Prescribing, medication adherence, and blood pressure goal achievement among middle‐to‐older age adults in a primary care setting
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Date
2026-10-21
Authors
Elhiny, Rehab
O’Keeffe, Linda M.
Das, Tarun
Burton, Edel
Millar, Seán R.
Byrne, Stephen
Donovan, Maria
Bermingham, Margaret
Journal Title
Journal ISSN
Volume Title
Publisher
John Wiley and Sons Ltd
Published Version
Abstract
Background: Blood pressure (BP) control among hypertensive people remains inadequate. This study aims to assess BP goal achievement among people prescribed antihypertensives, to examine medication nonadherence, and to identify demographics associated with goal achievements and medication nonadherence in this population. Methods: This was a cross-sectional analysis of the Mitchelstown Cohort Study Rescreen data. Goal achievement was assessed in accordance with the 2013 European guidelines, the guidelines in place during data collection. A validated, self-reported 3-itemmedication nonadherence questionnaire was used, with a mean score ranging from 1 (Perfect Adherence) to 5 (Perfect Non-adherence). Nonadherence was defned as mean score > 1. Multiple imputation was used to impute missing data on covariates and outcomes. A sensitivity analysis was performed to assess the consistency of results by applying the 2024 European guideline recommendations. Multivariable logistic regression analysis was used to identify the factors associated with BP goal achievements and medication non adherence. Results: Antihypertensives were prescribed to 567 participants. Based on imputed data, 63.8% of these achieved 2013 BP goal. Mean medication nonadherence score was 1.6 (SE � 0.06), with 34.8% participants being nonadherent. Having multiple anti-hypertensives pills was associated with lower likelihood of achieving BP goals. In the sensitivity analysis, 38.4% achieved 2024 BP goal and in multivariable analysis, being overweight or obese was associated with not achieving the 2024 goals. Conclusion: The study highlights the gap between guideline BP goals and achieving these goals in real world practice. Key patient and medication factors were identifed that could guide eforts to improve BP goal achievement.
Description
Keywords
Antihypertensive prescriptio , Blood pressure contro , Cardiovascular diseases risk facto , Diastolic BP , Hypertension , Medication adherence , Systolic BP , [Medicine] , [PublicHealth] , [Pharmacy] , [DPR]
Citation
Elhiny, R, O’Keeffe, L M, Das, T, Burton, E, Millar, S R, Byrne, S, Donovan, M & Bermingham, M 2026, 'Prescribing, medication adherence, and blood pressure goal achievement among middle‐to‐older age adults in a primary care setting', International Journal of Hypertension, vol. 2026, no. 1, 1613515, pp. 1-11. https://doi.org/10.1155/ijhy/1613515