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Accepting the unacceptable: Medication adherence and different types of action patterns among patients with high blood pressure.

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Title: Accepting the unacceptable: Medication adherence and different types of action patterns among patients with high blood pressure.
Authors: Marx G (AUTHOR), Witte N (AUTHOR), Himmel W (AUTHOR), Kühnel S (AUTHOR), Simmenroth-Nayda A (AUTHOR), Koschack J (AUTHOR)
Source: Patient Education & Counseling. Dec2011, Vol. 85 Issue 3, p468-474. 7p.
Abstract: OBJECTIVE: To gain deep insight into what it means for patients to live with drug-treated hypertension and to understand the implications for the doctors' influence on patients' adherence. METHODS: Group discussions with 43 drug-treated hypertensive patients. Documentary method was used for interpretative analysis. RESULTS: Four basic phenomena were identified (fear, ignorance, reluctance to discuss matters with the doctor, impact of illness experiences), which resulted in different types of action patterns: (1) the assertive actor, (2) the unconscious avoider, and (3) the inconsistent actor. The types of action patterns do not refer to any implications for adherence. The patients' action does not indicate their preferred model of doctor-patient interaction or their acceptance of taking medication. CONCLUSION: Adherence must not be seen as meaningless behaviour, which can simply be learned, but rather as the result of subjective experiences on living with hypertension and the ability to accept the diagnosis and its treatment. PRACTICE IMPLICATIONS: It is premature to initiate therapy straight after the diagnosis, before the patient is prepared to take the tablets. Supporting adherence means to stay in dialogue and to give the time, privacy and patience to enable patients to overcome their inhibitions of asking and to accept the therapy. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Accepting the unacceptable: Medication adherence and different types of action patterns among patients with high blood pressure.
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  Data: <searchLink fieldCode="AR" term="%22Marx+G%22">Marx G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Witte+N%22">Witte N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Himmel+W%22">Himmel W</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kühnel+S%22">Kühnel S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simmenroth-Nayda+A%22">Simmenroth-Nayda A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Koschack+J%22">Koschack J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Dec2011, Vol. 85 Issue 3, p468-474. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: To gain deep insight into what it means for patients to live with drug-treated hypertension and to understand the implications for the doctors' influence on patients' adherence. METHODS: Group discussions with 43 drug-treated hypertensive patients. Documentary method was used for interpretative analysis. RESULTS: Four basic phenomena were identified (fear, ignorance, reluctance to discuss matters with the doctor, impact of illness experiences), which resulted in different types of action patterns: (1) the assertive actor, (2) the unconscious avoider, and (3) the inconsistent actor. The types of action patterns do not refer to any implications for adherence. The patients' action does not indicate their preferred model of doctor-patient interaction or their acceptance of taking medication. CONCLUSION: Adherence must not be seen as meaningless behaviour, which can simply be learned, but rather as the result of subjective experiences on living with hypertension and the ability to accept the diagnosis and its treatment. PRACTICE IMPLICATIONS: It is premature to initiate therapy straight after the diagnosis, before the patient is prepared to take the tablets. Supporting adherence means to stay in dialogue and to give the time, privacy and patience to enable patients to overcome their inhibitions of asking and to accept the therapy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Dec2011
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