Hispanic ethnicity, physician-patient communication, and antidepressant adherence

Sleath, Betsy; Rubin, Richard H.; Huston, Sally A.

doi:10.1016/s0010-440x(03)00007-5

Cited by 64 publications

(72 citation statements)

References 23 publications

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“…Study objectives varied, with some focusing specifically on adherence (1, 6, 41, 44–47, 49, 51–60) while others measured adherence as part of studies addressing different questions. Geographically, eight were based in California (6, 42, 43, 47, 48, 50, 54, 55), two in Texas (41, 51), one in New Mexico (52), one in New York (49), one in Connecticut (56), one in Ohio (40), and four were from Veteran’s Administration National Registries (46, 58–60), and three were national studies (1, 45, 57). …”

Section: Resultsmentioning

confidence: 99%

“…Twelve reports (N= 12) investigated nonadherence to antipsychotics (1, 6, 41–43, 46, 49–51, 54, 58, 59), five antidepressants (45, 47, 52, 55, 57), two mood stabilizers (48, 60), and two a combination of these medications (40, 56). Ten studies focused on schizophrenia or schizoaffective disorder (1, 6, 41–43, 49–51, 59), five on depression (45, 47, 52, 55, 57), three on bipolar disorder (48, 58, 60), and three a combination of those diagnoses (40, 54, 56).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies focused on schizophrenia or schizoaffective disorder (1, 6, 41–43, 49–51, 59), five on depression (45, 47, 52, 55, 57), three on bipolar disorder (48, 58, 60), and three a combination of those diagnoses (40, 54, 56). …”

Section: Resultsmentioning

confidence: 99%

“…The results from one study were reported in two different papers (52, 53), so we counted them as one study. One included study (44) examined adherence-related factors in a subset of another (43), so we counted these as one study and used the nonadherence rate reported for the larger sample (43) in our calculation of the mean nonadherence rate of studies including only Latinos.…”

Section: Methodsmentioning

confidence: 99%

“…have been shown to be generally more objective measures (3, 62). Therefore, we also separately analyzed the 11 papers (1, 6, 46, 48, 51, 52, 54, 56, 58–60) that used these typically more objective measures.…”

Section: Methodsmentioning

confidence: 99%

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Psychotropic Medication Nonadherence Among United States Latinos: A Comprehensive Literature Review

Lanouette¹,

Folsom²,

Sciolla³

et al. 2009

Psychiatric Services

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Objective Psychotropic medication nonadherence is a major public health problem, but few studies have focused on Latinos. We systematically reviewed the literature on rates of and factors influencing antipsychotic, antidepressant, or mood stabilizer nonadherence among United States (US) Latinos. Methods Data Sources: MEDLINE and PsycINFO were searched using keywords adherence, compliance, Latino, Hispanic, psychotropic, and related terms, as well as bibliographies from relevant reviews and studies. Study Selection: 21 studies met inclusion criteria: published since 1980 in English or Spanish; measured psychotropic medication nonadherence rates among US Latino adults. Data Abstraction: We examined articles for study design and objective, location, population, medication type, participant demographics, adherence measure, adherence rates, and factors related to adherence. Results and Conclusions In studies including Latinos and other ethnic groups, mean nonadherence rates were 41%, 31%, and 43% among Latinos, Euro-Americans, and African Americans respectively, with an overall effect size of 0.64 between Latinos and Euro-Americans. In studies including only Latinos, the mean nonadherence rate was 44%. Ten of 16 studies found Latinos had significantly lower adherence rates than Euro-Americans. Risk factors for nonadherence included being monolingual Spanish speaking, lacking health insurance, experiencing barriers to quality care, and having lower socioeconomic status. Protective factors included family support and psychotherapy. Rates of nonadherence to psychotropic medications were higher for Latinos than for Euro-Americans. Further investigation is needed into the potentially modifiable individual and societal level mechanisms of this discrepancy. Clinical and research interventions to improve adherence should be culturally appropriate and incorporate identified factors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Psychotropic Medication Nonadherence Among United States Latinos: A Comprehensive Literature Review

Lanouette¹,

Folsom²,

Sciolla³

et al. 2009

Psychiatric Services

View full text Add to dashboard Cite

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Efficacy of a Discharge Educational Strategy vs Standard Discharge Care on Reduction of Vascular Risk in Patients With Stroke and Transient Ischemic Attack

et al. 2019

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IMPORTANCE Despite secondary prevention strategies with proven efficacy, recurrent stroke rates remain high, particularly in racial/ethnic minority populations who are disproportionately affected by stroke. OBJECTIVE To determine the efficacy of a culturally tailored skills-based educational intervention with telephone follow-up compared with standard discharge care on systolic blood pressure reduction in a multiethnic cohort of patients with mild/moderate stroke/transient ischemic attack. DESIGN, SETTING, AND PARTICIPANTS Randomized clinical trial with 1-year follow-up. Participants were white, black, and Hispanic patients with mild/moderate stroke/transient ischemic attack prospectively enrolled from 4 New York City, New York, medical centers during hospitalization or emergency department visit between August 2012 and May 2016. Through screening of stroke admissions and emergency department notifications, 1083 eligible patients were identified, of whom 256 declined to participate and 275 were excluded for other reasons. Analyses were intention to treat. INTERVENTIONS The Discharge Educational Strategies for Reduction of Vascular Events (DESERVE) intervention is a skills-based, culturally tailored discharge program with follow-up calls delivered by a community health coordinator. This intervention was developed using a community engagement approach. MAIN OUTCOMES AND MEASURES The primary outcome was systolic blood pressure reduction at 12 months postdischarge. RESULTS A total of 552 participants were randomized to receive intervention or usual care (281 women [51%]; mean [SD] age, 64.61 [2.9] years; 180 Hispanic [33%], 151 non-Hispanic white [27%], and 183 non-Hispanic black [33%]). At 1-year follow-up, no significant difference in systolic blood pressure reduction was observed between intervention and usual care groups (β = 2.5 mm Hg; 95% CI, −1.9 to 6.9). Although not powered for subgroup analysis, we found that among Hispanic individuals, the intervention arm had a clinically and statically significant 9.9 mm Hg-greater mean systolic blood pressure reduction compared with usual care (95% CI, 1.8-18.0). There were no significant differences between arms among non-Hispanic white (β = 3.3; 95% CI, −4.1 to 10.7) and non-Hispanic black participants (β = −1.6; 95% CI, −10.1 to 6.8). CONCLUSIONS AND RELEVANCE Few behavioral intervention studies in individuals who have had stroke have reported clinically meaningful reductions in blood pressure at 12 months, and fewer have focused on a skills-based approach. Results of secondary analyses suggest that culturally tailored, skills-based strategies may be an important alternative to knowledge-focused approaches in achieving sustained vascular risk reduction and addressing racial/ethnic stroke disparities; however, these findings should be tested in future studies. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT01836354.

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A Randomized-Controlled Trial of an Intervention to Improve Antidepressant Adherence Among Latinos With Depression

et al. 2013

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Hispanic ethnicity, physician-patient communication, and antidepressant adherence

Cited by 64 publications

References 23 publications

Psychotropic Medication Nonadherence Among United States Latinos: A Comprehensive Literature Review

Psychotropic Medication Nonadherence Among United States Latinos: A Comprehensive Literature Review

Efficacy of a Discharge Educational Strategy vs Standard Discharge Care on Reduction of Vascular Risk in Patients With Stroke and Transient Ischemic Attack

A Randomized-Controlled Trial of an Intervention to Improve Antidepressant Adherence Among Latinos With Depression

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