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
. 2011 Jun;36(2):159-191.
doi: 10.1007/s12126-010-9085-9. Epub 2010 Dec 8.

Reducing Adverse Self-Medication Behaviors in Older Adults with Hypertension: Results of an e-health Clinical Efficacy Trial

Patricia J Neafsey, Cyr E M'lan, Miaomiao Ge, Stephen J Walsh, Carolyn A Lin, Elizabeth Anderson

Reducing Adverse Self-Medication Behaviors in Older Adults with Hypertension: Results of an e-health Clinical Efficacy Trial

Patricia J Neafsey et al. Ageing Int. 2011 Jun.

Abstract

A randomized controlled efficacy trial targeting older adults with hypertension (age 60 and over) provided an e-health, tailored intervention with the "next generation" of the Personal Education Program (PEP-NG). Eleven primary care practices with advanced practice registered nurse (APRN) providers participated. Participants (N = 160) were randomly assigned by the PEP-NG (accessed via a wireless touchscreen tablet computer) to either control (entailing data collection and four routine APRN visits) or tailored intervention (involving PEP-NG intervention and four focused APRN visits) group. Compared to patients in the control group, patients receiving the PEP-NG e-health intervention achieved significant increases in both self-medication knowledge and self-efficacy measures, with large effect sizes. Among patients not at BP targets upon entry to the study, therapy intensification in controls (increased antihypertensive dose and/or an additional antihypertensive) was significant (p = .001) with an odds ratio of 21.27 in the control compared to the intervention group. Among patients not at BP targets on visit 1, there was a significant declining linear trend in proportion of the intervention group taking NSAIDs 21-31 days/month (p = 0.008). Satisfaction with the PEP-NG and the APRN provider relationship was high in both groups. These results suggest that the PEP-NG e-health intervention in primary care practices is effective in increasing knowledge and self-efficacy, as well as improving behavior regarding adverse self-medication practices among older adults with hypertension.

PubMed Disclaimer

References

    1. Alemagno SA, Niles SA, Treiber EA. Using computers to reduce medication misuse of community-based seniors: results of a pilot intervention program. Geriatric Nursing. 2004;25(5):281–285. doi: 10.1016/j.gerinurse.2004.08.017. - DOI - PubMed
    1. American Geriatrics Society Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society. 2009;57(8):1331–1346. doi: 10.1111/j.1532-5415.2009.02376.x. - DOI - PubMed
    1. Anderson E, Spencer M. Cognitive representations of AIDS: a phenomenological study. Qualitative Health Research. 2002;12(10):1338–1352. doi: 10.1177/1049732302238747. - DOI - PubMed
    1. Aw TJ, Haas SJ, Liew D, Kurm M. Meta-analysis of cyclooxygenase-2 inhibitors and their effects on blood pressure. Archives of Internal Medicine. 2005;165:490–496. doi: 10.1001/archinte.165.5.IOI50013. - DOI - PubMed
    1. Bandura A. Self-efficacy: The exercise of control. New York: WH Freeman; 1997.

LinkOut - more resources