Circulation. 1979 Mar;59(3):540-3.

Improving compliance with therapeutic regimens in hypertensive patients in a community health center.

Takala J, Niemelä N, Rosti J, Sievers K.

Abstract

A 1-year, randomized study was conducted to test the possibility of improving compliance with therapeutic regimens in hypertensives by means of certain simple arrangements. Patients were given written treatment instructions concerning hypertension, a personal blood-pressure follow-up card, and, for those who failed to attend their blood-pressure check-up, an invitation for a new check-up. Using matched pairs, 202 Finnish hypertensives were randomly allocated either to an ordinary or a reorganized treatment group. By means of the latter system, patient compliance could be significantly (p less than 0.01) improved: Only 4% of the patients in this group dropped out of treatment, compared with 19% in the ordinary treatment group. By the end of the year, blood pressure had been lowered by at least 10% in 95% of the patients in the reorganized group and in 78% of those in the ordinary group (p less than 0.01). This was achieved in approximately 60% of cases using chlorthalidone alone.

PMID:: 761334; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Substances

Publication Types

MeSH Terms

Substances

Chlorthalidone

LinkOut - more resources

Full Text Sources

Medical

High Blood Pressure - MedlinePlus Health Information

Molecular Biology Databases

CHLORTHALIDONE - HSDB

Supplemental Content

Save items

Related citations in PubMed

Relationship of antihypertensive treatment regimens and change in blood pressure to risk for heart failure in hypertensive patients randomly assigned to doxazosin or chlorthalidone: further analyses from the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial. [Ann Intern Med. 2002]
Relationship of antihypertensive treatment regimens and change in blood pressure to risk for heart failure in hypertensive patients randomly assigned to doxazosin or chlorthalidone: further analyses from the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial.
Davis BR, Cutler JA, Furberg CD, Wright JT, Farber MA, Felicetta JV, Stokes JD, ALLHAT Collaborative Research Group. Ann Intern Med. 2002 Sep 3; 137(5 Part 1):313-20.
Renal outcomes in high-risk hypertensive patients treated with an angiotensin-converting enzyme inhibitor or a calcium channel blocker vs a diuretic: a report from the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). [Arch Intern Med. 2005]
Renal outcomes in high-risk hypertensive patients treated with an angiotensin-converting enzyme inhibitor or a calcium channel blocker vs a diuretic: a report from the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT).
Rahman M, Pressel S, Davis BR, Nwachuku C, Wright JT Jr, Whelton PK, Barzilay J, Batuman V, Eckfeldt JH, Farber M, et al. Arch Intern Med. 2005 Apr 25; 165(8):936-46.
Clinical results of the Verapamil inHypertension and Atherosclerosis Study. VHAS Investigators. [J Hypertens. 1997]
Clinical results of the Verapamil inHypertension and Atherosclerosis Study. VHAS Investigators.
Rosei EA, Dal Palù C, Leonetti G, Magnani B, Pessina A, Zanchetti A. J Hypertens. 1997 Nov; 15(11):1337-44.
Improving blood pressure control through provider education, provider alerts, and patient education: a cluster randomized trial. [Ann Intern Med. 2006]
Improving blood pressure control through provider education, provider alerts, and patient education: a cluster randomized trial.
Roumie CL, Elasy TA, Greevy R, Griffin MR, Liu X, Stone WJ, Wallston KA, Dittus RS, Alvarez V, Cobb J, et al. Ann Intern Med. 2006 Aug 1; 145(3):165-75.
Review Improving compliance and increasing control of hypertension: needs of special hypertensive populations. [Am Heart J. 1991]
Review Improving compliance and increasing control of hypertension: needs of special hypertensive populations.
Clark LT. Am Heart J. 1991 Feb; 121(2 Pt 2):664-9.

See reviews... See all...

Cited by 5 PubMed Central articles

Review Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review. [Br J Gen Pract. 2010]
Review Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review.
Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Br J Gen Pract. 2010 Dec; 60(581):e476-88.
Review Educational and organisational interventions used to improve the management of hypertension in primary care: a systematic review. [Br J Gen Pract. 2005]
Review Educational and organisational interventions used to improve the management of hypertension in primary care: a systematic review.
Fahey T, Schroeder K, Ebrahim S. Br J Gen Pract. 2005 Nov; 55(520):875-82.
Control of hypertension in family practice by the doctor-nurse team. [J R Coll Gen Pract. 1982]
Control of hypertension in family practice by the doctor-nurse team.
Silverberg DS, Baltuch L, Hermoni Y, Eyal P. J R Coll Gen Pract. 1982 Mar; 32(236):184-6.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Compound (MeSH Keyword)
PubChem chemical compound records that are classified under the same Medical Subject Headings (MeSH) controlled vocabulary as the current articles.
Substance (MeSH Keyword)
PubChem chemical substance (submitted) records that are classified under the same Medical Subject Headings (MeSH) controlled vocabulary as the current articles.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Improving compliance with therapeutic regimens in hypertensive patients in a com...
Improving compliance with therapeutic regimens in hypertensive patients in a community health center.
Circulation. 1979 Mar ;59(3):540-3.

PubMed
Topical non-steroidal anti-inflammatory drugs and admission to hospital for uppe...
Topical non-steroidal anti-inflammatory drugs and admission to hospital for upper gastrointestinal bleeding and perforation: a record linkage case-control study.
BMJ. 1995 Jul 1 ;311(6996):22-6.

PubMed
Mucosal cytokine expression in allergic rhinitis.
Mucosal cytokine expression in allergic rhinitis.
Int Arch Allergy Immunol. 1995 May-Jun ;107(1-3):390-1.

PubMed
Reduction of suicidal thoughts with paroxetine in comparison with reference anti...
Reduction of suicidal thoughts with paroxetine in comparison with reference antidepressants and placebo.
Eur Neuropsychopharmacol. 1995 Mar ;5(1):5-13.

PubMed
Aberrant function of the Ras signal transduction pathway in human breast cancer.
Aberrant function of the Ras signal transduction pathway in human breast cancer.
Breast Cancer Res Treat. 1995 Jul ;35(1):133-44.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: