Primary Non-Adherence to Preventive Drugs and Associations with Beliefs About Medicines in Stroke Survivors

التفاصيل البيبلوغرافية
العنوان: Primary Non-Adherence to Preventive Drugs and Associations with Beliefs About Medicines in Stroke Survivors
المؤلفون: Annica Westberg, Maria Sjölander, Eva-Lotta Glader, Maria Gustafsson
المصدر: Patient Preference and Adherence.
بيانات النشر: Dove Press, 2022.
سنة النشر: 2022
مصطلحات موضوعية: Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Patient Preference and Adherence, Samhällsfarmaci och klinisk farmaci, Health Policy, Social and Clinical Pharmacy, primary non-adherence, Medicine (miscellaneous), Health Care Service and Management, Health Policy and Services and Health Economy, beliefs about medicines, preventive drugs, stroke, Pharmacology, Toxicology and Pharmaceutics (miscellaneous), Social Sciences (miscellaneous)
الوصف: Annica Westberg,1 Maria Sjölander,1 Eva-Lotta Glader,2 Maria Gustafsson1 1Department of Integrative Medical Biology, UmeÃ¥ University, UmeÃ¥, 901 87, Sweden; 2Department of Public Health and Clinical Medicine, UmeÃ¥ University, UmeÃ¥, 901 87, SwedenCorrespondence: Maria GustafssonDepartment of Integrative Medical Biology, UmeÃ¥ University, UmeÃ¥, SE-901 87, Sweden, Email maria.gustafsson@umu.seBackground: Medication non-adherence is a common problem in clinical practice. Little is known about stroke survivors’ primary non-adherence to preventive drugs, and we hypothesised that their beliefs about medicines are associated with primary non-adherence. The objective was to describe primary non-adherence among stroke survivors and to assess associations between primary non-adherence to preventive drugs and beliefs about medicines.Methods: Questionnaires were sent to 797 individuals 3 months after stroke to assess beliefs about medicines through the Beliefs about Medicines Questionnaire (BMQ). All participants were registered in the Swedish Stroke Register (Riksstroke), and prescriptions for new preventive drugs during the hospital stay were identified through data from Riksstroke. Primary non-adherers were those who failed to fill one or more new prescriptions within 1 month of hospital discharge based on data from the Swedish Prescribed Drug Register. Differences between primary non-adherers and adherers were assessed by 2 tests and associations between the BMQ subscales and primary non-adherence were analysed using independent two-sample t-tests and multivariable logistic regression models.Results: A total of 594 individuals responded to the survey, of which 452 received new prescriptions of preventive drugs. Overall, 53 (12%) participants were classified as primary non-adherent. Primary non-adherers were more often dependent on help or support from next of kin (p=0.032) and had difficulties with memory more often (p=0.002) than the primary adherent individuals. No statistically significant differences in BMQ subscale-scores were found between the two groups (p> 0.05).Conclusion: Primary non-adherence to preventive drugs was low, and no associations were found between primary non-adherence and beliefs about medicines. Associations with cognitive impairments such as difficulties with memory and need for help from next of kin suggest that more effort is needed to help stroke survivors to start important preventive drug treatments after discharge from hospital.Keywords: beliefs about medicines, preventive drugs, primary non-adherence, stroke
وصف الملف: text/html; application/pdf
اللغة: English
تدمد: 1177-889X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e99ebb6481bff62f06f7ddd866d1b8a
https://www.dovepress.com/primary-non-adherence-to-preventive-drugs-and-associations-with-belief-peer-reviewed-fulltext-article-PPA
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....6e99ebb6481bff62f06f7ddd866d1b8a
قاعدة البيانات: OpenAIRE