MULTICOMPONENT support programmes can significantly improve medication adherence and self-efficacy among patients with hypertension, according to new research.
Hypertension remains a major global health challenge, with poor adherence to antihypertensive medication hindering effective blood pressure control. Studies suggest that nearly half of patients discontinue their treatment within a few months, with patients’ self-efficacy identified as a key determinant of adherence and overall disease management.
Multicomponent Patient Support Programmes
The quasi-experimental controlled study evaluated the impact of multicomponent support interventions in 63 adults with hypertension attending a cardiology outpatient clinic in Turkey. Participants were allocated to either an intervention group (n=31) or a control group (n=32).
The interventions included individualised education using a hypertension training manual and a patient education booklet. Participants in the intervention group also undertook home blood pressure monitoring twice daily, and received SMS reminders three times per week as well as a monthly follow-up call.
Medication Adherence and Self-Efficacy
The support interventions took place over the span of three months, with outcomes being assessed using the ‘General Self-Efficacy Scale’ and the ‘Medication Adherence Self-Efficacy Scale in Hypertensive Patients’.
Medication adherence self-efficacy scores were significantly higher for hypertensive patients in the intervention group (p < 0.001). General self-efficacy scores were also significantly higher in the intervention group compared with the control group (p = 0.048).
Significant reductions in blood pressure and body mass index (BMI) were also observed in the intervention group (p < 0.001), in contrast to no significant differences in the control group.
Implications for Hypertension Management
The findings suggest that multicomponent support programmes reinforce patient engagement and self-efficacy, and highlight the potential role of nurses and multidisciplinary teams in delivering patient-centred interventions to improve adherence.
However, several limitations were also acknowledged for this study. The non-randomised allocation of participant groups, as well as the small sample size and single-centre design, may have limited the generalisability of the results to wider populations of hypertensive patients.
Ultimately, the study’s findings support the integration of educational and behavioural interventions into routine clinical care, furthering the optimisation of hypertension management and patient outcomes.
Reference
Noyan EN & Çiftçi B. Effect of multicomponent support intervention on medication adherence and self-efficacy levels in hypertension patients. Sci Rep. 2026; DOI: 10.1038/s41598-026-56116-1
Featured image: Ksenia on Adobe Stock
- Author:
