Intentional and unintentional non-adherence to medications following an acute coronary syndrome: a longitudinal study

Details

Serval ID
serval:BIB_B44340D81C7A
Type
Article: article from journal or magazin.
Collection
Publications
Title
Intentional and unintentional non-adherence to medications following an acute coronary syndrome: a longitudinal study
Journal
J Psychosom Res
Author(s)
Molloy G. J., Messerli-Burgy N., Hutton G., Wikman A., Perkins-Porras L., Steptoe A.
ISSN
1879-1360 (Electronic)
ISSN-L
0022-3999
Publication state
Published
Issued date
05/2014
Volume
76
Number
5
Pages
430-2
Language
english
Notes
Molloy, Gerard J
Messerli-Burgy, Nadine
Hutton, Gemma
Wikman, Anna
Perkins-Porras, Linda
Steptoe, Andrew
eng
RG/05/006/British Heart Foundation/United Kingdom
RG/10/005/28296/British Heart Foundation/United Kingdom
Observational Study
Research Support, Non-U.S. Gov't
England
J Psychosom Res. 2014 May;76(5):430-2. doi: 10.1016/j.jpsychores.2014.02.007. Epub 2014 Feb 26.
Abstract
OBJECTIVE: Non-adherence to medication is common among coronary heart disease patients. Non-adherence to medication may be either intentional or unintentional. In this analysis we provide estimates of intentional and unintentional non-adherence in the year following an acute coronary syndrome (ACS). METHOD: In this descriptive prospective observational study of patients with confirmed ACS medication adherence measures were derived from responses to the Medication Adherence Report Scale at approximately 2 weeks (n=223), 6 months (n=139) and 12 months (n=136) following discharge from acute treatment for ACS. RESULTS: Total medication non-adherence was 20%, 54% and 53% at each of these time points respectively. The corresponding figures for intentional non-adherence were 8%, 15% and 15% and 15%, 52% and 53% for unintentional non-adherence. There were significant increases in the levels of medication non-adherence between the immediate discharge period (2 weeks) and 6 months that appeared to stabilize between 6 and 12 months after acute treatment for ACS. CONCLUSION: Unintentional non-adherence to medications may be the primary form of non-adherence in the year following ACS. Interventions delivered early in the post-discharge period may prevent the relatively high levels of non-adherence that appear to become established by 6 months following an ACS.
Keywords
Acute Coronary Syndrome/*drug therapy/*psychology, Adult, Cardiovascular Agents/*administration & dosage, Coronary Artery Disease/*drug therapy/*psychology, Coronary Disease/drug therapy/psychology, Female, Humans, Intention, Male, Medication Adherence/*psychology, Middle Aged, Patient Discharge, Prospective Studies, Acute coronary syndrome, Adherence, Psychological
Pubmed
Create date
08/11/2021 18:13
Last modification date
10/02/2023 19:40
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