| Perspectives on adherence to blood pressure-lowering medications among Samoan patients: qualitative interviews. | |
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MedLine Citation:
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PMID: 21069117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To explore influences on adherence to taking long-term medications among Samoan patients in an Auckland general practice. METHODS: Twenty Samoan participants from an Auckland general practice were identified and interviewed about their views on adherence or non-adherence to taking blood pressure-lowering medications. One-to-one semi-structured interviews using open-ended questions were undertaken in Samoan and English, recorded, transcribed and translated into English. Transcriptions were examined by two researchers to identify themes. FINDINGS: Patients with 'high' and 'lower' rates of adherence to taking usual medication were identified using medication possession ratio cut-offs from medical records of timely prescribing. Ten participants with 'high' and 10 with 'lower' rates of adherence were interviewed, including 11 women and nine men. Themes identified for those with lower adherence included 'lack of transport', 'family commitments', 'forgetfulness', 'church activities', 'feeling well' and 'priorities'. Themes identified for those with high rates of adherence included 'prioritising health', 'previous event', 'time management', 'supportive family members' and 'relationship with GP (language and trust)'. A theme common to both was 'coping with the stress of multiple comorbidities'. CONCLUSION: Reasons for adherence and non-adherence to taking blood pressure-lowering medications among the Samoan patients interviewed were multifactorial and encompass personal, social, cultural and environmental factors. Interdisciplinary teams to support treatment decisions (including Pacific health professionals or community health workers), systematic identification of those with low rates of adherence, phone or text follow-up, use of church or family networks, provision of transport where needed and better tools and resources may help address this problem. |
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Authors:
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Kuinileti Chang Wai; C Raina Elley; Vili Nosa; John Kennelly; Thusitha Mabotuwana; Jim Warren |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-09-01 |
Journal Detail:
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Title: Journal of primary health care Volume: 2 ISSN: 1172-6164 ISO Abbreviation: J Prim Health Care Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-11-11 Completed Date: 2010-12-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101524060 Medline TA: J Prim Health Care Country: New Zealand |
Other Details:
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Languages: eng Pagination: 217-24 Citation Subset: IM |
Affiliation:
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Department of General Practice and Primary Health Care, School of Population Health, The University of Auckland, PB 92019, Auckland, New Zealand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Antihypertensive Agents / therapeutic use* Female General Practice Humans Interviews as Topic Male Medication Adherence / ethnology* Middle Aged New Zealand Samoa / ethnology |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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