South Asians’ cardiac medication adherence

Ens, Twyla; Seneviratne, Cydnee; Jones, Charlotte; Green, Theresa; King‐Shier, Kathryn

doi:10.1177/1474515113498187

Cited by 21 publications

(19 citation statements)

References 31 publications

(129 reference statements)

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“…128 Possible explanations include patient knowledge of disease and medications, family support, forgetfulness, and therapy associated side-effects. 129 In a study in Ontario, Canada, following participants in six-month cardiac rehabilitation courses, SA migrants were less likely to complete the full course of cardiac rehab when compared to Europids (43% vs 51%, p <0.04). 130 However, SA who completed the courses were as likely to benefit from cardiac rehabilitation.…”

Section: Medical Adherencementioning

confidence: 96%

Cardiovascular Disease in South Asian Migrants

Fernando¹,

Razak²,

Lear³

et al. 2015

Canadian Journal of Cardiology

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Section: Medical Adherencementioning

confidence: 96%

Cardiovascular Disease in South Asian Migrants

Fernando¹,

Razak²,

Lear³

et al. 2015

Canadian Journal of Cardiology

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“…Cultural factors, such as language barriers when interacting with health care practitioners (Ens et al 2013;Crawford et al 2015), resistance to Western prescriptions for diet and exercise (Patel et al 2012) and the stress of assimilating into a new culture (Samuel 2009), may also be relevant here. Nevertheless physical activity, smoking and BMI explained none of the elevated risks of ill health for South Asians identified in our study.…”

Section: Discussionmentioning

confidence: 99%

South Asian-White health inequalities in Canada: intersections with gender and immigrant status

Veenstra

Patterson

2016

Ethnicity & Health

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“…25 SA patients' medication adherence is enhanced when they have a better understanding and knowledge about their medications. 26,32,33,40 Therefore, the role of increasing patient's knowledge can be crucial to improving medication adherence. This is achieved in the manual by testing patient's knowledge about their medications and providing them general information (as needed) about their medications in a patient-centred manner.…”

Section: Cultural Nuances Incorporated Into the Manualmentioning

confidence: 99%

<p>Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients</p>

Singh¹,

Campbell²,

LeBlanc³

et al. 2020

PPA

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Background: South Asians (SAs) are among the fastest growing ethnic population in Western countries and have a higher risk of cardiovascular diseases relative to the general population. SAs living in Canada also have poorer adherence to medical regimens for treating cardiovascular disease, relative to other ethnic groups. Motivational interviewing (MI) maybe effective in improving health-related behaviour change in patients; however, the research is nascent on the effectiveness of MI in SAs and may also require cultural adaptation. Aim: To develop a culturally tailored MI-based intervention to improve medication adherence in hypertensive SA patients living in Canada. Methods: Previous literature about medication adherence in SAs was reviewed, along with transcripts and responses to open-ended survey questions from our previous studies with SAs, to draft an MI intervention manual. The manual received extensive feedback from the study team, SA community members and health-care providers who work with SA patients. The feedback was used to refine the manual and make it culturally tailored and relevant to SA hypertensive patients living in Canada. Results: A culturally tailored MI-based manual which we called a "motivational communication manual" was developed to support a study focused on improving medication adherence in SA hypertensive patients. The development process, components (eg, being culturally sensitive, family involvement, providing education about medications, reminders, etc.) and cultural nuances included in the manual are described in this paper. Conclusion: This is the first culturally tailored MI-based intervention manual that has been developed with the aim of improving medication adherence in hypertensive SA patients and that includes direct feedback from SA community members. Use of this manual may improve the accessibility and adoption of MI-based practices in improving health behaviours in SAs living in Canada as well as encourage further research studies and clinical trials with SA patients.

show abstract

South Asians’ cardiac medication adherence

Abstract: South Asians' non-adherence to cardiac medications is multifaceted. How South Asians who newly immigrate to Western countries make decisions regarding their cardiac medication adherence ought to be explored in greater detail.

Cited by 21 publications

References 31 publications

Cardiovascular Disease in South Asian Migrants

Cardiovascular Disease in South Asian Migrants

South Asian-White health inequalities in Canada: intersections with gender and immigrant status

<p>Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients</p>

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