Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9210
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Predictors of Adherence to Secondary Preventive Medication in Stroke Patients
Authors: O'Carroll, Ronan
Whittaker, Jennifer
Hamilton, Barbara
Johnston, Marie
Sudlow, Cathie
Dennis, Martin
Contact Email: ronan.ocarroll@stir.ac.uk
Keywords: Stroke
Adherence
Compliance
Concordance
Medication
Issue Date: Jun-2011
Publisher: Springer
Citation: O'Carroll R, Whittaker J, Hamilton B, Johnston M, Sudlow C & Dennis M (2011) Predictors of Adherence to Secondary Preventive Medication in Stroke Patients, Annals of Behavioral Medicine, 41 (3), pp. 383-390.
Abstract: Objective: The purpose of this study is to identify factors which predict adherence in stroke survivors. Design : This is a longitudinal study where 180 stroke survivors were assessed 1 year after their first ischaemic stroke. The relationship between adherence and illness and medication beliefs was tested at baseline (time 1) and again 5-6 weeks later (time 2). Main Outcome Measures : The main outcome measures used in this study are Medication Adherence Report Scale and urinary salicylate levels. Results : Four variables predicted time 1 poor adherence: (1) younger age, (2) increased specific concerns about medications, (3) reduced cognitive functioning and (4) low perceived benefit of medication. Three out of these four variables were again predictive of time 2 adherence and accounted for 24% of the variance: (1) younger age, (2) increased specific concerns about medications and (3) low perceived benefit of medication. The urinary salicylate assay failed to differentiate between patients taking and not taking aspirin. Conclusion : Interventions to improve adherence should target patients' beliefs about their medication.
Type: Journal Article
URI: http://hdl.handle.net/1893/9210
DOI Link: http://dx.doi.org/10.1007/s12160-010-9257-6
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Psychology
Psychology
University of Stirling
University of Aberdeen
Western General Hospital
Western General Hospital

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