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A Systematic Review of Patient Self-Reported Barriers of Adherence to Antihypertensive Medications Using the World Health Organization Multidimensional Adherence Model
The Journal of Clinical Hypertension, 08/21/2012
Evidence Based Medicine
AlGhurair SA et al. – The Morisky Medication Adherence Scale was the most commonly used survey. Only 20 surveys (39%) have established reliability and validity evidence. According to the WHO Adherence Model domains, patient–related barriers were most commonly addressed, while condition, therapy, and socioeconomic barriers were underrepresented. The complexity of adherence behavior requires robust self–report measurements and the inclusion of barriers relevant to each unique patient population and intervention.