Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Aug;22(8):1176-9.
doi: 10.1007/s11606-007-0244-y. Epub 2007 Jun 5.

Appointment-keeping behavior is not related to medication adherence in hypertensive African Americans

Gbenga Ogedegbe  1 , Antoinette Schoenthaler, Senaida Fernandez
Affiliations

Appointment-keeping behavior is not related to medication adherence in hypertensive African Americans

Gbenga Ogedegbe et al. J Gen Intern Med. 2007 Aug.

Abstract

Objective: The relationship between appointment-keeping behavior, medication adherence (ADH), and systolic and diastolic blood pressure (SBP and DBP) was assessed in 153 hypertensive African Americans followed in a community-based practice.

Methods: ADH was assessed with a self-report questionnaire. BP was obtained from electronic medical records and appointment attendance was determined from the log of all appointments made during the 12-month study period. Nonadherence rates were compared across appointment attendance categories with chi-square. Logistic regression was used to assess the relationship between ADH and appointment attendance, whereas multivariate analysis of covariance (MANCOVA) was used to examine the relationship between appointment attendance and BP.

Results: Twenty-five percent of patients (87% women, mean age 52 years) did not miss any appointments, 44% missed 1-30%, and 31% missed greater than 30%. Adjusted nonadherence rates were similar for all 3 categories (70%, 66%, and 65%, respectively, p = 0.88) as were adjusted mean SBP and DBP in the MANCOVA model, [F (4, 218) = 1.13, p = .34]. Logistic regression analysis did not indicate a significant relationship between appointment attendance and ADH.

Conclusions: Appointment-keeping behavior was not related to ADH or BP among hypertensive African Americans. It should not be used as a proxy for ADH in this patient population.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/00126334-200306010-00016', 'is_inner': False, 'url': 'https://doi.org/10.1097/00126334-200306010-00016'}, {'type': 'PubMed', 'value': '12794557', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12794557/'}]}
    2. Farley J, Hines S, Musk A, Ferrus S, Tepper V. Assessment of adherence to antiviral therapy in HIV-infected children using the medication event monitoring system, pharmacy refill, provider assessment, caregiver self-report, and appoinment keeping. J Acquir Immune Defic Syndr. 2003;33:211–8 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/01.mlr.0000109023.64650.73', 'is_inner': False, 'url': 'https://doi.org/10.1097/01.mlr.0000109023.64650.73'}, {'type': 'PubMed', 'value': '14734947', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/14734947/'}]}
    2. Karter AJ, Parker M, Moffet H, et al. Missed appointments and poor glycemic control: an opportunity to identify high-risk diabetic patients. Med Care. 2004;42(2):110–5 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.267.13.1813', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.267.13.1813'}, {'type': 'PubMed', 'value': '1532036', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/1532036/'}]}
    2. Macharia WM, Leon G, Rowe BH, Stephenson BJ, Haynes RB. An overview of interventions to improve compliance with appointment keeping for medical services. JAMA 1992;267(13):1813–7 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1161/01.HYP.0000107251.49515.c2', 'is_inner': False, 'url': 'https://doi.org/10.1161/01.hyp.0000107251.49515.c2'}, {'type': 'PubMed', 'value': '14656957', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/14656957/'}]}
    2. Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003;42(6):1206–52 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/0197-2456(85)90114-X', 'is_inner': False, 'url': 'https://doi.org/10.1016/0197-2456(85)90114-x'}, {'type': 'PubMed', 'value': '3891227', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/3891227/'}]}
    2. Bell RL, Curb JD, Friedman LM, McIntyre KM, Payton-Ross C. Enhancement of visit adherence in the national beta-blocker heart attack trial. Control Clin Trials. 1985;6(2):89–101 - PubMed

Publication types

Substances