Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.
Abstract
OBJECTIVES: Our objectives were to: 1) describe patient-reported communication with
their provider and explore differences in perceptions of racially diverse adherent
versus nonadherent patients; and 2) examine whether the association between unanswered
questions and patient-reported medication nonadherence varied as a function of patients'
race. METHODS: We conducted a cross-sectional analysis of baseline in-person survey
data from a trial designed to improve postmyocardial infarction management of cardiovascular
disease risk factors. RESULTS: Overall, 298 patients (74%) reported never leaving
their doctor's office with unanswered questions. Among those who were adherent and
nonadherent with their medications, 183 (79%) and 115 (67%) patients, respectively,
never left their doctor's office with unanswered questions. In multivariable logistic
regression, although the simple effects of the interaction term were different for
patients of nonminority race (odds ratio [OR]: 2.16; 95% confidence interval [CI]:
1.19-3.92) and those of minority race (OR: 1.19; 95% CI: 0.54-2.66), the overall interaction
effect was not statistically significant (P=0.24). CONCLUSION: The quality of patient-provider
communication is critical for cardiovascular disease medication adherence. In this
study, however, having unanswered questions did not impact medication adherence differently
as a function of patients' race. Nevertheless, there were racial differences in medication
adherence that may need to be addressed to ensure optimal adherence and health outcomes.
Effort should be made to provide training opportunities for both patients and their
providers to ensure strong communication skills and to address potential differences
in medication adherence in patients of diverse backgrounds.
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Journal articlePermalink
https://hdl.handle.net/10161/10311Published Version (Please cite this version)
10.2147/PPA.S75393Publication Info
Zullig, Leah L; Shaw, Ryan J; Shah, Bimal R; Peterson, Eric D; Lindquist, Jennifer
H; Crowley, Matthew J; ... Bosworth, Hayden B (2015). Patient-provider communication, self-reported medication adherence, and race in a
postmyocardial infarction population. Patient Prefer Adherence, 9. pp. 311-318. 10.2147/PPA.S75393. Retrieved from https://hdl.handle.net/10161/10311.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Hayden Barry Bosworth
Professor in Population Health Sciences
Dr. Bosworth is a health services researcher and Deputy Director of the Center of
Innovation to Accelerate Discovery and Practice Transformation (ADAPT) at the Durham
VA Medical Center. He is also Vice Chair of Education and Professor of Population
Health Sciences. He is also a Professor of Medicine, Psychiatry, and Nursing at Duke
University Medical Center and Adjunct Professor in Health Policy and Administration
at the School of Public Health at the University of North Carolina at Cha
Matthew Janik Crowley
Associate Professor of Medicine
Diabetes, Hypertension, Health Services Research
Steven C. Grambow
Associate Professor of Biostatistics & Bioinformatics
I am an academic statistician with a focus on educational leadership and administration,
teaching, mentoring, and collaborative clinical research. I serve as the director
of multiple education programs, both formal degree programs and certificate-based
training programs. I also provide administrative oversight of multiple graduate degree
programs and educational initiatives focusing on clinical and translational science
workforce development at the student, staff, and faculty levels.
Eric David Peterson
Fred Cobb, M.D. Distinguished Professor of Medicine
Dr Peterson is the Fred Cobb Distinguished Professor of Medicine in the Division of
Cardiology, a DukeMed Scholar, and the Past Executive Director of the Duke Clinical
Research Institute (DCRI), Durham, NC, USA.
Dr Peterson is the Principal Investigator of the National Institute of Health, Lung
and Blood Institute (NHLBI) Spironolactone Initiation Registry Randomized Interventional
Trial in Heart Failure With Preserved Ejection Fraction (SPIRRIT) Trial He is also
the Principal I
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.
Bimal Ramesh Shah
Assistant Consulting Professor in the Department of Medicine
Ryan Shaw
Associate Professor in the School of Nursing
I lead teams that discover how to integrate patient generated health data and emerging
technologies into novel care delivery models for patients with complex chronic illnesses.
This includes data from wearables, sensors and devices that monitor and augment patient
care and interface with electronic health records (EHRs). With these tools I engineer
equitable care models that capitalize on the growing digital health infrastructure
of health systems and society.
As the Director of Duke
Leah L Zullig
Professor in Population Health Sciences
Leah L. Zullig, PhD, MPH is a health services researcher and an implementation scientist.
She is a Professor in the Duke Department of Population Health Sciences and an investigator
with the Center of Innovation to Accelerate Discovery and Practice Transformation
(ADAPT) at the Durham Veterans Affairs Health Care System. Dr. Zullig’s overarching
research interests address three domains: improving cancer care delivery and quality;
promoting cancer survivorship and chr
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