients reporting high adherence. Higher self-efficacy and stronger beliefs regarding medication necessity were significantly related to adherence (P = 0.012 and 0.028, respectively). Conclusion: The findings of this pilot study emphasise the role of health beliefs with regards to Omani patients’ adherence to antihypertensive medications.

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KW - Hypertension

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KW - Self efficacy

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Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

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