Scottish Adherence to Antihypertensive Medication in the Elderly

  • Research type

    Research Study

  • Full title

    Scottish Adherence to Antihypertensive Medication in the Elderly

  • IRAS ID

    189366

  • Contact name

    Stephen Peddie

  • Contact email

    stephen.peddie@nes.scot.nhs.uk

  • Sponsor organisation

    NHS Education for Scotland

  • Duration of Study in the UK

    1 years, 4 months, 28 days

  • Research summary

    Despite recent progress in the prevention, detection and treatment of hypertension, it persists as a major public health challenge affecting between 30-45% of the general population, increasing steeply with age. The effectiveness of antihypertensive agents is dependent on persistent adherence to prescribed medication. Poor adherence to antihypertensive therapy is the most significant patient-related barrier to achieving blood pressure control.Few studies investigating adherence to antihypertensive medication have been conducted within the community pharmacy setting.

    The aims are to:
    1. assess adherence to antihypertensive medication using self-reported measures and prescription dispensing data;
    2. examine patient-specific factors associated with antihypertensive medication adherence;
    among Scottish adults aged 65 years and over.

    Consecutive patients presenting, with a prescription for at least one medication indicated for the treatment of hypertension, to one of approximately 130-150 community pharmacies in Scotland will be recruited. Community pharmacies are selected on the basis of their involvement in the NHS Pre-registration Pharmacist Scheme (PRPS). Pharmacies will be included if they have a pharmacy pre-registration trainee under their supervision during the study period. Each pharmacy pre-registration trainee will recruit up to 15 consecutive patients between January and March 2016.

    Patients will be invited to consent to a telephone interview with the pharmacy pre-registration trainee. This is a structured interview, collecting information on: sociodemographic, clinical and treatment factors; beliefs about medicines; and adherence.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    15/EE/0395

  • Date of REC Opinion

    21 Oct 2015

  • REC opinion

    Further Information Favourable Opinion