The Relationship between Self-Efficacy and Adherence to Drug Therapy in Hypertension Patients at the Medan Freight Health Center

Tiffani Tantina Lubis

doi:10.55927/ajha.v3i1.10207

Authors

Tiffani Tantina Lubis Fakultas Kedokteran, Universitas Islam Sumatera Utara

DOI:

https://doi.org/10.55927/ajha.v3i1.10207

Keywords:

Self-Efficacy, Adherence, Drug Therapy

Abstract

This study examines the relationship between self-efficacy and medication adherence among 83 hypertensive patients at the Sering Community Health Center in Medan. Using a cross-sectional design, self-efficacy was assessed using the General Self-Efficacy Scale, and adherence was measured through self-reported medication adherence. The findings reveal a significant positive correlation between self-efficacy and medication adherence, highlighting that patients with higher self-efficacy are more likely to adhere to prescribed treatment regimens. Duration of hypertension emerged as a significant predictor of adherence. These findings underscore the importance of psychological factors in chronic disease management and suggest that interventions aimed at enhancing self-efficacy could improve adherence and health outcomes among hypertensive patients. Future research should explore longitudinal designs to establish causal relationships and consider cultural factors in intervention strategies.

Downloads

Download data is not yet available.

References

Bandura, A. (1997). Self—eh’icacy: The exercise ofcontrol. New York: Freeman.

Bandura, A., & Wessels, S. (1997). Self-efficacy. Cambridge University Press Cambridge.

Bane, C., Hughe, C. M., & McElnay, J. C. (2006). Determinants of medication adherence in hypertensive patients: an application of self‐efficacy and the Theory of Planned Behaviour. International Journal of Pharmacy Practice, 14(3), 197–204.

Bertera, E. M. (2014). Storytelling slide shows to improve diabetes and high blood pressure knowledge and self-efficacy: Three-year results among community dwelling older African Americans. Educational Gerontology, 40(11), 785–800.

Böhm, M., Schumacher, H., Teo, K. K., Lonn, E., Mahfoud, F., Mann, J. F. E., Mancia, G., Redon, J., Schmieder, R., & Weber, M. (2018). Achieved diastolic blood pressure and pulse pressure at target systolic blood pressure (120–140 mmHg) and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials. European Heart Journal, 39(33), 3105–3114.

Bomfim, I. G. de O., Santos, S. D. S., & Napoleão, A. A. (2022). Adherence to antiretroviral therapy in people living with HIV/AIDS: A cross-sectional study. AIDS Patient Care and STDs, 36(7), 278–284.

Bullough, A., Renko, M., & Myatt, T. (2014). Danger zone entrepreneurs: The importance of resilience and self–efficacy for entrepreneurial intentions. Entrepreneurship Theory and Practice, 38(3), 473–499.

Choudhry, N. K., Kronish, I. M., Vongpatanasin, W., Ferdinand, K. C., Pavlik, V. N., Egan, B. M., Schoenthaler, A., Houston Miller, N., Hyman, D. J., & Cardiology, A. H. A. C. on H. C. on C. and S. N. and C. on C. (2022). Medication adherence and blood pressure control: a scientific statement from the American Heart Association. Hypertension, 79(1), e1–e14.

Curtin, R. B., Walters, B. A. J., Schatell, D., Pennell, P., Wise, M., & Klicko, K. (2008). Self-efficacy and self-management behaviors in patients with chronic kidney disease. Advances in Chronic Kidney Disease, 15(2), 191–205.

Damush, T. M., Myers, L., Anderson, J. A., Yu, Z., Ofner, S., Nicholas, G., Kimmel, B., Schmid, A. A., Kent, T., & Williams, L. S. (2016). The effect of a locally adapted, secondary stroke risk factor self-management program on medication adherence among veterans with stroke/TIA. Translational Behavioral Medicine, 6(3), 457–468.

Daniali, S. S., Darani, F. M., Eslami, A. A., & Mazaheri, M. (2017). Relationship between self-efficacy and physical activity, medication adherence in chronic disease patients. Advanced Biomedical Research, 6(1), 63.

Fisher, N. D. L., & Curfman, G. (2018). Hypertension—a public health challenge of global proportions. Jama, 320(17), 1757–1759.

Huang, Y.-M., Shiyanbola, O. O., & Smith, P. D. (2018). Association of health literacy and medication self-efficacy with medication adherence and diabetes control. Patient Preference and Adherence, 793–802.

Imam Ghozali. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25. Badan Penerbit Universitas Diponegoro.

Indonesia, P. R. (2017). Kementerian Kesehatan Republik Indonesia. Republic of Indonesia Law Number 36 of 2014 Concerning Health Workers.

Lavoie, K. L., Bouchard, A., Joseph, M., Campbell, T. S., Favreau, H., & Bacon, S. L. (2008). Association of asthma self-efficacy to asthma control and quality of life. Annals of Behavioral Medicine, 36(1), 100–106.

Mahler, C., Hermann, K., Horne, R., Ludt, S., Haefeli, W. E., Szecsenyi, J., & Jank, S. (2010). Assessing reported adherence to pharmacological treatment recommendations. Translation and evaluation of the Medication Adherence Report Scale (MARS) in Germany. Journal of Evaluation in Clinical Practice, 16(3), 574–579.

Martos-Méndez, M. J. (2015). Self-efficacy and adherence to treatment: the mediating effects of social support. Journal of Behavior, Health & Social Issues, 7(2), 19–29.

Nemer, O., & Malak, M. Z. (2022). Self-efficacy and self-care behaviors among patients with coronary artery disease in Jordan. Int Res J Pharm Med Sci, 5(2), 32–47.

Ogedegbe, G., Mancuso, C. A., Allegrante, J. P., & Charlson, M. E. (2003). Development and evaluation of a medication adherence self-efficacy scale in hypertensive African-American patients. Journal of Clinical Epidemiology, 56(6), 520–529.

Organization, W. H., & Group, I. S. of H. W. (2003). 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. Journal of Hypertension, 21(11), 1983–1992.

Pandis, N. (2014). Cross-sectional studies. American Journal of Orthodontics and Dentofacial Orthopedics, 146(1), 127–129.

Schwarzer, R., Jerusalem, M., & Juczyński, Z. (2009). The general self-efficacy scale (GSE). Anxiety, Stress, and Coping, 12, 329–345.

Shen, Z., Shi, S., Ding, S., & Zhong, Z. (2020). Mediating effect of self-efficacy on the relationship between medication literacy and medication adherence among patients with hypertension. Frontiers in Pharmacology, 11, 569092.

Walker, R. J., Smalls, B. L., Hernandez-Tejada, M. A., Campbell, J. A., & Egede, L. E. (2014). Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethnicity & Disease, 24(3), 349.

Williams, K. E., & Bond, M. J. (2002). The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics. Psychology, Health & Medicine, 7(2), 127–141.