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HOME > J Korean Acad Community Health Nurs > Volume 22(3); 2011 > Article
Original Article
The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients
Soon Ock Kim
Journal of Korean Academy of Community Health Nursing 2014;22(3):342-354.
DOI: https://doi.org/10.12799/jkachn.2011.22.3.342
Published online: April 4, 2014

Professor, Department of Nursing, Kyungbok College, Korea.

• Received: August 10, 2011   • Revised: September 19, 2011   • Accepted: September 20, 2011

© 2011 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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 (χ2=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.
Table 1
Intervention Strategies in Stage of Change
jkachn-22-342-i001.jpg

Basic Model of Prochaska, DiClem.ent, & Norcross (1992).

Table 2
Variables Characteristics between the Two Groups
jkachn-22-342-i002.jpg

Exp.=experimental group; Con.=control group.

Table 3
Homogeneity Test for Medication Adherence related Characteristics between the Two Groups
jkachn-22-342-i003.jpg

Exp.=experimental group; Cont.=control group.

Table 4
Change Stage between the Two Groups in the before and after Intervention
jkachn-22-342-i004.jpg

Exp.=experimental group; Cont.=control group.

Table 5
Posttest Score between the Two Groups for Processes of Change, Decisional Balance, Self-efficacy, Levels of Medication Adherence, Blood Pressure (N=108)
jkachn-22-342-i005.jpg
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    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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