Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study.
adherence
anxiety
concern
myocardial infarction
necessity
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
20 05 2020
20 05 2020
Historique:
received:
01
05
2020
revised:
15
05
2020
accepted:
19
05
2020
entrez:
24
5
2020
pubmed:
24
5
2020
medline:
9
10
2020
Statut:
epublish
Résumé
Non-adherence to medications can be classified as unintentional and intentional. The aim of this study was to establish the major determinants of each non-adherence in myocardial infarction (MI). We also evaluated the effects of non-adherences on healthy behaviors. We enrolled 510 patients >1 year after MI. Nonadherences classified as unintentional or intentional were measured by a self-reported questionnaire. Polynomial and multiple regression analysis were performed to evaluate the determinant of each type of nonadherences. Among patients with nonadherence, 263 (70.7%) patients were unintentionally non-adherent while 109 (29.3%) patients were intentionally non-adherent. Psychological belief and attitude were important in unintentional non-adherence (Exp(β) = 0.917, Psychological factors and beliefs about medication were important determinants of both types of non-adherence. Combined approaches targeting the beliefs about medications and psychological distress are needed to improve drug adherence in patients with MI.
Identifiants
pubmed: 32443775
pii: ijerph17103585
doi: 10.3390/ijerph17103585
pmc: PMC7277297
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
None
Références
BMC Health Serv Res. 2012 Jun 14;12:98
pubmed: 22510235
JAMA. 2006 Dec 6;296(21):2563-71
pubmed: 17101639
Patient Prefer Adherence. 2016 Sep 29;10:1979-1989
pubmed: 27729776
J Am Coll Cardiol. 2016 Aug 23;68(8):789-801
pubmed: 27539170
JAMA. 2003 Jun 18;289(23):3106-16
pubmed: 12813116
Circulation. 2012 Oct 16;126(16):2020-35
pubmed: 22923432
J Am Coll Cardiol. 2014 Nov 18-25;64(20):2071-82
pubmed: 25193393
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Eur J Cardiovasc Prev Rehabil. 2009 Dec;16(6):651-9
pubmed: 19707149
Cochrane Database Syst Rev. 2014 Nov 20;(11):CD000011
pubmed: 25412402
Eur Heart J. 2014 Dec 7;35(46):3267-76
pubmed: 25265973
J Am Coll Cardiol. 2013 Feb 12;61(6):622-30
pubmed: 23290548
N Engl J Med. 2005 Aug 4;353(5):487-97
pubmed: 16079372
Patient Prefer Adherence. 2013 Jul 10;7:675-82
pubmed: 23874088
J Am Heart Assoc. 2019 May 7;8(9):e011793
pubmed: 31057004
J Behav Med. 2002 Aug;25(4):355-72
pubmed: 12136497
PLoS One. 2013 Dec 02;8(12):e80633
pubmed: 24312488
Arch Intern Med. 2005 Nov 28;165(21):2508-13
pubmed: 16314548
Circ Cardiovasc Qual Outcomes. 2012 Jul 1;5(4):571-6
pubmed: 22811499
JAMA. 2003 Jul 9;290(2):215-21
pubmed: 12851276
Circulation. 2008 Feb 26;117(8):1028-36
pubmed: 18299512
Arch Intern Med. 2006 Sep 25;166(17):1842-7
pubmed: 17000940
Circulation. 2006 Jan 17;113(2):203-12
pubmed: 16401776
Ann Pharmacother. 2005 Jul-Aug;39(7-8):1198-203
pubmed: 15956238