{"id":4957,"date":"2023-03-28T04:30:46","date_gmt":"2023-03-28T02:30:46","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4957"},"modified":"2023-04-02T14:10:10","modified_gmt":"2023-04-02T12:10:10","slug":"intentional-and-unintentional-medication-non-adherence-in-hypertension-the-role-of-health-literacy-empowerment-and-medication-beliefs","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/762\/","title":{"rendered":"Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2016.762\">https:\/\/doi.org\/10.4081\/jphr.2016.762<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Lilla N\u00e1fr\u00e1di<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland.<\/span><\/li>\n<li><span class=\"name\"><strong>Elisa Galimberti<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland.<\/span><\/li>\n<li><span class=\"name\"><strong>Kent Nakamoto<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland.<\/span><\/li>\n<li><span class=\"name\"><strong>Peter J. Schulz<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence.<br \/>\n<em><br \/>\nDesign and methods:<\/em>\u00a0A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients\u2019 medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients\u2019 acceptance of their doctor\u2019s advice, socio-demographic and clinical characteristics.<br \/>\n<em><br \/>\nResults<\/em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor\u2019s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients\u2019 medication adherence and acceptance of the doctor\u2019s advice was a covariate.<br \/>\n<em><br \/>\nConclusions<\/em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and<br \/>\nii) if they address patients\u2019 concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2016.762 Lilla N\u00e1fr\u00e1di Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Elisa Galimberti Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Kent Nakamoto Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Peter J. Schulz Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. ABSTRACT &#8230; <a title=\"Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/762\/\" aria-label=\"More on Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4957","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/762\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2016.762 Lilla N\u00e1fr\u00e1di Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Elisa Galimberti Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Kent Nakamoto Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Peter J. Schulz Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. ABSTRACT ... 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Elisa Galimberti Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Kent Nakamoto Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. Peter J. Schulz Institute of Communication and Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland. ABSTRACT ... 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