Date of Conferral

2019

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Diane Whitehead

Abstract

Medication nonadherence can have serious consequences for patient outcomes. Home-automated telemanagement systems have supported increased levels of adherence among patients. This project explored whether the use of a home telemanagement program (HTM) would improve medication adherence in clinic patients diagnosed with hypertension (HTN). The health belief model, social learning theory, the self-regulation model and the theory of reasoned action guided this project. Providers in a primary care clinic completed the 4-question Morisky, Green, and Levine adherence scale with 50 HTN patients previously enrolled in a HTM. Survey results revealed that after 2 years in the program, patients were still forgetting to take their medications (56%), stopped taking their medications when they felt better (54%), stopped taking their medications when they felt worse (66%), or were careless at times about taking medications (38%). Data collection did not take place prior to beginning the HTM program; therefore, pre- and postdata for medication adherence behaviors were not compared. Project data support the importance of medication adherence and the consequences of nonadherence for all patients taking HTN medications. Monitoring of these patients is recommended to continue exploring if participation in HTM programs can support positive social change by improving health outcomes for HTN patients.

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