ArticlesReliability of a Medication Adherence Measure in an Outpatient Setting
Section snippets
Study Design and Study Participants
We conducted a cross-sectional survey of community-dwelling patients attending the hypertension section of the Internal Medicine Clinic in a large multispecialty group practice. Patients checking in for routine appointments with their physician between December 16, 2003 and January 23, 2004 were asked to complete the self-administered questionnaire, which consisted of demographic questions and the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Although trained research personnel
Results
Baseline characteristics of the participants by gender are presented in Table 1. The mean age of the 239 participants who completed the survey was 69 years; 51% of patients were men, 73% were white, 86% had at least a high school education, and 61% were married. The distribution of the responses to each item in the Hill-Bone Compliance to High Blood Pressure Therapy Scales is presented in Table 2. For each item comprising the medication compliance subscale of the scales (items 1, 2, 8–14), more
Discussion
The importance of hypertensive patients’ compliance to prescribed therapy has been previously described.17., 18., 19., 20. Measuring patient compliance with therapies is a first step towards a better understanding of noncompliance and prevention of poor blood pressure control and adverse outcomes. Yet, measurement of medication compliance in outpatient settings is not routinely done. A previous study by Kim and colleagues described the psychometric properties of the Hill-Bone scale in urban,
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Source of Support: Ochsner Clinic Foundation