{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:48Z","timestamp":1791186948669,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Medication adherence is a critical determinant of clinical outcomes among patients with comorbid hypertension and diabetes mellitus. Despite the availability of effective therapies, adherence remains suboptimal, particularly in low\u2010 and middle\u2010income settings where multiple patient, treatment, and health system factors influence medication\u2010taking behavior. Healthcare providers are uniquely positioned to identify barriers and facilitators to adherence. This study explored healthcare providers' perspectives on medication adherence among patients with comorbid hypertension and diabetes using the World Health Organization multidimensional adherence framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory descriptive qualitative study was conducted at the Pentecost Hospital, Ghana, between March and May 2025. Fifteen healthcare providers involved in the management of patients with hypertension and diabetes were purposively sampled, including medical officers, nurses, pharmacist, pharmacy technicians, dietitians, physician assistants, and mental health practitioners. Data were collected through semi\u2010structured in\u2010depth interviews lasting 30\u201360\u2009min and analyzed using thematic analysis following Braun and Clarke's six\u2010step framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 15 participants, 53.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) were female, 80.0% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) aged 30\u201339 years, and 73.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911) had 1\u20136 years of professional experience. Five major themes were identified: patient\u2010related, therapy\u2010related, condition\u2010related, socio\u2010economic, and healthcare system\u2010related factors. Key barriers included forgetfulness, intentional dose modification, symptom\u2010driven discontinuation, cultural and religious beliefs about medicines, polypharmacy, medication side effects, fear of complications, anxiety, and medication costs. Facilitators included reminder systems, family and carer support, patient education, and multidisciplinary collaborative care. Participants emphasized the importance of integrating mental health services into chronic disease management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Healthcare providers perceived medication adherence as influenced by interacting patient, therapy, condition, socio\u2010economic, and healthcare system factors. Interventions integrating patient education, family involvement, mental health support, and multidisciplinary care may support medication adherence and improve long\u2010term clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73168","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:12:25Z","timestamp":1788415945000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medication Adherence in Comorbid Hypertension and Diabetes: An Exploratory Descriptive Qualitative Study of Healthcare Providers' Perspectives"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-3995","authenticated-orcid":false,"given":"Adwoa Oforiwaa","family":"Kwakye","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, College of Health Sciences University of Ghana  Legon Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8643-7163","authenticated-orcid":false,"given":"Richard Delali Agbeko","family":"Djochie","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapeutics and Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences University of Cape Coast  Cape Coast Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ama","family":"Agyeman\u2010Dua","sequence":"additional","affiliation":[{"name":"Pentecost Hospital Madina  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6811-5937","authenticated-orcid":false,"given":"Irene A.","family":"Kretchy","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, College of Health Sciences University of Ghana  Legon 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