[Trial of the efficacy of health education programs on therapeutic compliance in arterial hypertension]

Aten Primaria. 1998 Mar 15;21(4):199-204.
[Article in Spanish]

Abstract

Objective: To analyse by means of a group session and postal support the efficacy of health education (HE) on compliance with therapy for light-to-moderate essential Hypertension.

Design: Controlled clinical trial with randomised distribution.

Setting: Primary Care.

Patients: 110 hypertense patients with new or uncontrolled Hypertension, for whom treatment with Trandolapril as a start or change of medication was indicated.

Interventions: The patients were split into two groups at random, with observation for six months after inclusion in the study and monthly attendance: 1) Control group (CG) of 55 patients who received HE from their family doctor; 2) Intervention group (IG) of 55 patients controlled.

Measurements and results: Patients were defined as compliant if their consumption was 80-110% of what was prescribed. The counting of pills was recorded. Percentages of compliant patients and mean compliance were analysed with the Chi squared and Student's t tests. 109 people completed, 77 of them women. Neither group differed as to age, sex, length of evolution, number of diseases or doses of drugs consumed.

Conclusions: Intervening in HE with a group session and postal follow-up is an efficacious measure to improve therapeutic compliance in Hypertension cases.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Data Interpretation, Statistical
  • Female
  • Health Education*
  • Humans
  • Hypertension / drug therapy*
  • Indoles / therapeutic use
  • Male
  • Middle Aged
  • Patient Compliance*
  • Primary Health Care
  • Time Factors

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Antihypertensive Agents
  • Indoles
  • trandolapril