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Park Y, Park YH, Park KS. Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study. Int J Environ Res Public Health. 2020;17(10)doi: 10.3390/ijerph17103585.
Park, Y., Park, Y. H., & Park, K. S. (2020). Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study. International journal of environmental research and public health, 17(10), . https://doi.org/10.3390/ijerph17103585
Park, Yongwhi, et al. "Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study." International journal of environmental research and public health vol. 17,10 (2020). doi: https://doi.org/10.3390/ijerph17103585
Park Y, Park YH, Park KS. Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study. Int J Environ Res Public Health. 2020 May 20;17(10). doi: 10.3390/ijerph17103585. PMID: 32443775; PMCID: PMC7277297.
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Int J Environ Res Public Health. 2020 May 20;17(10). doi: 10.3390/ijerph17103585.

Determinants of Non-Adherences to Long-Term Medical Therapy after Myocardial Infarction: A Cross-Sectional Study.

International journal of environmental research and public health

Yongwhi Park, Yong-Hwan Park, Ki-Soo Park

Affiliations

  1. Department of Internal Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University Jinju 52727, Korea.
  2. Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon 51472, Korea.
  3. Department of Cardiology, Samsung Changwon Medical Center, Changwon 51353, Korea.
  4. Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University, 15-816 Jinju-daero, Jinju 52727, Korea.

PMID: 32443775 PMCID: PMC7277297 DOI: 10.3390/ijerph17103585

Abstract

PURPOSE: 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.

MATERIALS AND METHODS: 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.

RESULTS: 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,

CONCLUSION: 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.

Keywords: adherence; anxiety; concern; myocardial infarction; necessity

Conflict of interest statement

None

References

  1. BMC Health Serv Res. 2012 Jun 14;12:98 - PubMed
  2. JAMA. 2006 Dec 6;296(21):2563-71 - PubMed
  3. Patient Prefer Adherence. 2016 Sep 29;10:1979-1989 - PubMed
  4. J Am Coll Cardiol. 2016 Aug 23;68(8):789-801 - PubMed
  5. JAMA. 2003 Jun 18;289(23):3106-16 - PubMed
  6. Circulation. 2012 Oct 16;126(16):2020-35 - PubMed
  7. J Am Coll Cardiol. 2014 Nov 18-25;64(20):2071-82 - PubMed
  8. Acta Psychiatr Scand. 1983 Jun;67(6):361-70 - PubMed
  9. Eur J Cardiovasc Prev Rehabil. 2009 Dec;16(6):651-9 - PubMed
  10. Cochrane Database Syst Rev. 2014 Nov 20;(11):CD000011 - PubMed
  11. Eur Heart J. 2014 Dec 7;35(46):3267-76 - PubMed
  12. J Am Coll Cardiol. 2013 Feb 12;61(6):622-30 - PubMed
  13. N Engl J Med. 2005 Aug 4;353(5):487-97 - PubMed
  14. Patient Prefer Adherence. 2013 Jul 10;7:675-82 - PubMed
  15. J Am Heart Assoc. 2019 May 7;8(9):e011793 - PubMed
  16. J Behav Med. 2002 Aug;25(4):355-72 - PubMed
  17. PLoS One. 2013 Dec 02;8(12):e80633 - PubMed
  18. Arch Intern Med. 2005 Nov 28;165(21):2508-13 - PubMed
  19. Circ Cardiovasc Qual Outcomes. 2012 Jul 1;5(4):571-6 - PubMed
  20. JAMA. 2003 Jul 9;290(2):215-21 - PubMed
  21. Circulation. 2008 Feb 26;117(8):1028-36 - PubMed
  22. Arch Intern Med. 2006 Sep 25;166(17):1842-7 - PubMed
  23. Circulation. 2006 Jan 17;113(2):203-12 - PubMed
  24. Ann Pharmacother. 2005 Jul-Aug;39(7-8):1198-203 - PubMed

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