{"id":"https://openalex.org/W4389952674","doi":"https://doi.org/10.1161/circ.148.suppl_1.17373","title":"Abstract 17373: The Effect of a Multi-Level Nurse-Led and M-Health Intervention on Medication Adherence Among Adults with Uncontrolled Hypertension in the ADHINCRA Study","display_name":"Abstract 17373: The Effect of a Multi-Level Nurse-Led and M-Health Intervention on Medication Adherence Among Adults with Uncontrolled Hypertension in the ADHINCRA Study","publication_year":2023,"publication_date":"2023-11-07","ids":{"openalex":"https://openalex.org/W4389952674","doi":"https://doi.org/10.1161/circ.148.suppl_1.17373"},"language":"en","primary_location":{"id":"doi:10.1161/circ.148.suppl_1.17373","doi":"https://doi.org/10.1161/circ.148.suppl_1.17373","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.17373","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093532545","display_name":"Nana Kwasi Appiah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nana Kwasi Appiah","raw_affiliation_strings":["Bloomberg Sch of Public Health, Johns Hopkins Univ, Baltimore, MD","Nana Kwasi Appiah Bloomberg Sch of Public Health, Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bloomberg Sch of Public Health, Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Nana Kwasi Appiah Bloomberg Sch of Public Health, Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009333508","display_name":"Oluwabunmi Ogungbe","orcid":"https://orcid.org/0000-0003-1813-0906","observed_orcids":["https://orcid.org/0000-0003-1813-0906"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oluwabunmi V Ogungbe","raw_affiliation_strings":["Johns Hopkins Univ, Baltimore, MD","Oluwabunmi V Ogungbe Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Oluwabunmi V Ogungbe Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008389686","display_name":"Thomas Kwadwo Hinneh","orcid":"https://orcid.org/0000-0002-4417-506X","observed_orcids":["https://orcid.org/0000-0002-4417-506X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Hinneh","raw_affiliation_strings":["Johns Hopkins Univ, Baltimore, MD","Thomas Hinneh Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Thomas Hinneh Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086619748","display_name":"Faith Metlock","orcid":"https://orcid.org/0000-0001-6005-1844","observed_orcids":["https://orcid.org/0000-0001-6005-1844"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Faith Metlock","raw_affiliation_strings":["Johns Hopkins Univ, Baltimore, MD","Faith Metlock Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Faith Metlock Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047520881","display_name":"Cheryl Dennison Himmelfarb","orcid":"https://orcid.org/0000-0003-1918-4316","observed_orcids":["https://orcid.org/0000-0003-1918-4316"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cheryl R Dennison Himmelfarb","raw_affiliation_strings":["Johns Hopkins Univ, Baltimore, MD","Cheryl R Dennison Himmelfarb Johns Hopkins Univ, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Cheryl R Dennison Himmelfarb Johns Hopkins Univ, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084796734","display_name":"Lisa A. Cooper","orcid":"https://orcid.org/0000-0001-6707-6390","observed_orcids":["https://orcid.org/0000-0001-6707-6390","https://orcid.org/0000-0002-2403-8105"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa A Cooper","raw_affiliation_strings":["Johns Hopkins Univ Sch of Medicine, Baltimore, MD","Lisa A Cooper Johns Hopkins Univ Sch of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ Sch of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Lisa A Cooper Johns Hopkins Univ Sch of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074625426","display_name":"Kathryn A. Carson","orcid":"https://orcid.org/0000-0002-1548-6918","observed_orcids":["https://orcid.org/0000-0002-1548-6918"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathryn Carson","raw_affiliation_strings":["Johns Hopkins Univ, MD","Kathryn Carson Johns Hopkins Univ, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Kathryn Carson Johns Hopkins Univ, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076703292","display_name":"Fred Stephen Sarfo","orcid":"https://orcid.org/0000-0001-7274-5093","observed_orcids":["https://orcid.org/0000-0001-7274-5093"]},"institutions":[{"id":"https://openalex.org/I28046988","display_name":"Kwame Nkrumah University of Science and Technology","ror":"https://ror.org/00cb23x68","country_code":"GH","type":"education","lineage":["https://openalex.org/I28046988"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"FRED S SARFO","raw_affiliation_strings":["Knust, Kumasi, Ghana","FRED S SARFO Knust, Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Knust, Kumasi, Ghana","institution_ids":["https://openalex.org/I28046988"]},{"raw_affiliation_string":"FRED S SARFO Knust, Kumasi, Ghana","institution_ids":["https://openalex.org/I28046988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067978004","display_name":"Lambert Tetteh Appiah","orcid":"https://orcid.org/0000-0002-8895-2000","observed_orcids":["https://orcid.org/0000-0002-8895-2000"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lambert T Appiah","raw_affiliation_strings":["Kath, Kumasi, Ghana","Lambert T Appiah Kath, Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kath, Kumasi, Ghana","institution_ids":[]},{"raw_affiliation_string":"Lambert T Appiah Kath, Kumasi, Ghana","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017138956","display_name":"Yvonne Y Commodore-Mensah","orcid":"https://orcid.org/0000-0002-5054-3025","observed_orcids":["https://orcid.org/0000-0002-5054-3025"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yvonne Commodore-Mensah","raw_affiliation_strings":["Johns