Analysis of interventions to improve adherence to treatment and control of blood pressure in the Latin American context

Authors

DOI:

https://doi.org/10.29105/respyn23.4-821

Keywords:

Medication adherence, hypertension, systematic review

Abstract

Introduction: Lack of adherence to treatment represents a public health problem that has a direct impact on the health of the population. Objective: This review synthesizes findings of experimental studies to improve medication adherence and blood pressure control in the Latin American context. Material and method: A scoping literature review was conducted following the PRISMA for Scoping Reviews, a search and review of published studies was carried out, in the Latino population, from 2013 to 2023 in the MEDLINE (PubMed) Scielo and SCOPUS databases, in which the methodology for evaluating medication adherence and blood pressure control in patients with hypertension was analyzed. Results: 216 Latin American articles were identified, of which 57 were subject to eligibility evaluation, with 9 studies included in the review. Conclusion: The instruments to measure adherence to treatment were mainly self-reported questionnaires. Most of the studies included in this review report a low level of adherence associated with suboptimal clinical values. The most recent evidence has focused on addressing the problem of non-adherence with an educational/motivational approach, mainly through reminders on mobile devices.

 

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Author Biographies

Ana Cristina García López, Centro de Investigación en Alimentación y Desarrollo

Maestra en Ciencias y doctorante en Desarrollo Regional. Su trabajo profesional se ha enfocado principalmente en  problemas de salud pública y nutrición.

Elba Abril Valdez, Centro de Investigación en Alimentación y Desarrollo

Doctora en Ciencias y Humanidades para el Desarrollo Interdisciplinario por la Universidad Autónoma de Coahuila y Centro de Investigaciones Interdisciplinarias en Ciencias y Humanidades de la UNAM. Ha colaborado y publicado artículos científicos y capítulos de libro en las temáticas de género, salud, comportamientos de riesgo y juventud.

References

Achury-Saldaña, D., Rodríguez, S. M., Achury-Beltrán, L. F., & Padilla-Velasco, M. P. (2013). Efecto de un plan educativo en la capacidad de agencia de autocuidado del paciente con hipertensión arterial en una institución de segundo nivel. Aquichan, 13(3), 363-372. DOI: https://doi.org/10.5294/aqui.2013.13.3.4

Alhalaiqa, F., Deane, K. H. O., Nawafleh, A. H., Clark, A., & Gray, R. (2012). Adherence therapy for medication non-compliant patients with hypertension: A randomised controlled trial. Journal of Human Hypertension, 26(2), 117–126. DOI: https://doi.org/10.1038/jhh.2010.133

ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Major outcomes in high-risk hypertensive patients randomized to angiotensinconverting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002;288:2981---97. DOI: https://doi.org/10.1001/jama.288.23.2981

Álvarez-Yáñez, D. M., & Reyes-González, C. X. (2022). Relación entre sobrecarga del cuidador y agencia de autocuidado del paciente de cirugía cardiaca en Cúcuta - Colombia. Revista CUIDARTE, 13(2), 1-12. https://www.redalyc.org/articulo.oa?id=359573140017 DOI: https://doi.org/10.15649/cuidarte.2433

Berkman, N. D., DeWalt, D. A., Pignone, M. P., Sheridan, S. L., Lohr, K. N., Lux, L., et al. (2004). Literacy and health outcomes. Evidence Report/Technology Assessment No. 87. Rockville, MD: Agency for Healthcare Research and Quality.

