Adherence to Anti-hypertensive Medication among Geriatric Hypertensive Patients in Mandeville, Jamaica
Abstract:
This
study assesses adherence to hypertensive therapy among geriatric hypertensive
patients in Mandeville, Jamaica, in two different clinical settings. A
clinic-based cross-sectional survey will be conducted in five comparable Level
5 health centers and at the Mandeville Regional Hospital in Jamaica among
geriatric patients aged 65 years and older. Individuals will be selected purposively
for both study sites. A Quantitative sample size of 220 participants will be
surveyed using a semi-structured self-administered questionnaire. The Hill-Bone
Compliance Scale and the Morisky Medication Adherence 8-item Self-Report Scale
will be incorporated into the data collection instrument. The Qualitative part
of the study will involve 23 participants and employ an interpretivist
approach, using in-depth interviews. An interview guide will be used to collect
data from participants diagnosed with hypertension for at least five years at
the time of the interview and who attend the hypertension clinic at Mandeville
Regional Hospital, Jamaica. Data collected from the quantitative analysis will be coded and entered
into Microsoft Excel and the Statistical Package for the Social Sciences (SPSS)
software, version 21. Thematic analysis, employing an inductive approach, will
be applied to the qualitative data analysis.
Before the study is conducted, ethical approval will be sought from the
Southern Regional Health Authority and the Ministry of Health Ethics Committee
for both study sites. The data are expected to reveal the level of adherence to hypertensive therapy among geriatric patients
in Mandeville, Jamaica. Based on the findings, recommendations will be made.
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