Importance: Hypertension is a chronic condition affecting huge numbers of adults worldwide. It is very important to examine factors that increase patient adherence to hypertension control strategies. Objectives: To examine through a meta-analytic review whether social support is related to adherence in hypertensive patients. Method: Journal articles were searched in November 2012 in medical (CINAHL, MEDLINE), psychological (PsycINFO, PsycARTICLES), and educational (ERIC) electronic databases; in reference lists of selected papers, and in reference lists of a previous review. Journal articles published in any language were selected if they reported observational studies on associations between social support and adherence in hypertensive patients. A coding protocol was used to extract information from the primary studies Results: Main findings indicated that structural social support was not significantly related to overall adherence (marital status: k = 24, N = 14,627, Cohen’s d =.06, 95% CI = -.01/.14; living arrangement: k = 7, N = 2,770, Cohen’s d = .07, 95% CI = -.21/.34) while functional social support was significantly and positively related to overall adherence (k = 10, N = 5,659, Cohen’s d = .18, 95% CI = .05/.31, p < .01). Conclusions: Functional social support is more important than structural social support for adherence to treatment in hypertensive patients.
Crocetti, E., Magrin, M., Steca, P., Miglioretti, M., Vecchio, L., Sarini, M., et al. (2013). Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis. In Atti del 121st Annual Convention of the American Psychological Association (Division 38 Health Psychology).
Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis
MAGRIN, MARIA ELENA;STECA, PATRIZIA;MIGLIORETTI, MASSIMO;VECCHIO, LUCA PIERO;SARINI, MARCELLO;SCRIGNARO, MARTA;D'ADDARIO, MARCO
2013
Abstract
Importance: Hypertension is a chronic condition affecting huge numbers of adults worldwide. It is very important to examine factors that increase patient adherence to hypertension control strategies. Objectives: To examine through a meta-analytic review whether social support is related to adherence in hypertensive patients. Method: Journal articles were searched in November 2012 in medical (CINAHL, MEDLINE), psychological (PsycINFO, PsycARTICLES), and educational (ERIC) electronic databases; in reference lists of selected papers, and in reference lists of a previous review. Journal articles published in any language were selected if they reported observational studies on associations between social support and adherence in hypertensive patients. A coding protocol was used to extract information from the primary studies Results: Main findings indicated that structural social support was not significantly related to overall adherence (marital status: k = 24, N = 14,627, Cohen’s d =.06, 95% CI = -.01/.14; living arrangement: k = 7, N = 2,770, Cohen’s d = .07, 95% CI = -.21/.34) while functional social support was significantly and positively related to overall adherence (k = 10, N = 5,659, Cohen’s d = .18, 95% CI = .05/.31, p < .01). Conclusions: Functional social support is more important than structural social support for adherence to treatment in hypertensive patients.
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