Exploring adherence to antihypertensive medication in Black African and Black Caribbean residents in South East London: a qualitative study

These barriers add new findings to existing studies on hypertension management and are congruent with current literature describing mistrust stemming from longstanding racial discrimination. Mapping to a COM-B model allows clinicians, and wider systems, to translate these findings into opportunities for interventions. Recommendations include patient-centred consultations to improve health literacy and shared decision making, trust-based engagement with communities and cultural awareness training.