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- W1996002013 abstract "What is already known about this subject • Non‐adherence to recommended treatment is common in patients with heart failure and is associated with poor outcomes. • Personal beliefs as well as experiences with medications and illness could influence medication use. What this study adds • Perception regarding barrier to medication use was a stronger predictor of non‐adherence than demographic or clinical variables. • Patients who were non‐adherent to nonpharmacological management of heart failure were more likely to be non‐adherent to their medications. • Regimen complexity should not be considered in isolation when strategies for addressing adherence issues are designed. Aim To identify the health beliefs and patient characteristics associated with medication non‐adherence in patients attending a heart failure outpatient clinic. Methods A survey was administered to 350 consenting clinic patients. Questions focused on relevant demographic and clinical characteristics, the Health Belief Model, the Beliefs About Medicines Questionnaire and the Multidimensional Health Locus of Control. Multivariate logistic regression was used to identify independent predictors of refill non‐adherence (<90%). Results Refill non‐adherence was found in 77 (22%) participants. Being a smoker [odds ratio (OR) 2.4, 95% confidence interval (CI) 1.0, 5.8, P = 0.045], two or fewer medication administration times (OR 2.4, 95% CI 1.2, 4.6, P = 0.01), and positive response to ‘Have you changed your daily routine to accommodate your heart failure medication schedule’ (OR 2.4, 95% CI 1.2, 4.5, P = 0.01) were the independent predictors of refill non‐adherence. Conclusion Perceptions regarding barriers to medication taking and fewer administration times could result in medication non‐adherence in congestive heart failure patients. Medication regimens should be designed after accounting for patients' existing routines." @default.
- W1996002013 created "2016-06-24" @default.
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- W1996002013 date "2006-10-31" @default.
- W1996002013 modified "2023-10-17" @default.
- W1996002013 title "Predictors of refill non-adherence in patients with heart failure" @default.
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- W1996002013 doi "https://doi.org/10.1111/j.1365-2125.2006.02800.x" @default.
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