Screening for noncompliance among patients with hypertension: Is self-report the best available measure?

Thomas Inui, William B. Carter, Roger E. Pecoraro

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

The substantial prevalence of noncompliance with drugs in populations of patients with treated hypertension suggests that a reliable, clinically applicable screening test for this behavior is needed. Among employed white males, patient response to a nonjudgmental clinician inquiry has been reported to be highly predictive of noncompliance when positive but relatively insensitive (40 per cent). We assessed the performance of patient self-report in a demographically different population and confirmed the generalizability of prior observations. A compound decision rule combining blood pressure and verbal inquiry observations, however, had higher sensitivity (83 per cent) for noncompliance in our population than self-report alone (55 per cent) and could be considered for use when the prevalence of noncompliance among uncontrolled hypertensives is sufficiently high. Because 40 per cent of well-controlled hypertensives in our test population were noncompliant by pill-count, a question is raised regarding the need for “stepping down” drug therapy in some individuals under treatment for high blood pressure.

Original languageEnglish (US)
Pages (from-to)1061-1064
Number of pages4
JournalMedical Care
Volume19
Issue number10
StatePublished - 1981
Externally publishedYes

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hypertension
Patient Compliance
Self Report
Hypertension
Population
drug
Blood Pressure
Drug Therapy
Pharmaceutical Preparations
performance
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Screening for noncompliance among patients with hypertension : Is self-report the best available measure? / Inui, Thomas; Carter, William B.; Pecoraro, Roger E.

In: Medical Care, Vol. 19, No. 10, 1981, p. 1061-1064.

Research output: Contribution to journalArticle

Inui, Thomas ; Carter, William B. ; Pecoraro, Roger E. / Screening for noncompliance among patients with hypertension : Is self-report the best available measure?. In: Medical Care. 1981 ; Vol. 19, No. 10. pp. 1061-1064.
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