Association of disease awareness, medication adherence, and home blood pressure monitoring with blood pressure control in hypertensive patients: a cross-sectional study
TL;DR
Evaluating the relationship between patient-related factors such as disease awareness, medication adherence, and home blood pressure monitoring (HBPM) behaviors and BP control found patients with uncontrolled HT had significantly lower HK-LS scores and higher ARMS scores.
Abstract
Aims: Hypertension (HT) remains a major global health problem, and achieving optimal blood pressure (BP) control continues to be challenging in clinical practice. Patient-related factors such as disease awareness, medication adherence, and home blood pressure monitoring (HBPM) behaviors play a crucial role in HT management. This study aimed to evaluate the relationship between these factors and BP control.Methods: This prospective, single-center, cross-sectional study included 280 adult patients with HT. Disease awareness was assessed using the Hypertension Knowledge-Level Scale (HK-LS), and medication adherence was evaluated using the Adherence to Refills and Medications Scale (ARMS). HBPM habits were assessed using a structured questionnaire. Multivariable logistic regression analysis was performed to identify independent predictors of uncontrolled HT. Model performance was evaluated using receiver operating characteristic analysis, calibration plots, and decision curve analysis.Results: A total of 280 patients were analyzed, of whom 132 (47.1%) had uncontrolled HT. Patients with uncontrolled HT had significantly lower HK-LS scores and higher ARMS scores (p