Influence of Nurse-Led Telehealth Interventions on Medication Adherence among Patients with Chronic Hypertension in Urban Health Facilities in Kenya

Authors

  • John Mukoya Egerton University

DOI:

https://doi.org/10.47672/ajhmn.2957

Keywords:

Action research

Abstract

Purpose: The aim of the study was to assess the influence of nurse-led telehealth interventions on medication adherence among patients with chronic hypertension in urban health facilities in Kenya.

Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.

Findings: The study found that nurse-led telehealth interventions significantly improve medication adherence among patients with chronic hypertension in urban health facilities in Kenya. Interventions such as SMS reminders, virtual consultations, follow-up phone calls, and digital blood pressure monitoring enhanced patient engagement and reduced missed medication doses. Patients who received nurse-led telehealth support demonstrated higher adherence levels compared to those receiving routine care. The findings also showed that telehealth improved continuity of care, patient education, and self-management of hypertension. However, challenges such as limited digital infrastructure, high patient workload, and low digital literacy slightly hindered full effectiveness. Overall, nurse-led telehealth interventions were found to be a strong predictor of improved medication adherence and better hypertension outcomes.

Implications to Theory, Practice and Policy: Health belief model (HBM), theory of planned behavior (TPB), technology acceptance model (TAM) may be used to anchor future studies on assessing the influence of nurse-led telehealth interventions on medication adherence among patients with chronic hypertension in urban health facilities in Kenya. Health facilities should also establish patient tracking systems that combine electronic medical records with telehealth tools to improve continuity of care. Investment in digital health infrastructure, particularly in urban public health facilities, should be prioritized to support scalable telehealth delivery.

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References

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Published

2026-06-27

How to Cite

Mukoya , J. (2026). Influence of Nurse-Led Telehealth Interventions on Medication Adherence among Patients with Chronic Hypertension in Urban Health Facilities in Kenya. American Journal of Health, Medicine and Nursing Practice, 12(1), 71 – 80. https://doi.org/10.47672/ajhmn.2957

Issue

Vol. 12 No. 1 (2026)

Section

Articles

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Copyright (c) 2026 John Mukoya

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