54
Blood Pressure Management
5.2.5. Antihypertensive Medication Adherence Strategies
COR LOE
Recommendations
1 B-R
1. In adults with hypertension, antihypertensive medication
dosing once daily rather than multiple times daily is beneficial
to improve medication adherence.
1 B-R
2. In adults with hypertension, the use of a SPC to reduce pill
burden rather than taking separate pills is effective to improve
medication adherence.
2a B-R
3. In adults with hypertension, use of medication reminder aids
and educational or self-management interventions can be
useful to improve medication adherence.
Table 15. Evidence-Based Strategies for Improving
Antihypertensive Medication Adherence
Evidence-based strategies for improving antihypertensive medication adherence
Dose consolidation
Single pill combination rather than separate pills
Education/coaching by pharmacists and other health professionals
Electronic/home blood pressure monitoring and feedback
Integration of patient preferences and values/shared decision-making into management plan
Medication synchronization and reminder aids
Mindfulness-based stress reduction or counseling for high stress, anxiety, and/or depression
Self-management interventions
Modified with permission from Choudhry et al. Copyright © 2022 American Heart
Association Inc.
