Perceived benefit is the strongest determinant factor of medication
adherence in the elderly with hypertension
Dublin Core
Title
Perceived benefit is the strongest determinant factor of medication
adherence in the elderly with hypertension
adherence in the elderly with hypertension
Subject
elderly; health belief model; hypertension; medication adherence
Description
Background: The level of medication adherence among the elderly with
hypertension is decreasing globally, including in Indonesia. Medication
adherence is a major factor in treatment effectiveness for hypertensive
patients. The Health Belief Model is one of the theories illustrating factors
influencing patients’ medication adherence.
Purpose: This study aimed to analyze determinant factors of medication
adherence among the elderly with hypertension based on the application of
the health belief model.
Methods: This is a descriptive-analytic study with a cross-sectional
approach. Sampling used a proportional stratified random sampling
technique involving 193 patients with hypertension recruited from one of the
Regional General Hospitals in Denpasar City Center. Data were obtained
using three questionnaires, namely demographic characteristics, the health
belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-
8). Data were analyzed using binary logistic regression.
Results: The research results showed the majority of respondents (62.7%)
were compliant in taking medication. Multivariate test results showed that
perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p
<0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived
barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480)
is related to medication adherence in the elderly with hypertension.
Conclusion: Perceived benefit is the strongest determining factor of
medication adherence among the elderly with hypertension. Respondents
with high belief in perceived benefits tend to adhere to medication 12.061
times compared to respondents with low belief in perceived benefits. Health
workers are advised to increase the elderly’s belief in the perceived benefits
and perceived susceptibility to increase their medication adherence.
hypertension is decreasing globally, including in Indonesia. Medication
adherence is a major factor in treatment effectiveness for hypertensive
patients. The Health Belief Model is one of the theories illustrating factors
influencing patients’ medication adherence.
Purpose: This study aimed to analyze determinant factors of medication
adherence among the elderly with hypertension based on the application of
the health belief model.
Methods: This is a descriptive-analytic study with a cross-sectional
approach. Sampling used a proportional stratified random sampling
technique involving 193 patients with hypertension recruited from one of the
Regional General Hospitals in Denpasar City Center. Data were obtained
using three questionnaires, namely demographic characteristics, the health
belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-
8). Data were analyzed using binary logistic regression.
Results: The research results showed the majority of respondents (62.7%)
were compliant in taking medication. Multivariate test results showed that
perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p
<0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived
barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480)
is related to medication adherence in the elderly with hypertension.
Conclusion: Perceived benefit is the strongest determining factor of
medication adherence among the elderly with hypertension. Respondents
with high belief in perceived benefits tend to adhere to medication 12.061
times compared to respondents with low belief in perceived benefits. Health
workers are advised to increase the elderly’s belief in the perceived benefits
and perceived susceptibility to increase their medication adherence.
Creator
Ni Made Ari Widayani1,2 , I Gede Putu Darma Suyasa1* , Ni Putu
Kamaryati1 , Ni Made Sri Rahyanti1
Kamaryati1 , Ni Made Sri Rahyanti1
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
August 28, 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Ni Made Ari Widayani1,2 , I Gede Putu Darma Suyasa1* , Ni Putu
Kamaryati1 , Ni Made Sri Rahyanti1, “Perceived benefit is the strongest determinant factor of medication
adherence in the elderly with hypertension,” Repository Horizon University Indonesia, accessed February 11, 2026, https://repository.horizon.ac.id/items/show/10720.
adherence in the elderly with hypertension,” Repository Horizon University Indonesia, accessed February 11, 2026, https://repository.horizon.ac.id/items/show/10720.