Beune, E. J. A. J., Moll van Charante, E. P., Beem, L., Mohrs, J., Agyemang, C. O., Ogedegbe, G., & Haafkens, J. A. (2014). Culturally Adapted Hypertension Education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: Cluster-randomized trial. PLoS ONE, 9(3), e90103. https://doi.org/10.1371/journal.pone.0090103 DOI: https://doi.org/10.1371/journal.pone.0090103

Castro Espinosa, J., Molineros Gallón, L., Pino, M. E., & Osada, J. (2014). Adherencia terapéutica en hipertensión arterial sistémica y enfermedad cardiovascular: Factores asociados en adultos en Chile. Revista de Salud Pública, 16(4), 509-521. https://doi.org/10.15446/rsap.v16n4.39816

Chávez, O., Morales, G., Marcos, R., & Carpio, C. (2020). Adherencia terapéutica, interacción equipo médico-paciente y justicia social en población indígena Mixteca de Guerrero, México. Revista Latinoamericana de Bioética, 20(1). https://doi.org/10.18359/rlbi.4142 DOI: https://doi.org/10.18359/rlbi.4142

Corrao, G., Parodi, A., Zambon, A., et al. (2010). Reduced discontinuation of antihypertensive treatment by two-drug combination as first step: Evidence from daily life practice. Journal of Hypertension, 28, 1584-1590. DOI: https://doi.org/10.1097/HJH.0b013e328339f9fa

Crespo Tejero, N., Rubio Franco, V. J., Casado Morales, M. I., Sánchez Martos, J., & Campo Sien, C. (2000, enero). Factores moduladores de la adherencia farmacológica en hipertensión arterial: Estudio exploratorio. Revista Hipertensión y Riesgo Vascular, 17(1). http://www.elsevier.es/es-revista-hipertension-riesgo-vascular-67-sumario-vol-17-num-1-10007065 DOI: https://doi.org/10.1016/S1889-1837(00)71002-6

Dailey, G., Kim, M. S., & Lian, J. F. (2001). Patient compliance and persistence with antihyperglycemic drug regimens: Evaluation of a Medicaid patient population with type 2 diabetes mellitus. Clinical Therapeutics, 23(6), 1211-1220. https://doi.org/10.1016/s0149-2918(01)80110-7 DOI: https://doi.org/10.1016/S0149-2918(01)80110-7

Delavar, F., Pashaeypoor, S., & Negarandeh, R. (2019). The effects of self-management education tailored to health literacy on medication adherence and blood pressure control among elderly people with primary hypertension: A randomized controlled trial. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2019.08.028 DOI: https://doi.org/10.1016/j.pec.2019.08.028

Díaz Piñera, A., Rodríguez Salvá, A., García Roche, R., Carbonell García, I., & Achiong Estupiñán, F. (2018). Resultados de una intervención para la mejora del control de la hipertensión arterial en cuatro áreas de salud. Revista Finlay, 8(3), 180-189.

Du, H. Y., Zecchin, N. P., Denniss, R., Salamonson, Y., Everett, B., Currow, D., et al. (2011). An intervention to promote physical activity and self-management in people with stable chronic heart failure: The Home-Heart-Walk study: Study protocol for a randomized controlled trial. Trials, 2(63). DOI: https://doi.org/10.1186/1745-6215-12-63

Gong, K., Yan, Y.-L., Li, Y., Du, J., Wang, J., Han, Y., … She, Q. (2020). Mobile health applications for the management of primary hypertension. Medicine, 99(16), e19715. https://doi.org/10.1097/MD.0000000000019715 DOI: https://doi.org/10.1097/MD.0000000000019715

He, J., Irazola, V., Mills, K. T., Poggio, R., Beratarrechea, A., Dolan, J., et al. (2017). Effect of a Community Health Worker–Led Multicomponent Intervention on Blood Pressure Control in Low-Income Patients in Argentina. JAMA, 318(11), 1016. https://doi.org/10.1001/jama.2017.11358 DOI: https://doi.org/10.1001/jama.2017.11358

Higuera, E., Rojas, M., & Garzón, D. I. (2015). Experiencia de hipertensión arterial en la relación paciente, familia y contexto de ayuda. Revista de Salud Pública, 17(6), 874-885. https://doi.org/10.15446/rsap.v17n6.49228 DOI: https://doi.org/10.15446/rsap.v17n6.49228

