Advice in: Antihypertensive Medication Adherence Study

[Fatmah Jabr]

Hi nurses,

I am seeking your advice regarding my research.

I am going to search in antihypertensive medication adherence from patients' perspective. I thought about using patient reporting method by providing questionnaire but this method has it's disadvantage since patients might report incorrect information such as being adherent while they are not. The very accurate method according to the literature is electronic monitoring. In my sample I can't use the electronic method because I don't think all my participants will be using computer to report their medication information.

Nurses, have you come across any ideas that can be suitable method or study design to assess patients' adherence to medications?

Another thing that I would like to know your opinion about is that this type of study that I am going to do is in the field of community nursing. In my future I am going to join a job that is based in medical and surgical nursing care. As you know that community nurses are specified for primary health care issue while medical and surgical nurses for secondary and tertiary care. How my search will add to my knowledge in the future? I am afraid that in the future if I am going to do some studies I will be stuck in primary care nursing care and I won't be able to know much or search in medical and surgical nursing field. I am saying that because i am still student and new in the researching area.

Your opinions about that are welcomed.

Regards,

Fatmah

[erklurwedklu]

Hi nurses,

I am seeking your advice regarding my research.

I am going to search in antihypertensive medication adherence from patients’ perspective. I thought about using patient reporting method by providing questionnaire but this method has it’s disadvantage since patients might report incorrect information such as being adherent while they are not. The very accurate method according to the literature is electronic monitoring. In my sample I can’t use the electronic method because I don’t think all my participants will be using computer to report their medication information.

Nurses, have you come across any ideas that can be suitable method or study design to assess patients’ adherence to medications?

Another thing that I would like to know your opinion about is that this type of study that I am going to do is in the field of community nursing. In my future I am going to join a job that is based in medical and surgical nursing care. As you know that community nurses are specified for primary health care issue while medical and surgical nurses for secondary and tertiary care. How my search will add to my knowledge in the future? I am afraid that in the future if I am going to do some studies I will be stuck in primary care nursing care and I won’t be able to know much or search in medical and surgical nursing field. I am saying that because i am still student and new in the researching area.

Your opinions about that are welcomed.

Regards,

Fatmah

I don't know if it is possible to check their bounce back rates to the E.D. Or their PCP, what are their pressures at check up, possibly routine bp checks to look for variance and then ask them if they took their bp med this a.m.....

[erklurwedklu]

Hi nurses,

I am seeking your advice regarding my research.

I am going to search in antihypertensive medication adherence from patients’ perspective. I thought about using patient reporting method by providing questionnaire but this method has it’s disadvantage since patients might report incorrect information such as being adherent while they are not. The very accurate method according to the literature is electronic monitoring. In my sample I can’t use the electronic method because I don’t think all my participants will be using computer to report their medication information.

Nurses, have you come across any ideas that can be suitable method or study design to assess patients’ adherence to medications?

Another thing that I would like to know your opinion about is that this type of study that I am going to do is in the field of community nursing. In my future I am going to join a job that is based in medical and surgical nursing care. As you know that community nurses are specified for primary health care issue while medical and surgical nurses for secondary and tertiary care. How my search will add to my knowledge in the future? I am afraid that in the future if I am going to do some studies I will be stuck in primary care nursing care and I won’t be able to know much or search in medical and surgical nursing field. I am saying that because i am still student and new in the researching area.

Your opinions about that are welcomed.

Regards,

Fatmah

Also, are you able to speak with others living with them - sometimes you get more info from them. I don't know the size of the study but their medicine could be put in the day/week containers and see how many pills are left. Better yet is to have them take the pills daily from the bottle then count how many are left in the bottle and compare to amount dispensed.

[Rob72, ASN, RN]

Tough. Yeah, self-reporting and med tracking are the two most common and simplest methods, unless the participant is dependent upon a care-giver. E-tracking/trending is nice, but the devices not infrequently find their way into the toilet or local pawn shop, so it isn't generally the most cost-effective model, without industry sponsorship.