Vol 12: Unintentional non-adherence to chronic prescription medications: How unintentional is it reallyReportar como inadecuado



 Vol 12: Unintentional non-adherence to chronic prescription medications: How unintentional is it really


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This article is from BMC Health Services Research, volume 12.AbstractBackground: Unintentional non-adherence has been characterized as passively inconsistent medication-taking behavior forgetfulness or carelessness. Our objectives were to: 1 study the prevalence and predictors of unintentional non-adherence; and 2 explore the interrelationship between intentional and unintentional non-adherence in relation to patients’ medication beliefs. Methods: We conducted a cross-sectional survey of adults with asthma, hypertension, diabetes, hyperlipidemia, osteoporosis, or depression from the Harris Interactive Chronic Illness Panel. The analytic sample for this study included 24,017 adults who self-identified themselves as persistent to prescription medications for their index disease. They answered three questions on unintentional non-adherence forgot, ran out, being careless, 11 questions on intentional non-adherence, and three multi-item scales assessing perceived need for medication k = 10, perceived medication concerns k = 6, and perceived medication affordability k = 4. Logistic regression was used to model predictors of each unintentional non-adherence behavior. Baron and Kenny’s regression approach was used to test the mediational effect of unintentional non-adherence on the relationship between medication beliefs and intentional non-adherence. Bootstrapping was employed to confirm the statistical significance of these results. Results: For the index disease, 62% forgot to take a medication, 37% had run out of the medication, and 23% were careless about taking the medication. Common multivariate predictors p 



Autor: Gadkari, Abhijit S; McHorney, Colleen A

Fuente: https://archive.org/



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