Hutton, B., Catalá-López, F., & Moher, D. (2016). La extensión de la declaración PRISMA para revisiones sistemáticas que incorporan metaanálisis en red: PRISMA-NMA. Medicina Clínica, 147(6), 262-266. https://doi.org/10.1016/j.medcli.2016.02.025 DOI: https://doi.org/10.1016/j.medcli.2016.02.025

Insel, K. C., Einstein, G. O., Morrow, D. G., Koerner, K. M., & Hepworth, J. T. (2016). Multifaceted prospective memory intervention to improve medication adherence. Journal of the American Geriatrics Society, 64(3), 561–568. https://doi.org/10.1111/jgs.14032 DOI: https://doi.org/10.1111/jgs.14032

Law, M. R. (2003). Value of low dose combination treatment with blood pressure lowering drugs: Analysis of 354 randomised trials. BMJ, 326, 1427-1430. DOI: https://doi.org/10.1136/bmj.326.7404.1427

Leong, D. P., Joseph, P. G., McKee, M., Anand, S. S., Teo, K. K., Schwalm, J. D., et al. (2017). Reducing the global burden of cardiovascular disease, part 2. Circulation Research, 121(6), 695-710. https://doi.org/10.1161/CIRCRESAHA.117.311849 DOI: https://doi.org/10.1161/CIRCRESAHA.117.311849

Liu, L., Zhang, Y., Liu, G., et al. (2005). The Felodipine Event Reduction (FEVER) Study: A randomized long-term placebo controlled trial in Chinese hypertensive patients. Journal of Hypertension, 23, 2157-2172 DOI: https://doi.org/10.1097/01.hjh.0000194120.42722.ac

Lozada, A., Piscoya, J., Shiraishi, C., & Mendieta, W. (2020). Calidad de vida y adherencia terapéutica en un programa de hipertensión arterial. Revista de Salud Pública, 22(6), 618-625. https://doi.org/10.15446/rsap.v22n6.88007 DOI: https://doi.org/10.15446/rsap.v22n6.88007

Macquart, D., Kramoh, K. E., Bara Diop, I., Nhavoto, C., Balde, D. M., Ferreira, B., … Antignac, M. (2020). Poor adherence to medication and salt restriction as a barrier to reaching blood pressure control in patients with hypertension: Cross-sectional study from 12 sub-Saharan countries. Archives of Cardiovascular Diseases. https://doi.org/10.1016/j.acvd.2019.11.009 DOI: https://doi.org/10.1016/j.acvd.2019.11.009

Márquez Contreras, E., Márquez Rivero, S., Rodríguez García, E., López-García-Ramos, L., Pastoriza Vilas, J. C., & Baldonedo Suárez, A. (2018). Specific hypertension smartphone app to improve medication adherence in hypertension: A cluster-randomized trial. Current Medical Research and Opinion, 1–15. https://doi.org/10.1080/03007995.2018.1549026 DOI: https://doi.org/10.1080/03007995.2018.1549026

Márquez-Hernández, V. V., Granados Gámez, G., & Roales-Nieto, J. G. (2015). Aplicación de un programa de mejora de la adherencia en pacientes hipertensos debutantes. Atención Primaria, 47(2), 83–89. doi: 10.1016/j.aprim.2014.03.009. DOI: https://doi.org/10.1016/j.aprim.2014.03.009

Mejía, J., & Gómez, S. A. (2017). Trayectoria de vida familiar y estilos de vida: Hipertensión arterial y diabetes mellitus II. Revista de Salud Pública, 19(3), 291-296. https://doi.org/10.15446/rsap.v19n3.35581 DOI: https://doi.org/10.15446/rsap.v19n3.35581

Mills, K. T., Bundy, J. D., Kelly, T. N., et al. (2016). Global disparities of hypertension prevalence and control: A systematic analysis of population-based studies from 90 countries. Circulation, 134(6), 441-450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912 DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.018912

