Interventional study for the assessment of medication adherence in adult hypertensive out-patients in a tertiary care hospital in rural haryana

Hypertension is a major global health issue, especially in India, affecting over billion people. Poorly controlled hypertension increases the risk of serious cardiovascular events and mortality. Adherence to medication is crucial but often low due to various factors. Educational strategies such as patient education sessions and telephonic counselling can improve adherence and outcomes. However, the most effective stralegy for rural Haryana’s hypertensive patients requires specific studies considering literacy, culture and healthcare access.

Material and methods:

A customized case record form will collect demographic and clinical data, including patient details, disease factors, and medication information. Face- to-face interviews and medical records will be used for data collection. The Hill-Bone Medication Adherence Scale will assess adherence.

Patients will be Categorized into adherent and non-adherent groups based on the scale. Non-adherent patients will be randomly assigned to Group A or Group B. Non-adherent patients will be divided into two groups: Group A receives an interactive educational module on medication adherence for one month, while Group B receives usual care. The efficacy of the intervention will be assessed using the Hill-Bone medication adherence scale and blood pressure measurement at baseline, first follow-up visit (short-term assessment after one month), and final follow-up after three months.

Safety will be assessed through adverse drug reaction monitoring using CDSCO reporting forms and the WHO-UMC database. Any dropouts due to adverse events will be reported and managed.