Display options
Cite
Zullig LL, Shaw RJ, Shah BR, et al. Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population. Patient Prefer Adherence. 2015;9:311-8doi: 10.2147/PPA.S75393.
Zullig, L. L., Shaw, R. J., Shah, B. R., Peterson, E. D., Lindquist, J. H., Crowley, M. J., Grambow, S. C., & Bosworth, H. B. (2015). Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population. Patient preference and adherence, 9311-8. https://doi.org/10.2147/PPA.S75393
Zullig, Leah L, et al. "Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population." Patient preference and adherence vol. 9 (2015): 311-8. doi: https://doi.org/10.2147/PPA.S75393
Zullig LL, Shaw RJ, Shah BR, Peterson ED, Lindquist JH, Crowley MJ, Grambow SC, Bosworth HB. Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population. Patient Prefer Adherence. 2015 Feb 19;9:311-8. doi: 10.2147/PPA.S75393. eCollection 2015. PMID: 25737633; PMCID: PMC4344178.
Copy Download .nbib Format: NLM
Share it on

Patient Prefer Adherence. 2015 Feb 19;9:311-8. doi: 10.2147/PPA.S75393. eCollection 2015.

Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.

Patient preference and adherence

Leah L Zullig, Ryan J Shaw, Bimal R Shah, Eric D Peterson, Jennifer H Lindquist, Matthew J Crowley, Steven C Grambow, Hayden B Bosworth

Affiliations

  1. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Division of General Internal Medicine, Duke University, Durham, NC, USA.
  2. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; School of Nursing, Duke University, Durham, NC, USA.
  3. Division of Cardiology, Department of Medicine, Duke University, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Durham, NC, USA.
  4. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
  5. Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
  6. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Division of General Internal Medicine, Duke University, Durham, NC, USA ; School of Nursing, Duke University, Durham, NC, USA ; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.

PMID: 25737633 PMCID: PMC4344178 DOI: 10.2147/PPA.S75393

Abstract

OBJECTIVES: Our objectives were to: 1) describe patient-reported communication with their provider and explore differences in perceptions of racially diverse adherent versus nonadherent patients; and 2) examine whether the association between unanswered questions and patient-reported medication nonadherence varied as a function of patients' race.

METHODS: We conducted a cross-sectional analysis of baseline in-person survey data from a trial designed to improve postmyocardial infarction management of cardiovascular disease risk factors.

RESULTS: Overall, 298 patients (74%) reported never leaving their doctor's office with unanswered questions. Among those who were adherent and nonadherent with their medications, 183 (79%) and 115 (67%) patients, respectively, never left their doctor's office with unanswered questions. In multivariable logistic regression, although the simple effects of the interaction term were different for patients of nonminority race (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.19-3.92) and those of minority race (OR: 1.19; 95% CI: 0.54-2.66), the overall interaction effect was not statistically significant (P=0.24).

CONCLUSION: The quality of patient-provider communication is critical for cardiovascular disease medication adherence. In this study, however, having unanswered questions did not impact medication adherence differently as a function of patients' race. Nevertheless, there were racial differences in medication adherence that may need to be addressed to ensure optimal adherence and health outcomes. Effort should be made to provide training opportunities for both patients and their providers to ensure strong communication skills and to address potential differences in medication adherence in patients of diverse backgrounds.

Keywords: acute myocardial infarction; communication; health policy and outcome research; hypertension

References

  1. Geriatr Nurs. 2011 Jan-Feb;32(1):29-38 - PubMed
  2. Health Psychol. 2001 Sep;20(5):326-33 - PubMed
  3. Med Care. 2013 Feb;51(2):151-7 - PubMed
  4. Med Care. 2009 Apr;47(4):474-81 - PubMed
  5. J Clin Hypertens (Greenwich). 2010 Sep;12(9):706-13 - PubMed
  6. Pediatrics. 2009 Nov;124 Suppl 3:S265-74 - PubMed
  7. Circulation. 2009 Jun 16;119(23):3028-35 - PubMed
  8. Am J Geriatr Pharmacother. 2010 Apr;8(2):136-45 - PubMed
  9. Am Heart J. 2011 Sep;162(3):412-24 - PubMed
  10. BMC Health Serv Res. 2007 Apr 10;7:51 - PubMed
  11. J Hypertens. 2012 Aug;30(8):1500-10 - PubMed
  12. Am Heart J. 2012 Sep;164(3):425-433.e4 - PubMed
  13. J Gen Intern Med. 2009 Sep;24(9):1057-64 - PubMed
  14. J Behav Med. 2008 Dec;31(6):489-97 - PubMed
  15. Circ Cardiovasc Qual Outcomes. 2011 Mar;4(2):235-42 - PubMed
  16. Patient Educ Couns. 2004 Jan;52(1):7-16 - PubMed
  17. Ann Pharmacother. 2004 Sep;38(9):1363-8 - PubMed
  18. Prev Cardiol. 2007 Fall;10(4):190-5 - PubMed
  19. Expert Rev Pharmacoecon Outcomes Res. 2012 Apr;12(2):133-5 - PubMed
  20. J Gen Intern Med. 2004 Dec;19(12):1228-39 - PubMed
  21. Am J Hypertens. 2008 Jul;21(7):789-98 - PubMed
  22. JAMA. 2002 Aug 14;288(6):756-64 - PubMed
  23. Patient Prefer Adherence. 2012;6:871-85 - PubMed
  24. J Health Psychol. 2016 May;21(5):798-807 - PubMed
  25. Int J Geriatr Psychiatry. 2014 Feb;29(2):169-77 - PubMed
  26. Patient Educ Couns. 2004 Sep;54(3):283-9 - PubMed
  27. MedGenMed. 2005 Mar 16;7(1):4 - PubMed
  28. J Altern Complement Med. 2005;11 Suppl 1:S7-15 - PubMed
  29. J Clin Hypertens (Greenwich). 2008 May;10(5):348-54 - PubMed
  30. Med Care. 2009 Aug;47(8):826-34 - PubMed
  31. Soc Sci Med. 2010 Mar;70(5):763-8 - PubMed
  32. J Urol. 2011 Jun;185(6):2292-7 - PubMed
  33. J Cancer Surviv. 2011 Dec;5(4):395-404 - PubMed
  34. Med Care. 1998 May;36(5):728-39 - PubMed
  35. Patient Educ Couns. 2009 May;75(2):185-91 - PubMed
  36. Med Care. 2002 Jan;40(1 Suppl):I27-34 - PubMed
  37. Arch Intern Med. 2005 Nov 28;165(21):2508-13 - PubMed
  38. Health Psychol. 2008 Sep;27(5):513-22 - PubMed
  39. Eur J Cardiovasc Nurs. 2013 Feb;12(1):17-24 - PubMed
  40. Clin Med Res. 2013 Jun;11(2):54-65 - PubMed
  41. J Gen Intern Med. 2010 Nov;25(11):1172-7 - PubMed
  42. J Gen Intern Med. 2006 Dec;21(12):1215-21 - PubMed
  43. Med Care. 1986 Jan;24(1):67-74 - PubMed
  44. Ann Behav Med. 2012 Jun;43(3):372-82 - PubMed
  45. J Am Coll Cardiol. 2012 Aug 14;60(7):645-81 - PubMed
  46. J Natl Med Assoc. 2003 Jan;95(1):17-27 - PubMed
  47. J Clin Oncol. 2006 Feb 20;24(6):904-9 - PubMed
  48. Medicare Medicaid Res Rev. 2011 Dec 14;1(4):null - PubMed

Publication Types

Grant support