Development and evaluation of a medication adheren

Development and evaluation of a medication adherence self-efficacy scale in hypertensive African-American patients

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Matrix: Non-Adherence among Hypertensive African American Males


Development and evaluation of a medication adherence self-efficacy scale in hypertensive African-American patients

Gbenga Ogedegbea*, Carol A. Mancusoa,b, John P. Allegrantec, Mary E. Charlsona

3Department of Medicine, Weill Medical College of Cornell University, 525 East 68th Street, Box 46, New York, NY 10021, USA bThe Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA cDepartment of Health and Behavior Studies, and National Center for Health Education, Teachers College, Columbia University, 525 West 120th Street, New York, NY 10027, USA Received 8 August 2002; received in revised form 31 January 2003; accepted 16 February 2003


Self-efficacy, a known predictor of a wide range of health behaviors, has not been investigated in studies of adherence to antihypertensive medications. A medication adherence self-efficacy scale was developed and evaluated in ambulatory hypertensive African-American patients in two sequential phases. For the item-generation phase, open-ended interviews with 106 patients were used to elicit their experiences with taking antihypertensive medications. Using qualitative techniques, responses were recorded verbatim, coded, and sorted into nine categories of barriers and facilitators of medication adherence. Concepts from categories were formatted into an initial 43-item self-efficacy questionnaire, which was administered to another group of 72 patients for the item analyses phase. Twenty-six items were retained for the final self-efficacy scale based on item-to-total correlation coefficient > 0.5, kappa > 0.4, and clinical relevance of individual items. Clinicians and researchers can use this scale to identify situations in which patients have low self-efficacy in adhering to prescribed medications.


see the attached files use the attached articles for the matrix table, an also see the attached matrix table format.

Matrix: Non-Adherence among Hypertensive African American MalesAuthor`s NameInstitutionAdherence remains a pertinent issue in the management of hypertensive African American males (Ogedegbe, 2009). A search was conducted to identify articles relevant to the problem of non-adherence among hypertensive African Americans. The keywords for the search were “adherence”, “African American male,” and “hypertension mobile app.” The keywords were deemed appropriate in addressing the subject matter, and would thus yield more search results. The keywords were combined using operators “AND or OR”, in order to increase the search yield. The paper searched the electronic databases (PROQUEST, University of Phoenix online lib, EBSCohost). The databases were chosen because they are easily accessible. The abstracts and titles were checked for relevance. The references of the searched articles were checked in order to uncover more articles. Only English and full text articles were considered for this paper. Quantitative, qualitative and systematic reviews were the only one considered for this paper. Articles were included if they addressed the problem of hypertension treatment adherence (most importantly African Americans) and those that addressed use of devices in improving adherence to hypertension treatment. Articles were included if they were published during or after the year 2000. After subjecting the articles to the inclusion criteria, five articles were deemed relevant. These include: Marshall, Wolfe and McKevitt, 2012; Ogedegbe et al. 2003; Rose et al., 2000; Christensen et al., 2009; and Fongwa et al., 2008. The articles were chosen as they elaborately and concisely address the issue of adherence to hypertension medication among African American males, and the usefulness and applicability of devices in addressing the issue. Mobile apps provide a novel intervention for addressing adherence in the management of chronic diseases (Labow, 2011; Phillips et al., 2013; Reach, 2009). In addition, they are published in peer reviewed journals, ensuring credibility of information therein. Some of the studies chosen also address intersectional collaboration between professional care providers with regard to adherence of hypertensive medications. As such, studies chosen have a variation among the participants with regards to workplaces and professions in order to represent the different types of practices with regards to hypertensive medication adherence (Adebayo & Antoinette, 2010).Matrix TableSource Citation Purpose/Problem Design/Sample Instruments/Measures[Include Reliability/Validity] Results[Include actual data] Strengths/Weaknesses Marshall, I.J., Wolfe, D. & McKevitt, C. (2012). Lay perspectives on hypertension and drug adherence:systematic review of qualitative research. BMJ 344, 3-16. To understand the perspective of pat...
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