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Patient-reported medication adherence barriers among patients with cardiovascular risk factors.

Publication ,  Journal Article
Zullig, LL; Stechuchak, KM; Goldstein, KM; Olsen, MK; McCant, FM; Danus, S; Crowley, MJ; Oddone, EZ; Bosworth, HB
Published in: J Manag Care Spec Pharm
June 2015

BACKGROUND: Many patients experience barriers that make it difficult to take cardiovascular disease (CVD)-related medications as prescribed. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES) was a tailored behavioral pharmacist-administered and telephone-based intervention for reducing CVD risk. OBJECTIVES: To (a) describe patient-reported barriers to taking their medication as prescribed and (b) evaluate patient-level characteristics associated with reporting medication barriers. METHODS: We recruited patients receiving care at primary care clinics affiliated with Durham Veterans Affairs Medical Center. Eligible patients were diagnosed with hypertension and/or hyperlipidemia that were poorly controlled (blood pressure of > 150/100 mmHg and/or low-density lipoprotein value > 130 mg/dL). At the time of enrollment, patients completed an interview with 7 questions derived from a validated medication barriers measure. Patient characteristics and individual medication treatment barriers are described. Multivariable linear regression was used to examine the association between a medication barrier score and patient characteristics. RESULTS: Most patients (n = 428) were married or living with their partners (57%) and were men (85%) who were diagnosed with hypertension and hyperlipidemia (64%). The most commonly reported barriers were having too much medication to take (31%) and forgetting whether medication was taken at a particular time (24%). In adjusted analysis, those who were not employed (1.32, 95% CI = 0.50-2.14) or did not have someone to help with tasks, if needed (1.66, 95% CI = 0.42-2.89), reported higher medication barrier scores. Compared with those diagnosed with hypertension and hyperlipidemia, those with only hypertension (0.91, 95% CI = 0.04-1.79) reported higher medication barrier scores. CONCLUSIONS: Barriers to medication adherence are common. Evaluating and addressing barriers may increase medication adherence.

Duke Scholars

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Published In

J Manag Care Spec Pharm

DOI

EISSN

2376-1032

Publication Date

June 2015

Volume

21

Issue

6

Start / End Page

479 / 485

Location

United States

Related Subject Headings

  • Telephone
  • Risk Factors
  • Primary Health Care
  • Pharmacy Service, Hospital
  • Pharmacists
  • Middle Aged
  • Medication Adherence
  • Male
  • Linear Models
  • Hypertension
 

Citation

APA
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ICMJE
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Zullig, L. L., Stechuchak, K. M., Goldstein, K. M., Olsen, M. K., McCant, F. M., Danus, S., … Bosworth, H. B. (2015). Patient-reported medication adherence barriers among patients with cardiovascular risk factors. J Manag Care Spec Pharm, 21(6), 479–485. https://doi.org/10.18553/jmcp.2015.21.6.479
Zullig, Leah L., Karen M. Stechuchak, Karen M. Goldstein, Maren K. Olsen, Felicia M. McCant, Susanne Danus, Matthew J. Crowley, Eugene Z. Oddone, and Hayden B. Bosworth. “Patient-reported medication adherence barriers among patients with cardiovascular risk factors.J Manag Care Spec Pharm 21, no. 6 (June 2015): 479–85. https://doi.org/10.18553/jmcp.2015.21.6.479.
Zullig LL, Stechuchak KM, Goldstein KM, Olsen MK, McCant FM, Danus S, et al. Patient-reported medication adherence barriers among patients with cardiovascular risk factors. J Manag Care Spec Pharm. 2015 Jun;21(6):479–85.
Zullig, Leah L., et al. “Patient-reported medication adherence barriers among patients with cardiovascular risk factors.J Manag Care Spec Pharm, vol. 21, no. 6, June 2015, pp. 479–85. Pubmed, doi:10.18553/jmcp.2015.21.6.479.
Zullig LL, Stechuchak KM, Goldstein KM, Olsen MK, McCant FM, Danus S, Crowley MJ, Oddone EZ, Bosworth HB. Patient-reported medication adherence barriers among patients with cardiovascular risk factors. J Manag Care Spec Pharm. 2015 Jun;21(6):479–485.

Published In

J Manag Care Spec Pharm

DOI

EISSN

2376-1032

Publication Date

June 2015

Volume

21

Issue

6

Start / End Page

479 / 485

Location

United States

Related Subject Headings

  • Telephone
  • Risk Factors
  • Primary Health Care
  • Pharmacy Service, Hospital
  • Pharmacists
  • Middle Aged
  • Medication Adherence
  • Male
  • Linear Models
  • Hypertension