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Titre du document / Document title

Barriers to adherence in elderly heart failure patients

Auteur(s) / Author(s)

HOPE Carol J. ; JINGWEI WU ; WANZHU TU ; YOUNG James ; MURRAY Michael D. ;

Résumé / Abstract

We determined the knowledge and skills associated with medication adherence for 61 heart failure patients over the age of 5 0. Adherence data were collected using electronic medication event monitoring systems, pharmacy refills, and participants' self-report. Only 20% of participants correctly remembered their medications' indications, but larger proportions could read prescription labels (62%), distinguish tablet and capsule colors (54%), and open medication bottles with flip-top lids (100%), and knew the medication dosages (66%) and administration times (49%). We modeled the effects of knowledge and medication skills on medication adherence while controlling for demographics. The final mixed effect multiple logistic model contained knowledge of correct dosing times (p= 0.001) and reading ability (p=0.029) as the best predictors of medication adherence. Our assessments and model identified patient-specific barriers to adherence and predicted patients at risk of poor adherence who may be targets of an intervention.

Revue / Journal Title

Drug information journal    ISSN  0092-8615 

Source / Source

2004, vol. 38, no4, pp. 331-341 [11 page(s) (article)]

Langue / Language

Anglais

Editeur / Publisher

Drug Information Association, Horsham, PA, ETATS-UNIS  (1972) (Revue)

Localisation / Location

INIST-CNRS, Cote INIST : 15767, 35400012265287.0030

Nº notice refdoc (ud4) : 16279082



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