Assessment of Clinical Barriers Factors to Healthy Lifestyles amongst Hypertensives in Communities of Idoma Tribe of Benue State, Nigeria


  • Daniel Okpe Lincoln University College Malaysia
  • Regidor III Poblete Dioso Department Of Nursing Sc. University Of Jos , Nigeria
  • Ogunyewo Oluwatoyin Abayomi Department Of Nursing Sc. University Of Jos , Nigeria
  • Oyerele Emmanuel Department Of Nursing Sc. University Of Jos , Nigeria
  • Daniel Grace Department Of Nursing Sc. University Of Jos , Nigeria



Clinical barriers factors, heralthy lifestyle, hypertensives, communities of idoma tribe


Background: Some personal and health-related factors may influence hypertensive patients' level of self-management.

Aim: to determine clinical factors acting as barriers to the eleven (11) healthy lifestyles (self-management) practices amongst hypertensives in communities of Idoma tribe, Benue state Nigeria.

Methods: A multi-stage, multi-communities, cross-sectional simple random sampling method for quantitative and qualitative data using Self-reported/administered questionnaire and Semi- structured focus group discussion/interviews was used. Data analyzed using descriptive statistics-frequency and percentage presented in tables, while thematic analysis was used for qualitative information.

Results: Clinical factors barrier to medication adherent are; not having any symptom 85.1%, fear of side effect of drugs 84.4%, physical exercise barriers are Physician did not prescribe physical exercise 86.1%, Not have any symptoms 85.7%; Respondent stated that feel better 84.9% and when you do not have any symptom 79.9%, are barriers to self- BP monitoring clinically. Feel better 88%, poor commitment between patients and health care personnel 76% are barriers to DASH. 86% and 74.2%, feel better, being overweight were weight management barriers respectively. Moderation in Alcohol clinical factor barriers are; when you feel well 75.7% and feel better 72.6%. Barrier factor to non-smoking adherence is feel better 58.4%. Stress control clinical barriers are; feel worse 73.5% and multiple medical treatment regimen 71.8% amongst others. Follow prescribed treatment plan; Feel better 84%, not having symptom 81% amongst others were clinical barriers.

Conclusion: The result calls for intervention to improve the population clinical factor barriers to the eleven healthy lifestyles variables.


Rogers, E. M. (2011). Diffusion of preventive innovations. Addictive Behaviors, 27, 989–993.

World Health Organization (2021 )Guideline for the Pharmacological Treatment of Hypertension in Adults. Web Annex A. Summary of Evidence. World Health Organization, Geneva2021 Down load on 01/06/2022

Kaplan, M.S, Nunes A. (2014). A psychological determinants of hypertension: Nur. Metab. Cardiovsc. Dis. 2003: 352-9

Alexander KE, Brijnath B, Mazza D ()2014. Barriers and enablers to delivery of the healthy kids check: an analysis informed by the theoretical domains framework and COM-B model. Implement Sci. ;9(1):60. PubMed PubMed Central Article Google Scholar

Malik A, Yoshida Y, Erkin T, Salim D, Hamajima N (2014). Hypertension-related knowledge, practice and drug adherence among inpatients of a hospital in Samarkand, Uzbekistan. J Med Sci. 2014;76:255–263. [PMC free article] [PubMed] [Google Scholar]

Saleem F, Ma H, Aa S, Atif M (2012). Drug attitude and adherence: a qualitative insight of patients with hypertension. J Young Pharm. 2012;4(2):101–107. doi: 10.4103/0975-1483.96624 [PMC free article] [PubMed] [CrossRef] [Google Schola

Adeloye D , Owolabi E O, Ojji D B, Auta A, Dewan M T,Timothy O. Olanrewaju T O, Ogah O, S(2021) Prevalence, awareness, treatment, and control of hypertension in Nigeria in 1995 and 2020: A systematic analysis of current evidence. The Journal of Clinical Hypertension; vol. 24 Issue 5. 18 February .