Nogués, X., Sorli, M. L., & Villar, J. (2007). Instrumentos de medida de adherencia al tratamiento. Anales de Medicina Interna, 24(3), 138-141. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S021271992007000300009&lng=es&tlng=es DOI: https://doi.org/10.4321/S0212-71992007000300009

Nolan, R. P., Feldman, R., Dawes, M., Kaczorowski, J., Lynn, H., Barr, S. I., … Surikova, J. (2018). Randomized Controlled Trial of E-Counseling for Hypertension. Circulation: Cardiovascular Quality and Outcomes, 11(7), e004420. https://doi.org/10.1161/circoutcomes.117.0044 DOI: https://doi.org/10.1161/CIRCOUTCOMES.117.004420

Onzenoort, H. A. W. v., Verberk, W. J., Kroon, A. A., Kessels, A. G. H., Neef, C., van der Kuy, P.-H. M., & Leeuw, P. W. d. (2012). Electronic Monitoring of Adherence, Treatment of Hypertension, and Blood Pressure Control. American Journal of Hypertension, 25(1), 54–59. https://doi.org/10.1038/ajh.2011.153 DOI: https://doi.org/10.1038/ajh.2011.153

Ortiz Vázquez, D., Bandera Ramírez, M., González Gámez, S., Figueroa Sarmiento, L. D., & Elizabeth Veloz, V. (2019). Adherencia terapéutica y conocimientos sobre hipertensión arterial en una muestra de pacientes adultos. MEDISAN, 23(4), 632-643. https://www.redalyc.org/articulo.oa?id=368460425004

Patel, A. (2007). Effects of a fixed combination of perindopril and indapamide on macrovascular and microvascular outcomes in patients with type 2 diabetes mellitus (the ADVANCE trial): a randomised controlled trial. The Lancet, 370, 829-840. DOI: https://doi.org/10.1016/S0140-6736(07)61303-8

Persell, S. D., Peprah, Y. A., Lipiszko, D., Lee, J. Y., Li, J. J., Ciolino, J. D., … Sato, H. (2020). Effect of Home Blood Pressure Monitoring via a Smartphone Hypertension Coaching Application or Tracking Application on Adults With Uncontrolled Hypertension. JAMA Network Open, 3(3), e200255. https://doi.org/10.1001/jamanetworkopen.2020.0255 DOI: https://doi.org/10.1001/jamanetworkopen.2020.0255

Reiger, S., Harris, J. R., Chan, K. C. G., Oqueli, H. L., & Kohn, M. (2015). A community-driven hypertension treatment group in rural Honduras. Global Health Action, 8(1), 28041. https://doi.org/10.3402/gha.v8.28041 DOI: https://doi.org/10.3402/gha.v8.28041

Restrepo, M. C., & Maya, A. M. (2020). “Estableciendo vínculos dialógicos que alivian”: Una mirada desde el patrón estético. Revista CUIDARTE, 11(2), 1-11. https://www.redalyc.org/articulo.oa?id=359565318015 DOI: https://doi.org/10.15649/cuidarte.1086

Rezende, R., Assumpção, D., & Stolses, P. M. (2021). Hipertensión arterial autorreferida en adultos mayores brasileños: Uso de medicación y recomendaciones para el control. Revista de Salud Pública, 23(4), 1-8. https://doi.org/10.15446/rsap.v23n4.93287 DOI: https://doi.org/10.15446/rsap.v23n4.93287

Rivas, G. M., Pino, M. E., Díaz, C., & Osada, J. (2022). Efecto del uso de mensajes de texto en dispositivos de telefonía móvil en la adherencia al tratamiento de hipertensión arterial. Revista Cubana de Información en Ciencias de la Salud, 33. https://www.redalyc.org/articulo.oa?id=40823252012

Romero, G. S. L., Parra, D. I., Sánchez, R. J. M., & Rojas, L. Z. (2017). Adherencia terapéutica de pacientes con hipertensión arterial y diabetes mellitus tipo 2 de Bucaramanga, Colombia. Revista de la Universidad Industrial de Santander. Salud, 49(1), 37-44. https://www.redalyc.org/articulo.oa?id=343850079005 DOI: https://doi.org/10.18273/revsal.v49n1-2017004

