International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Family Caregivers’ Role in Hypertensive Medication Adherence: A Systematic Review and Synthesis of Evidence

Author(s) Muntaka Is-mail, Rose Therra Nortey
Country United States
Abstract Adherence to medication remains a major issue in the treatment of hypertension. Suboptimal adherence is associated with poor blood pressure control and worse cardiovascular outcomes. The critical role of family and informal caregivers in facilitating adherence is becoming increasingly evident. However, the extent and nature of this involvement are not yet synthesized. This review explored family and informal caregivers' contributions in supporting or impeding antihypertensive medication adherence. This paper pooled results from 13 studies. With a predefined protocol and thematic synthesis, the results were characterized into six major themes. Caregivers, predominantly spouses, adult children, and/or cohabiting relatives, facilitated medication adherence through direct oversight, education, motivational encouragement, emotional support, and helping patients negotiate healthcare systems. The involvement of caregivers enhanced adherence, patient self-efficacy, blood pressure control, and self-care practices, particularly among patients with cognitive dysfunction or multimorbidity. Good family environments and shared communication positively influenced adherence, while controlling behaviors, unresolved conflict, and caregiver burden negatively impacted adherence. Challenges among caregivers included complex regimens, polypharmacy, limited patient knowledge, and time or psychological stress, indicating the necessity for structured guidance and support. Family and informal caregivers play key roles in the advancement of antihypertensive medication adherence. Their involvement in structured, supportive interventions enhances adherence and better clinical outcomes, as well as long-term self-management behaviors, especially among high-risk patients.
Field Sociology > Health
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-19
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.66387
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E-ISSN 2582-2160
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