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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2015

01-06-2015 | Original Article

Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis

Authors: Maria Elena Magrin, PhD, Marco D’Addario, PhD, Andrea Greco, PhD, Massimo Miglioretti, MS, Marcello Sarini, PhD, Marta Scrignaro, PhD, Patrizia Steca, PhD, Luca Vecchio, PhD, Elisabetta Crocetti, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2015

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Abstract

Background

It is important to examine factors associated with patient adherence to hypertension control strategies.

Purpose

A meta-analysis was conducted to examine whether social support was related to adherence to healthy lifestyle and treatment medication in hypertensive patients.

Methods

Journal articles were searched in medical (CINAHL, MEDLINE), psychological (PsycINFO, PsycARTICLES), and educational (ERIC) electronic databases; in reference lists of selected papers; and in the reference list of a previous review.

Results

Findings of a set of meta-analyses indicated that (a) structural social support was not significantly related to overall adherence, (b) functional social support was significantly and positively related to overall adherence, (c) these findings were further confirmed in meta-analyses conducted on specific types of adherence, and (d) most results were characterized by heterogeneity across studies that was partially explained by moderator analyses.

Conclusions

Functional social support, but not structural social support, was associated with adherence in hypertensive patients.
Footnotes
1
We hypothesized that two additional variables could moderate study results: complexity of drug regimen (i.e., operationalized as the mean number of prescribed drugs) and length of hypertensive diagnosis (i.e., defined as years from diagnosis). However, we could not proceed with testing these two moderators since most studies did not report this information.
 
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Metadata
Title
Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis
Authors
Maria Elena Magrin, PhD
Marco D’Addario, PhD
Andrea Greco, PhD
Massimo Miglioretti, MS
Marcello Sarini, PhD
Marta Scrignaro, PhD
Patrizia Steca, PhD
Luca Vecchio, PhD
Elisabetta Crocetti, PhD
Publication date
01-06-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 3/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9663-2

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