Medication Adherence in Persons With Cardiovascular Disease

Dunbar‐Jacob, Jacqueline; Bohachick, Patricia; Mortimer, Mary Kay; Sereika, Susan M.; Foley, Susan M.

doi:10.1097/00005082-200307000-00006

Cited by 78 publications

(72 citation statements)

References 10 publications

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“…Moreover, based on the existing research, the number of concurrent medications may contribute to adherence or non-adherence. Three of the seven included studies in this area (Dunbar-Jacob et al 2003;Eisen et al 1990;Lee et al 1996) used electronic monitoring to measure adherence.…”

Section: Hypertension and Cardiovascular Diseasementioning

confidence: 99%

The impact of medication regimen factors on adherence to chronic treatment: a review of literature

2008

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This article reviews recent literature in chronic illness or long-term health management including asthma, contraception, diabetes, HIV disease, and hypertension/cardiovascular disease, mental disorders, pain, and other diseases to determine the relationship between regimen factors and adherence to medications. The authors conducted an electronic literature search to detect articles published between 1998 and 2007. Articles were included if they pertained to a chronic illness or to contraception, included a clear definition of how adherence was measured, and included regimen factors as primary or secondary explanatory variables. Methodology of the studies varied greatly, as did methods of measuring adherence and regimen factors. Surprisingly few of these articles concerned (1) chronic treatment, (2) regimen factors such as dosing, pill burden, and regimen complexity, and (3) adherence measured in a clear manner. Most studies failed to use state-of-theart methods of measuring adherence. Despite these flaws, a suggestive pattern of the importance of regimen factors, specifically dose frequency and regimen complexity, emerged from this review.

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Section: Hypertension and Cardiovascular Diseasementioning

confidence: 99%

The impact of medication regimen factors on adherence to chronic treatment: a review of literature

2008

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“…Although we found no signifi cant relationship between employment status and medication adherence, a study has shown that as total household income decreased, medication adherence decreased. 28) Some unemployed patients who had fi nancial problems adhered less to their medication regimens, which might have led to the poor prognosis in the study. Consistent with findings obtained from several investigators, 7,29) approximately 90% of patients reported that they took medications as prescribed.…”

Section: Figurementioning

confidence: 96%

Insufficient Self-Care Is an Independent Risk Factor for Adverse Clinical Outcomes in Japanese Patients With Heart Failure

et al. 2013

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SummarySelf-care is a cornerstone for the successful management of heart failure (HF). The purpose of this study was to examine the impacts of HF self-care on prognosis in Japanese patients with HF. A total of 283 HF outpatients (age 64 ± 14, 70% male, 52% HFrEF) were enrolled. We asked patients to answer about their adhevence to 5 self-care behaviors (medication, eating a low-sodium diet, regular exercise, daily weight check, and treatment seeking behavior). On the basis of the results, we classifi ed patients into a good self-care group and a poor self-care group. The primary outcome was HF hospitalization and/or cardiac death. In total, 65% of patients were classifi ed into the poor self-care group. During a median follow-up of 2 years, cardiac events occurred more frequently in the poor self-care group (22% versus 9.6%, P = 0.013). Poor self-care was an independent risk factor for cardiac events in Cox regression analysis adjusted for clinical parameters (hazard ratio = 2.86, P = 0.005). Poor self-care was also associated with an increased number of HF hospitalizations as well as an extended length of hospital stay for HF. Poor knowledge about HF was an independent determinant for poor self-care in multivariate logistic regression analysis (odds ratio = 0.92, P = 0.019). Insuffi cient self-care is an independent risk factor for cardiac events in Japanese patients with HF. (Int Heart J 2013; 54: 382-389) Key words: Compliance, Mortality, Morbidity, Patient education M ortality from coronary heart disease has been consistently declining over the past several decades. In concert with this decline and aging of the population, the number of patients who are at risk for heart failure (HF) is increasing to the point where now there are > 1.2 million ambulatory care patients in Japan.1) The course of HF is marked by frequent exacerbations that result in hospitalization, which are costly and contribute to poor quality of life for patients with HF.2) There are multiple modifi able factors known to precipitate hospitalization for HF exacerbation, which includes non-adherence to medications, diet, and failure to seek timely medical care for escalating symptoms.3) For this reason, approximately half of admissions are considered to be potentially preventable with adequate self-care. 3,4) Effective self-care is an essential and adjunctive strategy to evidence-based medical treatment in delaying the progression of HF. Data from a meta-analysis have demonstrated that HF disease management programs aimed at promoting selfcare reduced rehospitalization rates and mortality. 5) HF patients require self-care behaviors to maintain their physiological stability (self-care maintenance) and to respond to symptoms when they occur (self-care management).6) HF self-care maintenance behavior includes taking medications, eating a low-sodium diet, routine exercise, and symptom monitoring. 6)With respect to the relationship between such HF selfcare behaviors and subsequent clinical outcomes, several studies have shown that poor adherence...

