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dc.contributor.author
Gulayin, Pablo Elías
dc.contributor.author
Beratarrechea, Andrea Gabriela
dc.contributor.author
Poggio, Rosana
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Gibbons, Luz
dc.contributor.author
Nejamis, Analía
dc.contributor.author
Santero, Marilina
dc.contributor.author
Rubinstein, Adolfo Luis
dc.contributor.author
Irazola, Vilma
dc.date.available
2024-01-08T14:25:58Z
dc.date.issued
2023-05
dc.identifier.citation
Gulayin, Pablo Elías; Beratarrechea, Andrea Gabriela; Poggio, Rosana; Gibbons, Luz; Nejamis, Analía; et al.; Blood Pressure Association with the 8-Item Morisky Medication Adherence Scale in Hypertensive Adults from Low-Resource Primary Care Settings: Results from a Prospective Cohort Nested within a Randomised Controlled Trial; Springer; High Blood Pressure and Cardiovascular Prevention; 30; 3; 5-2023; 281-288
dc.identifier.issn
1120-9879
dc.identifier.uri
http://hdl.handle.net/11336/222820
dc.description.abstract
Introduction: One of the self-report adherence scales most widely used is the 8-item Morisky Medication Adherence Scale (MMAS-8). Aim: To evaluate construct validity and reliability of the MMAS-8 in hypertensive adults from low-resource settings within the public primary care level in Argentina. Methods: Prospective data from hypertensive adults under antihypertensive pharmacological treatment that participated in the “Hypertension Control Program in Argentina” study was analyzed. Participants were followed at baseline, 6, 12 and 18 months. Based on MMAS-8, adherence was defined as low (score < 6), medium (score 6 to < 8) and high (score of 8). Results: 1214 participants were included in the analysis. In comparison to low adherence, high adherence category was associated with a reduction of − 5.6 mmHg (CI 95%: − 7.2; − 4.0) in systolic blood pressure (BP) and − 3.2 mmHg (CI 95%: − 4.2; − 2.2) in diastolic BP; and with a 56% higher likelihood to have controlled BP (p <.0001). Among those participants with baseline score ≤ 6, two points increase in MMAS-8 along follow-up showed a tendency to reduce BP in almost all-time points and a 34% higher likelihood of having controlled BP at the end of the follow-up (p = 0.0039). Cronbach’s alpha total-item values in all time-points were higher than 0.70. Conclusions: Higher MMAS-8 categories were positively associated with BP reduction and higher likelihood of BP control over time. Internal consistency was acceptable and in line with previous studies.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Springer
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
BLOOD PRESSURE CONTROL
dc.subject
HYPERTENSION
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MEDICATION ADHERENCE
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MMAS-8
dc.subject.classification
Epidemiología
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Blood Pressure Association with the 8-Item Morisky Medication Adherence Scale in Hypertensive Adults from Low-Resource Primary Care Settings: Results from a Prospective Cohort Nested within a Randomised Controlled Trial
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-01-05T11:45:30Z
dc.identifier.eissn
1179-1985
dc.journal.volume
30
dc.journal.number
3
dc.journal.pagination
281-288
dc.journal.pais
Alemania
dc.journal.ciudad
Berlín
dc.description.fil
Fil: Gulayin, Pablo Elías. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
dc.description.fil
Fil: Beratarrechea, Andrea Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Poggio, Rosana. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Nejamis, Analía. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.journal.title
High Blood Pressure and Cardiovascular Prevention
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://link.springer.com/article/10.1007/s40292-023-00580-7
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1007/s40292-023-00580-7
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