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Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis

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Conn, Vicki S., Ruppar, Todd M., Chase, Jo-Ana D., Enriquez, Maithe, Cooper, Pamela S.·2015·Current Hypertension Reports

Abstract

This systematic review applied meta-analytic procedures to synthesize medication adherence interventions that focus on adults with hypertension. Comprehensive searching located trials with medication adherence behavior outcomes. Study sample, design, intervention characteristics, and outcomes were coded. Random-effects models were used in calculating standardized mean difference effect sizes. Moderator analyses were conducted using meta-analytic analogues of ANOVA and regression to explore associations between effect sizes and sample, design, and intervention characteristics. Effect sizes were calculated for 112 eligible treatment-vs.-control group outcome comparisons of 34,272 subjects. The overall standardized mean difference effect size between treatment and control subjects was 0.300. Exploratory moderator analyses revealed interventions were most effective among female, older, and moderate- or high-income participants. The most promising intervention components were those linking adherence behavior with habits, giving adherence feedback to patients, self-monitoring of blood pressure, using pill boxes and other special packaging, and motivational interviewing. The most effective interventions employed multiple components and were delivered over many days. Future research should strive for minimizing risks of bias common in this literature, especially avoiding self-report adherence measures.

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Cited by

See all 222

Metadata

Authors
Conn, V. S., Ruppar, T. M., Chase, J.-A. D., Enriquez, M., & Cooper, P. S.
Venue
Current Hypertension Reports
Published
2015-11-11
Volume
17
Issue
12
Pages
94-94
ISSN
  • 1522-6417 (ISSN-L)
  • 1534-3111
OpenAlex
W2202040401
Cited by
222
References
15
FWCI
2.92
Type
journal article
Language
en
Open access
green
Licence
www.springer.com/tdm (tdm)

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This page
CoChat. (2026). Citation check: Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis. https://app.cochat.ai/papers/10.1007/s11906-015-0606-5
The paper
Conn, V. S., Ruppar, T. M., Chase, J.-A. D., Enriquez, M., & Cooper, P. S. (2015). Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis. Current Hypertension Reports. https://doi.org/10.1007/s11906-015-0606-5

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