Johnson HM, Warner RC, Bartels CM, Lamantia JN (2017). “They’ re younger … it’ s harder.” Primary providers’ perspectives on hypertension management in young adults: a multicenter qualitative study. BMC Res Notes. 2017;1–9. doi: 10.1186/s13104-016-2345-3 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Tumwesigyi N M, Mutungi G, Bahendek s, Wesonga R, Ktureebe A, Biribaoa CandGuwatudde D , (2020). Alcohol consumption, hypertension and obesity: Relationshippatterns along different age groups in Uganda. Preventive Medicine Reports 19 (2020) 11141 2,. Published by Elsevier Inc. Down load on22/05/2022.

Anyanti J, Akuiyibo SM, Fajemisin O, et al (2021). Assessment of the level of knowledge, awareness and management of hypertension and diabetes among adults in Imo and Kaduna states, Nigeria: a crosssectional study. BMJ Open 2021;11:e043951. doi:10.1136/ bmjopen-2020-043951.Download on 23/05/2022..

Akinroye K K (2022).Prevalence of hypertension in Nigeria. Nigeria Heart Foundation, on the ocncasion of World Hypertension Day, 16 th, May, 2022. As Published in Guardian Newspaper of 15 th, May, 2022. Download on 22/05/2022..

Chan A H Y, Cooper v, Lycett and Horn R(2020) Practical Barriers to Medication Adherence: What Do Current Self- or Observer-Reported Instruments Assess? Front. Pharmacol., 13 May 2020 | Down load on 28/05/2022

Tucker K L, Sheppard J P, Davison W J, Stevens R, Aekplakorn W, Bosworth H B, Bove A, Deceased Earle K, Godwin K, Green B B, Hebert P, Heneghan C, et al (2020). Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis. Am J Hypertens. 2020 Mar; 33(3): 243–251. Published online 2019 Nov 15. doi: 10.1093/ajh/hpz182 PMCID: PMC7162426PMID: 31730171 down load on 27/05/2022.

Kronish I M, Kent S, Moise N, Shimbo D,Safford MM,Keynerd R E, Beirne R, Sullivan A, and Munttner P,(2017). Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States. J AM Soc Hypertens 2017 Sep;11(9):573-580. doi: 10.1016/j.jash.2017.06.012. Epub 2017 Jul. Download on 25/05/2022.

Yakubu. I M (2019). The Prevalence and Determinants of Overweight, Obesity, and Hypertension in a Bank in Birnin Kebbi, Kebbi State, North-West Nigeria. Texila International Journal of Public Health Volume 7, Issue 3, Sep 2019,Down load on 26/05/2022.

Zaidi T L, Bolbrinker J, Riemer TG, et al (2018). Moderation of alcohol consumption as. arecommendation in European hypertension management guidelines: a survey oawareness, screening and implementation among European physicians. BMJ Open 2018;8:e022026. doi:10.1136/ bmjopen-2018-022026. DOWNLOAD ON 27/ /052022

Lee j, Cui w , and Jin M. (2017). Barriers, Attitudes, and Dietary Behaviors Regarding Sodium Reduction in the Elderly Korean–Chinese Population in Yanbian, China. Published online 2017 Jun

Gupta S, Dhamija JP, Mohan I, Gupta R (2019). Qualitative study of barriers to adherence to antihypertensive medication among rural women in India. Int J Hypertens. 2019;2019:1–7. doi: 10.1155/2019/5749648 [PMC free article] [PubMed] [CrossRef] [Google Scholar

McClintock H, Schrauben S, Andrews A, Wiebe D.(2017) Measurement of health literacy to advance global health research: a study based on Demographic and Health Surveys in 14 sub-Saharan countries. The Lancet Global Health. 2017; 5:S18. 44.

Heath S.(2022).Top Challenges Impacting Patient Access to Healthcare. Insights by Xtelligent Healthcare Media. Down load on 28/05/2022

Muhorakeye O, BiracyazaE (2021). Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients. Front. Psychol., 22 March 2021 | load on 28/05/2022




How to Cite

Okpe, D., Dioso, R., Abayomi, O., Emmanuel, O., & Grace, D. (2023). Assessment of Clinical Barriers Factors to Healthy Lifestyles amongst Hypertensives in Communities of Idoma Tribe of Benue State, Nigeria. Clinical and Research Journal in Internal Medicine, 4(1), 384–396.



Original Article