Date of Award
Evidence-Based Project Report
Doctor of Nursing Practice (DNP)
Julie M. Brandy
Hypertension (HTN) is the leading cause of hospitalization and is responsible for approximately 50% of cardiovascular and cerebrovascular events (Al-Noumani, et al., 2018). Uncontrolled HTN can lead to comorbidities including ischemic heart disease, renal disease, or life-threatening arrythmias (World Health Organization [WHO], 2019). The leading cause of HTN is medication non-compliance (Varleta, et al., 2017). The purpose of this evidence-based practice project was to determine the effectiveness of daily text messages on antihypertensive medication adherence. A comprehensive review of literature generated ten high-level evidence studies demonstrating that daily text messages near each medication dosing time is best practice for improving medication adherence. Participants included 21 adult primary care patients with HTN, ages 31-73 taking a minimum of one antihypertensive medication at the time of recruitment. During a six weeks’ timeframe participants received daily text messages at medication dosing times and every three days they received educational text messages on HTN and the benefits of medication adherence. The outcome was of this project an increase in medication adherence. Data was analyzed using a paired t-test to compare the pre-implementation data to the post-implementation data. There were significant difference at baseline medication adherence rate to post intervention medication adherence rate (0.05, t(10) = -3.08, p = .012). Findings from this EBP project demonstrated that the use of daily text message as reminders improved medication adherence, which has been shown to prevent complications related to uncontrolled hypertension and improve patients’ health.
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Bulabula, Gaelle, "Hypertension Management: Improving Medication Adherence Through the Use of Daily Text Messages" (2021). Evidence-Based Practice Project Reports. 173.