Impact of multimodal interventions on medication nonadherence among elderly hypertensives: a randomized controlled study

The study was conducted to investigate the effects of multimodal interventions on medication nonadherence, quality of life (QoL), hypertension (HTN), self-efficacy, and clinical outcome in terms of blood pressure (BP) among elderly people with HTN. An experimental design using a randomized controlled trial was adopted (N=80+80). The experimental group received multimodal interventions and the control group received routine care. Both groups were followed up at baseline and at 3 and 6 months. The data collection tools of demographic and clinical proforma, structured knowledge questionnaire on HTN ( =0.84), Revised Medication Adherence Self-Efficacy Scale ( =0.94), Morisky Medication Adherence Scale ( =0.83), World Health Organization Quality of Life-BREF scale ( =0.87), and digital BP apparatus were used. Necessary administrative permission was obtained for the study. The study results proved that nurse-led multimodal interventions led to an improvement in medication adherence [ (1.75,214.30)=774.18,