caa a22 4500 606241353 CHVBK 20210128101312.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00508-015-0782-y doi (NATIONALLICENCE)springer-10.1007/s00508-015-0782-y Adherence of patients to long-term medication: a cross-sectional study of antihypertensive regimens in Austria [Elektronische Daten] [Felix Lötsch, Lorenz Auer-Hackenberg, Mirjam Groger, Khalid Rehman, Valerie Morrison, Emily Holmes, Sahdia Parveen, Catrin Plumpton, Wendy Clyne, Sabina de Geest, Fabienne Dobbels, Bernard Vrijens, Przemyslaw Kardas, Dyfrig Hughes, Michael Ramharter] Summary: Objective: The objective of this study was to evaluate adherence and causes for non-adherence to antihypertensive therapy in Austrian patients. A special focus was placed on social parameters and behavioural theories. Methods: Patients were invited via advertisements in community pharmacies in Austria to complete an online survey. Inclusion criteria were an age of 18 years or older, a diagnosis of arterial hypertension and a current prescription of antihypertensive medication. Adherence was measured by the four-item Morisky scale. Non-adherence was defined by at least one point in the Morisky scale. Several demographic, social and behavioural parameters were analysed as potential co-variables associated with adherence. Results: A total of 323 patients completed the online survey, of which 109 (33.7 %) met the criteria for non-adherence. In a multivariable model, self-efficacy and age were associated with adherence, whereas intention and barriers were linked to non-adherence; 56 patients (17.3 %) were classified as intentionally non-adherent. Conclusion: This study demonstrates that non-adherence affects an important proportion of patients in the treatment of arterial hypertension. Young age was a particularly important risk factor for non-adherence, and this patient population is, therefore, in need of special attention. Modifiable risk factors were identified that could help improving the treatment of arterial hypertension and potentially other chronic conditions. Springer-Verlag Wien, 2015 Adherence nationallicence Arterial hypertension nationallicence Medication nationallicence Lötsch Felix Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Auer-Hackenberg Lorenz Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Groger Mirjam Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Rehman Khalid Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Morrison Valerie School of Psychology, Bangor University, Bangor, UK aut Holmes Emily Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK aut Parveen Sahdia School of Psychology, Bangor University, Bangor, UK aut Plumpton Catrin Centre for Health Economics & Medicines Evaluation, Bangor University, Bangor, UK aut Clyne Wendy Faculty of Health & Life Sciences, Coventry University, Coventry, UK aut de Geest Sabina University of Leuven, Leuven, Belgium aut Dobbels Fabienne University of Leuven, Leuven, Belgium aut Vrijens Bernard AARDEX Group Ltd., Liège, Belgium aut Kardas Przemyslaw Medical University of Lodz, Lodz, Poland aut Hughes Dyfrig Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK aut Ramharter Michael Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Wiener klinische Wochenschrift Springer Vienna 127/9-10(2015-05-01), 379-384 0043-5325 127:9-10<379 2015 127 508 https://doi.org/10.1007/s00508-015-0782-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-015-0782-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lötsch Felix Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Auer-Hackenberg Lorenz Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Groger Mirjam Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Rehman Khalid Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Morrison Valerie School of Psychology, Bangor University, Bangor, UK aut NATIONALLICENCE 700 1- Holmes Emily Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK aut NATIONALLICENCE 700 1- Parveen Sahdia School of Psychology, Bangor University, Bangor, UK aut NATIONALLICENCE 700 1- Plumpton Catrin Centre for Health Economics & Medicines Evaluation, Bangor University, Bangor, UK aut NATIONALLICENCE 700 1- Clyne Wendy Faculty of Health & Life Sciences, Coventry University, Coventry, UK aut NATIONALLICENCE 700 1- de Geest Sabina University of Leuven, Leuven, Belgium aut NATIONALLICENCE 700 1- Dobbels Fabienne University of Leuven, Leuven, Belgium aut NATIONALLICENCE 700 1- Vrijens Bernard AARDEX Group Ltd., Liège, Belgium aut NATIONALLICENCE 700 1- Kardas Przemyslaw Medical University of Lodz, Lodz, Poland aut NATIONALLICENCE 700 1- Hughes Dyfrig Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK aut NATIONALLICENCE 700 1- Ramharter Michael Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/9-10(2015-05-01), 379-384 0043-5325 127:9-10<379 2015 127 508