Diagnosing medication non-adherence in a patient with myocardial infarction
BackgroundMedication non-adherence continues to be a major challenge facing the healthcare system. A case is presented of a 48 year-old man with myocardial infarction who was found to be non-adherent to multiple medications. Conceptual models are reviewed along with current approaches for assessme...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2012-08-01
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Series: | Frontiers in Psychology |
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Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00267/full |
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author | Siqin eYe David Jacob Krupka Karina W Davidson |
author_facet | Siqin eYe David Jacob Krupka Karina W Davidson |
author_sort | Siqin eYe |
collection | DOAJ |
description | BackgroundMedication non-adherence continues to be a major challenge facing the healthcare system. A case is presented of a 48 year-old man with myocardial infarction who was found to be non-adherent to multiple medications. Conceptual models are reviewed along with current approaches for assessment and treatment of medication non-adherence.DesignCase report and literature review.DiscussionA theoretical model for medication non-adherence built on the Theory of Planned Behavior is presented. Empirical evidence is reviewed for determinants of non-adherent behavior such as health beliefs and self-efficacy. Current methods to assess medication non-adherence, including self-report, pill count, biological drug levels, pharmacy refill, and electronic bottles are summarized along with their limitations. Finally, an individualized approach for assessment is described using the case presented and the conceptual framework outlined above. Follow-up for the patient and potential interventions to improve medication adherence are discussed. ConclusionDespite the challenges, a conceptual framework for medication non-adherence can guide assessment and treatment. Further research for innovative and effective methods to detect and treat medication non-adherence is urgently needed to aid clinicians in treating this pervasive behavioral problem. |
first_indexed | 2024-04-13T22:10:00Z |
format | Article |
id | doaj.art-64182e93888e4ce29f67ba202a25b8bc |
institution | Directory Open Access Journal |
issn | 1664-1078 |
language | English |
last_indexed | 2024-04-13T22:10:00Z |
publishDate | 2012-08-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Psychology |
spelling | doaj.art-64182e93888e4ce29f67ba202a25b8bc2022-12-22T02:27:48ZengFrontiers Media S.A.Frontiers in Psychology1664-10782012-08-01310.3389/fpsyg.2012.0026731115Diagnosing medication non-adherence in a patient with myocardial infarctionSiqin eYe0David Jacob Krupka1Karina W Davidson2Columbia University Medical CenterColumbia University Medical CenterColumbia University Medical CenterBackgroundMedication non-adherence continues to be a major challenge facing the healthcare system. A case is presented of a 48 year-old man with myocardial infarction who was found to be non-adherent to multiple medications. Conceptual models are reviewed along with current approaches for assessment and treatment of medication non-adherence.DesignCase report and literature review.DiscussionA theoretical model for medication non-adherence built on the Theory of Planned Behavior is presented. Empirical evidence is reviewed for determinants of non-adherent behavior such as health beliefs and self-efficacy. Current methods to assess medication non-adherence, including self-report, pill count, biological drug levels, pharmacy refill, and electronic bottles are summarized along with their limitations. Finally, an individualized approach for assessment is described using the case presented and the conceptual framework outlined above. Follow-up for the patient and potential interventions to improve medication adherence are discussed. ConclusionDespite the challenges, a conceptual framework for medication non-adherence can guide assessment and treatment. Further research for innovative and effective methods to detect and treat medication non-adherence is urgently needed to aid clinicians in treating this pervasive behavioral problem.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00267/fullCardiovascular DiseasesMyocardial InfarctionassessmentChronic disease managementMedication non-adherence |
spellingShingle | Siqin eYe David Jacob Krupka Karina W Davidson Diagnosing medication non-adherence in a patient with myocardial infarction Frontiers in Psychology Cardiovascular Diseases Myocardial Infarction assessment Chronic disease management Medication non-adherence |
title | Diagnosing medication non-adherence in a patient with myocardial infarction |
title_full | Diagnosing medication non-adherence in a patient with myocardial infarction |
title_fullStr | Diagnosing medication non-adherence in a patient with myocardial infarction |
title_full_unstemmed | Diagnosing medication non-adherence in a patient with myocardial infarction |
title_short | Diagnosing medication non-adherence in a patient with myocardial infarction |
title_sort | diagnosing medication non adherence in a patient with myocardial infarction |
topic | Cardiovascular Diseases Myocardial Infarction assessment Chronic disease management Medication non-adherence |
url | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00267/full |
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