Medication Adherence Education and Mentoring for Older Adults with Hypertension in Talang Leak Village, Lebong Regency

ABSTRACT Hypertension is a chronic non-communicable disease that requires continuous treatment and monitoring, particularly among older adults. Medication adherence and routine blood-pressure monitoring are important components of hypertension management. This community-service activity aimed to describe medication-adherence status, describe blood-pressure screening results, and provide education and mentoring regarding hypertension management among elderly residents participating in the Prolanis activity in Talang Leak Village, Lebong Regency. A descriptive participatory community-service design was used. Blood pressure was screened in 30 Prolanis participants, while 23 participants completed the medication-adherence assessment. Participants were selected using total sampling among eligible attendees. Data were collected through registration, blood-pressure measurement, a structured medication-adherence questionnaire, health education, discussion, and mentoring. Descriptive analysis was performed using frequencies and percentages. Of 30 participants with available blood-pressure screening records, 23 had complete readings for the second observation period used in this activity. Of these 23 readings, 17 (73.9%) were at or above 140/90 mmHg and 6 (26.1%) were below 140/90 mmHg. Among the 23 participants completing the adherence assessment, 5 (21.7%) were categorized as adherent, 15 (65.2%) as having moderate adherence, and 3 (13.0%) as non-adherent. Moderate medication adherence was the most common category, while elevated blood-pressure readings remained frequent. Continued education, medication-adherence monitoring, family support, and routine Prolanis follow-up are recommended. Future evaluations should use repeated measurements and a pre-test/post-test design to assess changes attributable to the intervention. Keywords: Hypertension, Elderly, Prolanis, Medication Adherence, Health Education, Blood Pressure.