Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.
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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.
Published Version (Please cite this version)10.2147/PPA.S75393
Publication InfoBosworth, Hayden Barry; Crowley, MJ; Grambow, Steven C; Lindquist, JH; Peterson, Eric David; Shah, BR; ... Zullig, Leah L (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 http://hdl.handle.net/10161/10311.
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Professor in Population Health Sciences
Dr. Bosworth is a health services research and Associate Director of the Center for Health Services Research in Primary Care at the Durham VA Medical Center. 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 Chapel Hill. His research interests comprise three overarching areas of research: 1) clinical research that provides
Assistant Professor of Biostatistics and Bioinformatics
Statistical issues related to clinical, health services, and epidemiological research studies. This includes statistical education for clinical researchers and methods research in robust regression estimators and their application to medical research.
Fred Cobb, M.D. 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
Associate Professor in Population Health Sciences
Leah L. Zullig, PhD, MPH is a health services researcher, Associate Professor in the Duke Department of Population Health Sciences, investigator at the Durham Veterans Affairs Medical Center, and Adjunct Assistant Professor of Health Policy and Management at the University of North Carolina at Chapel Hill. Her research is supported by a VA HSR&D Career Development Award, focused on improving colorectal cancer survivors’ care quality through a self-management intervention bridging ca
Alphabetical list of authors with Scholars@Duke profiles.