A primary care initiative using smartphone technology to improve antihypertensive medication adherence in indigent Hispanic men

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dc.contributor.advisorWalker-Smith, Tammy
dc.contributor.authorCisneros, Maria Priscilla
dc.contributor.committeeMemberBaldwin, Sara
dc.contributor.committeeMemberGordon, Cheryl
dc.creator.orcidhttps://orcid.org/0000-0001-6059-5235en_US
dc.date.accessioned2021-10-07T19:52:42Z
dc.date.available2021-10-07T19:52:42Z
dc.date.issued2021-08
dc.description.abstractBackground: Approximately 108 million adults in the United States (U.S.) have hypertension (HTN) of which only 24% have adequate control. Men have a higher incidence of HTN than women and only 25% of Hispanic males have adequate control compared to 32% of non-Hispanic white males. The purpose of this quality improvement initiative (QI) was to improve medication adherence screening by providers and adherence to antihypertensive medication in indigent, adult Hispanic males (25 – 64 years of age) with uncontrolled hypertension (HTN) at a large primary care clinic in South Texas, using a smartphone application (Medisafe) and the Hill Bone Medication Adherence Scale (Hill-Bone Scale). Method: A before and after design was used to institute a hypertension protocol including the Hill-Bone Medication Adherence Scale in the clinic and the Medisafe medication reminder smartphone application by patients for a 3-month trial. Results: Utilization of the Medisafe application resulted in increased number of medication adherence days, improved self-reported medication adherence scores as well as improved overall mean systolic and diastolic blood pressure. Discussion: Self-reported medication adherence screening and utilization of the Medisafe medication reminder application has the potential to improve adherence and outcomes among patients with uncontrolled hypertension.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent53 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89779
dc.language.isoen_USen_US
dc.rightsAttribution 4.0 International*
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectMedisafeen_US
dc.subjectHill-Bone Medication Adherence Scaleen_US
dc.subjecthypertensionen_US
dc.subjectmedication non-adherenceen_US
dc.subjectAntihypertension Medication Adherenceen_US
dc.subjectIndigent Malesen_US
dc.subjectUncontrolled Hypertensionen_US
dc.subjectmedication non-adherenceen_US
dc.subjectUncontrolled Blood Pressureen_US
dc.subjectSmartphone Technology to Improve Medication Adherenceen_US
dc.titleA primary care initiative using smartphone technology to improve antihypertensive medication adherence in indigent Hispanic menen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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