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March 25-26, 2019 | Amsterdam, Netherlands

Global Public Health Congress

Journal of Community Medicine & Health Education | ISSN : 2161-0711

Volume 09

Global Public Health 2019

Rola Bou Serhal

Lebanese University, Lebanon

Rola Bou Serhal, J Community Med Health Educ 2019, Volume 09

DOI: 10.4172/2161-0711-C2-056

A new Lebanese medication adherence scale: validation in Lebanese

hypertensive adults

Background:

Hypertension control reduces cardiovascular risk. Yet, lack of adherence to

medication reduces this control. Therefore, tools to measure medication adherence are needed.

A new Lebanese scale measuring medication adherence considered socioeconomic and

cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale

(MMAS-8).

Objectives:

The objectives of this study were to validate the new adherence scale and its

prediction of hypertension control, compared to MMAS-8, and to assess adherence rates and

factors.

Methodology:

A cross-sectional study, including 405 patients, was performed in outpatient

cardiology clinics of three hospitals in Beirut. Blood pressure was measured, a questionnaire

filled, and sodium intake estimated by a urine test. Logistic regression defined predictors of

hypertension control and adherence.

Results:

The result showed that 54.9% had controlled hypertension. 82.4% were adherent

by the new scale which showed good internal consistency, adequate questions (KMO

coefficient=0.743), and four factors. It predicted hypertension control (OR=1.217; p

value=0.003), unlike MMAS-8, but the scores were correlated (ICC average measure=0.651;

p value<0.001). Stress and smoking predicted nonadherence.

Conclusion:

This study elaborated a validated, practical, and useful tool measuring adherence

to medications in hypertensive patients.

Biography

Rola Bou Serhal has completed her Research Master’s in Public Health, Epidemiology and Biostatistics branch

from the Lebanese University, and BS degree in Nursing from the Lebanese University. Currently, she is a

Clinical Research Assistant in the Clinical Research Center at Saint Joseph University (USJ).