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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Main Authors: Siqin eYe, David Jacob Krupka, Karina W Davidson
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-08-01
Series:Frontiers in Psychology
Subjects:
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.
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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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