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“…L'adhérence à la médication, que l'on peut définir comme la prise de médicaments au bon moment selon le nombre de doses prescrites (Dunbar-Jacob, Bohachick, Mortimer, Sereika, & Foley, 2003) est un facteur important dans le traitement des MCV (Lappé et al, 2004 (Nelson, Reid, Ryan, Wilson, & Yelland, 2006).…”

Section: Définition Et Conséquences Associéesunclassified

“…Dans une étude de Dunbar-Jacob et al (2003), l'adhérence aux doses prescrites de médicaments parmi les participants de race noire était plus élevée que celle des participants de race blanche. Gazmararian et al (2006) (Kennedy, Goggin, & Nollen, 2004;Williams, Rodin, Ryan, Grolnick, & Deci, 1998 Les effets secondaires des médicaments ont aussi été associés à l'adhérence médicamenteuse, ces derniers ayant été considérés comme des facteurs contribuant à une faible adhérence (Ziegeîstein, 2003).…”

Section: Variables Sociodémographiquesunclassified

“…Certaines variables sociodémographiques -entre autres, l'âge, le sexe, le revenu, l'état civil et le niveau d'éducation-ont été dentifiées dans plusieurs études comme reliées à l'adhérence médicamenteuse chez les individus soufïrant de maladies cardiovasculaires (Bane et al, 2006;Byrne et al, 2005;Dunbar-Jacob et al, 2003;Gehi et al, 2007;Ho et al, 2006;Ho et ai., 2008;Home & Weinman, 1999;Kulkarni et ai., 2006;Newby et al, 2006). Tel qu'il avait été aussi relevé, d'autres études, y compris celles s'intéressant à l'applicabilité de la TAD à l'adhérence médicamenteuse chez des personnes souffrant de problématiques de santé diverses, n'avaient pas déterminé de relation entre certaines variables sociodémographiques (la race, l'âge, le sexe, le revenu, l'état civil, le niveau d'éducation, le statut d'emploi et le fait de vivre seul) et l'adhérence médicamenteuse (Byrne et al, 2005;Dunbar-Jacob et al, 2003;Gehi et al, 2007;Home & Weinman, 1999;Kennedy et al, 2004;Kulkarni et al, 2006;Williams, Rodin, et al, 1998).…”

Section: Autres Résultatsunclassified

See 1 more Smart Citation

Relations entre le soutien à l'autonomie, la motivation autodéterminée, le sentiment de compétence et l'adhérence médicamenteuse chez une population coronarienne du Saguenay-Lac-St-Jean /

Gagnon¹

2009

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Medication Adherence in Persons With Cardiovascular Disease

Cited by 78 publications

References 10 publications

The impact of medication regimen factors on adherence to chronic treatment: a review of literature

The impact of medication regimen factors on adherence to chronic treatment: a review of literature

Insufficient Self-Care Is an Independent Risk Factor for Adverse Clinical Outcomes in Japanese Patients With Heart Failure

Relations entre le soutien à l'autonomie, la motivation autodéterminée, le sentiment de compétence et l'adhérence médicamenteuse chez une population coronarienne du Saguenay-Lac-St-Jean /

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