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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Predictors of Adherence to Secondary Preventive Medication in Stroke Patients
Author(s): O'Carroll, Ronan
Whittaker, Jennifer
Hamilton, Barbara
Johnston, Marie
Sudlow, Cathie
Dennis, Martin
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Keywords: Stroke
Issue Date: Jun-2011
Date Deposited: 24-Sep-2012
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.
DOI Link: 10.1007/s12160-010-9257-6
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