کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3814684 | 1246030 | 2010 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo examine patients’ use of medication management strategies (e.g., reminders, pill boxes), and to determine how their use influences the relationship between patient characteristics and medication adherence.MethodsRetrospective and cross-sectional study of 434 patients with coronary heart disease, examining both refill adherence and self-reported adherence.ResultsThe most common strategy for managing refills was seeing a near empty pill bottle (89.9%), and for managing daily medications, it was associating medications with daily events (80.4%). Age < 65 (OR = 1.7), as well as marginal (OR = 2.0) or inadequate health literacy (OR = 1.9), was independently associated with low refill adherence. Patients <65 also had lower self-reported adherence (OR = 1.8). Adjustment for use of medication management strategies did not substantially change these relationships. Reliance on reminders from friends or family to take medications, or waiting to refill a medicine only when the bottle was near empty, each were associated with 3-fold greater odds of non-adherence.ConclusionAge <65 and marginal or inadequate health literacy were independently associated with medication non-adherence. Use of medication management strategies did not explain these relationships.Practice implicationsThe strategies which patients report using to assist with managing medication refills and daily medication use may be ineffective.
Journal: Patient Education and Counseling - Volume 81, Issue 2, November 2010, Pages 177–181