Saleem, F., Hassali, M. A., Shafie, A. A., Ul Haq, N., Farooqui, M., Aljadhay, H., & Ahmad, F. U. D. (2013). Pharmacist intervention in improving hypertension-related knowledge, treatment medication adherence and health-related quality of life: A non-clinical randomized controlled trial. Health Expectations, 18(5), 1270–1281. https://doi.org/10.1111/hex.12101 DOI: https://doi.org/10.1111/hex.12101

Sandoval, D., Chacón, J., Muñoz, R., Henríquez, O., Koch, E., & Romero, T. (2014). Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo. Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile. Revista Médica de Chile, 142, 1245-1252. https://doi.org/10.4067/S0034-98872014001000003 DOI: https://doi.org/10.4067/S0034-98872014001000003

Sever P., Dahlof B., Poulter N., et al. Potential synergy between lipid-lowering and blood-pressure-lowering in the Anglo-Scandinavian Cardiac Outcomes Trial. Eur Heart J. 2006;27:2982---8. DOI: https://doi.org/10.1093/eurheartj/ehl403

Soler-Sánchez, K. R., Soler-Sánchez, Y. M., Pérez-Rosabal, E., Rodríguez-Rodríguez, D. R., & Castañeda-Castro, M. (2021). Programa educativo para favorecer la adherencia terapéutica en pacientes hipertensos de Manzanillo. Revista Información Científica, 100(3).

Soto, A., Avila, X., Cordova, P., Fernandez, P., Lopez, M., Villa, L. A., & Morales, F. (2015). Impact of a pharmacotherapy plan to improve adherence for patients with type-2 diabetes and hypertension in a Chilean hospital. International Journal of Clinical Pharmacy, 37(5), 734-738. https://doi.org/10.1007/s11096-015-0131-2 DOI: https://doi.org/10.1007/s11096-015-0131-2

Svarstad, B. L., Kotchen, J. M., Shireman, T. I., Brown, R. L., Crawford, S. Y., Mount, J. K., & Wilson, D. A. (2013). Improving refill adherence and hypertension control in black patients: Wisconsin TEAM trial. Journal of the American Pharmacists Association, 53(5), 520–529. https://doi.org/10.1331/JAPhA.2013.12246 DOI: https://doi.org/10.1331/JAPhA.2013.12246

Teixeira Medeiros, N., & Magalhães Moreira, T. M. (2012). Avaliação de risco coronariano, adesão terapêutica e qualidade de vida de idosos com hipertensão arterial. Revista Brasileira em Promoção da Saúde, 25(2), 76-82. https://www.redalyc.org/articulo.oa?id=40823252012 DOI: https://doi.org/10.5020/18061230.2012.s76

Varleta, P., Acevedo, M., Akel, C., Salinas, C., Navarrete, C., García, A., & Romero, K. (2017). The Journal of Clinical Hypertension, 19(12), 1276-1284. https://doi.org/10.1111/jch.13098 DOI: https://doi.org/10.1111/jch.13098

Velandia, A., & Rivera, L. N. (2009). Agencia de autocuidado y adherencia al tratamiento en personas con factores de riesgo cardiovascular. Revista de Salud Pública, 11(4), 538-548. https://doi.org/10.1590/S0124-00642009000400005 DOI: https://doi.org/10.1590/S0124-00642009000400005

World Heart Federation. (2016, June). World Congress of Cardiology & Cardiovascular Health. México City. http://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/

Published

2024-12-20

How to Cite

García López, A. C., & Abril Valdez, E. (2024). Analysis of interventions to improve adherence to treatment and control of blood pressure in the Latin American context . RESPYN Revista Salud Pública Y Nutrición, 23(4), 28–38. https://doi.org/10.29105/respyn23.4-821

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Artículo de Revisión

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