Hopkins Univ Sch of Nursing, Baltimore, MD","Yvonne Commodore-Mensah Johns Hopkins Univ Sch of Nursing, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Univ Sch of Nursing, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Yvonne Commodore-Mensah Johns Hopkins Univ Sch of Nursing, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"148","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.014700000174343586,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.8889999985694885},{"id":"https://openalex.org/keywords/uncontrolled-hypertension","display_name":"uncontrolled hypertension","score":0.859000027179718},{"id":"https://openalex.org/keywords/nurse-led-intervention","display_name":"nurse-led intervention","score":0.8709999918937683},{"id":"https://openalex.org/keywords/mobile-health","display_name":"mobile health","score":0.7940000295639038},{"id":"https://openalex.org/keywords/antihypertensive-therapy","display_name":"antihypertensive therapy","score":0.9100000262260437},{"id":"https://openalex.org/keywords/hypertension-control","display_name":"hypertension control","score":0.7440000176429749},{"id":"https://openalex.org/keywords/patient-centered-intervention","display_name":"patient-centered interventions","score":0.6380000114440918},{"id":"https://openalex.org/keywords/ghana","display_name":"Ghana","score":0.5230000019073486}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9724439382553101},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6648410558700562},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.624535083770752},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6213710308074951},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5743355751037598},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5691231489181519},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5507829189300537},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.51337730884552},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4577338993549347},{"id":"https://openalex.org/C3018553135","wikidata":"https://www.wikidata.org/wiki/Q67004728","display_name":"Medication adherence","level":2,"score":0.4477001130580902},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.10624974966049194}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.148.suppl_1.17373","doi":"https://doi.org/10.1161/circ.148.suppl_1.17373","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.17373","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4367369355","https://openalex.org/W4396564589","https://openalex.org/W7163427812","https://openalex.org/W4412121572","https://openalex.org/W7223329022","https://openalex.org/W4383216681","https://openalex.org/W7204649781","https://openalex.org/W4406811932","https://openalex.org/W3105197701","https://openalex.org/W196501643"],"abstract_inverted_index":{"Introduction:":[0],"Poor":[1],"adherence":[2,28,45,88,111,142,163,190,218,244],"to":[3,10,70,108,180,198,224,262],"antihypertensive":[4],"therapy":[5],"is":[6],"a":[7,59,118],"major":[8],"contributor":[9],"poor":[11],"cardiovascular":[12],"outcomes":[13],"for":[14,144,208],"patients":[15],"diagnosed":[16],"with":[17,48],"hypertension":[18],"(HTN).":[19],"However,":[20],"multifaceted":[21],"patient":[22],"centered":[23],"interventions":[24,253],"may":[25],"improve":[26,263],"medication":[27,44,87,243,264],"and":[29,74,114,146,154,172,206],"HTN":[30,50,86],"control.":[31],"Objective:":[32],"To":[33],"examine":[34],"the":[35,38,52,71,90,121,161,169,183,211,246,249],"impact":[36],"of":[37,120,189,217],"nurse-led,":[39],"multi-level,":[40],"m-health":[41],"intervention":[42,72,145,170,184,212,237,247],"on":[43],"in":[46,51,55,82,168,175,239,242,245,260],"adults":[47],"uncontrolled":[49],"ADHINCRA":[53,235],"study":[54],"Ghana.":[56],"Methods:":[57],"Using":[58],"cluster":[60],"randomized":[61,69],"controlled":[62],"pilot":[63],"trial":[64],"design,":[65],"four":[66],"hospitals":[67],"were":[68,151],"arm":[73,185,200,213,226],"enhanced":[75],"usual":[76],"care":[77],"(EUC)":[78],"arm;":[79],"120":[80],"participants":[81],"each.":[83],"We":[84],"estimated":[85],"using":[89],"Hill-Bone":[91],"Medication":[92],"Adherence":[93],"Scale":[94],"(Range,":[95],"9-36),":[96],"higher":[97,187,215],"scores":[98,143],"indicate":[99],"better":[100],"adherence.":[101,265],"A":[102],"logistic":[103],"regression":[104],"model":[105],"was":[106,133,165],"used":[107],"estimate":[109],"dichotomized":[110],"score":[112,164],"(low":[113],"high":[115],"adherence)":[116],"as":[117],"function":[119],"treatment":[122],"group":[123,171],"over":[124],"time.":[125],"Results:":[126],"Among":[127],"240":[128],"participants,":[129],"mean":[130,162],"(\u00b1SD)":[131],"age":[132],"53":[134],"(\u00b19.7)":[135],"years;":[136],"117":[137],"men":[138],"(49%).":[139],"Mean":[140],"(SD)":[141],"EUC":[147,176,199,225,250],"arms":[148],"at":[149],"baseline":[150,179],"33.7":[152],"(2.9)":[153],"33.2":[155],"(3.1)":[156],"respectively.":[157],"At":[158],"month":[159,181,209],"12,":[160,210],"34.8":[166],"(1.8)":[167],"34.3":[173],"(2.5)":[174],"arm.":[177,251],"Comparing":[178],"6,":[182],"had":[186,214],"odds":[188,216],"(Odds":[191],"Ratio,":[192],"OR,":[193],"1.85;":[194],"95%CI,":[195,203,221,229],"1.14-4.45)":[196],"compared":[197,223],"(OR,":[201,219,227],"1.74;":[202],"0":[204],".91-3.31),":[205],"similarly":[207],"3.25;":[220],"1.68-6.27)":[222],"2.32;":[228],"1.19-4.52)":[230],"(Figure":[231],"1).":[232],"Conclusions:":[233],"The":[234],"Study":[236],"resulted":[238],"greater":[240],"improvement":[241],"than":[248],"Multi-level":[252],"should":[254],"be":[255],"integrated":[256],"into":[257],"clinical":[258],"practice":[259],"Ghana":[261]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2023-12-20T00:00:00"}
