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380267

Health Coaching for Improving Medication Adherence among Primary Care Patients with Uncontrolled Hypertension, Egypt

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Last updated: 04 Jan 2025

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Clinical Research (Medical)

Abstract

Background: Studies on health coaching effect on medication adherence are limited among primary care patients with uncontrolled hypertension in developing countries. Aim: This study was designed to assess the effectiveness of health coaching on medication adherence among primary care patients with uncontrolled hypertension compared to standard care in Egypt. Materials and methods: This quasi-experimental study was conducted between July 2020 and November 2021. This study included control and intervention groups. The intervention group included 70 participants who received face-to-face and telephone health coaching sessions in addition to the usual care, while the control group included 71 participants who only received usual care. The participants were recruited from 3 primary healthcare (PHC) settings in the Port Said governorate. Personal and medical history, the Arabic version of Morisky Medication Adherence Scale (MMAS-8), and blood pressure measurements were obtained. Results: Providing a combination of health coaching and standard care for hypertension resulted in a significant reduction of low adherence to antihypertensive medications as well as improvement of high medication adherence compared to providing only standard care (p < /strong><0.001). In the intervention group, high medication adherence increased from 57.1% to 80% after 6 months of health coaching. Rising age (β = 0.042, p <0.001), higher level of education (β = 0.265, p=0.013), and receiving monotherapy (β = − 0.407, p=0.020) were the predictors of medication adherence after this intervention. Conclusion: Intervention includes traditional health coaching and phone calls is a beneficial modality for improving medication adherence among primary care patients with uncontrolled hypertension.
 

DOI

10.21608/scumj.2024.380267

Keywords

Blood pressure control, health coaching, Hypertension, Medication Adherence, primary care

Authors

First Name

Samar

Last Name

Abbas

MiddleName

-

Affiliation

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

dr.samar_90@yahoo.com

City

-

Orcid

-

First Name

Hazem AS.

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Hend M.

Last Name

Salama

MiddleName

-

Affiliation

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Hebatallah

Last Name

Nour-Eldein

MiddleName

-

Affiliation

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

hebanourhebanour20@hotmail.com

City

-

Orcid

-

Volume

27

Article Issue

3

Related Issue

46644

Issue Date

2024-03-01

Receive Date

2024-09-17

Publish Date

2024-03-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_380267.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=380267

Order

7

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Health Coaching for Improving Medication Adherence among Primary Care Patients with Uncontrolled Hypertension, Egypt

Details

Type

Article

Created At

24 Dec 2024