Psychosocial Predictors of Self-Efficacy Related to Self-Reported Adherence in Older Chronic Patients Dealing with Hypertension: A European Study

Francesco Zanatta,1 Ekaterina Nissanova,1 Natalia ÅšwiÄ…toniowska-Lonc,2 Antonia Pierobon,1 Giovanna Callegari,3 Francesca Olmetti,4 Guido Felicetti,5 Piotr Karniej,2 Jacek PolaÅ„ski,6 Anna Giardini,7 Beata Jankowska-PolaÅ„ska2 1Psychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano (PV), Italy; 2Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland; 3Respiratory Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano (PV), Italy; 4Cardiological Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano (PV), Italy; 5Neuromotor Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano (PV), Italy; 6Department of Internal Diseases, Occupational Medicine, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland; 7Information Technology Department, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyCorrespondence: Antonia PierobonIstituti Clinici Scientifici Maugeri IRCCS, Via S. Maugeri, 4, Pavia 27100, ItalyTel +39 385 247255Fax +39 385 61386Email antonia.pierobon@icsmaugeri.itPurpose: Non-adherence to clinical prescriptions is widely recognized as the most common cause of uncontrolled hypertension, contributing to develop acute and chronic cardiovascular diseases. Specifically, patients’ unintentional non-adherence is related to psychosocial factors as beliefs about medications, perceived physician’s communication effectiveness and medication-specific social support. The aim of this study was to observe the impact of these factors on self-efficacy in relation to pharmacological and non-pharmacological self-reported adherence among older chronic patients with hypertension.Patients and Methods: This research had a cross-sectional, observational and multicentre study design. Italian inpatients under rehabilit