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Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension
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Young Soon Byeon, Soon Ock Kim, Jeong Hyun Cho
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J Korean Acad Community Health Nurs. 2012;23(2):189-200. Published online June 30, 2012
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DOI: https://doi.org/10.12799/jkachn.2012.23.2.189
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 Abstract
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- PURPOSE
The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
METHODS
Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
RESULTS
Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
CONCLUSION
The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.
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Citations
Citations to this article as recorded by  - Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef - Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef
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The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients
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Soon Ock Kim
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J Korean Acad Community Health Nurs. 2011;22(3):342-354. Published online September 30, 2011
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DOI: https://doi.org/10.12799/jkachn.2011.22.3.342
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595
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4
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3
Citations
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Abstract
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- PURPOSE
This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference.
METHODS
A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data.
RESULTS
After treatment with this program, the experimental group showed stage of change (chi2=52.917, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001).
CONCLUSION
There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.
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Citations
Citations to this article as recorded by - Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Eunha Gil, Heeyoung Oh
Journal of Korean Academy of Nursing.2018; 48(5): 521. CrossRef - Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students
Ji Eun Lee, Da Eun Lee, Kirang Kim, Jae Eun Shim, Eunju Sung, Jae-Heon Kang, Ji-Yun Hwang
Nutrition Research and Practice.2017; 11(3): 247. CrossRef - Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef
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