Medication knowledge, adherence, and associated factors in people with congestive heart failure and chronic obstructive pulmonary disease

Gallagher, RD; Warwick, MR; Chenoweth, L; Stein-Parbury, J; Milton-Wildey, KK

Medication knowledge, adherence, and associated factors in people with congestive heart failure and chronic obstructive pulmonary disease

Gallagher, RD

Warwick, MR Chenoweth, L

Stein-Parbury, J

Milton-Wildey, KK

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Nursing and Healthcare of Chronic Illness, 2011, 3 (1), pp. 30 - 40
Issue Date:: 2011-01

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Field	Value	Language
dc.contributor.author	Gallagher, RD https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Warwick, MR	en_US
dc.contributor.author	Chenoweth, L https://orcid.org/0000-0002-1783-9289	en_US
dc.contributor.author	Stein-Parbury, J https://orcid.org/0000-0002-0018-3236	en_US
dc.contributor.author	Milton-Wildey, KK	en_US
dc.date.issued	2011-01	en_US
dc.identifier.citation	Journal of Nursing and Healthcare of Chronic Illness, 2011, 3 (1), pp. 30 - 40	en_US
dc.identifier.issn	1752-9824	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18544
dc.description.abstract	Background. Although medicines are a key component in the self-management of chronic illness, lack of adherence is a common problem. Aim. To describe medication adherence and predictors in relation to the Multidimensional Adherence Model among older adults with chronic illness. Method. During a home interview, we collected data from 118 patients with chronic illnesses (chronic obstructive pulmonary disease and heart failure), following a recent illness exacerbation, to determine self-reported medication adherence, medication knowledge and capacity for self-management of their illness. We used the Medication Adherence Model as an organising framework and performed multivariate analyses to determine the independent predictors. We conducted the study between April 2005June 2006. Results. Participants had an average age of 75·54 years (SD 8·38), with marginally more men (56·8%) than women, and were prescribed an average 4·68 (SD 2·11) medications for their primary diagnosis of either chronic obstructive pulmonary disease or heart failure. Most participants (75·2%) were adherent to their prescribed medicines; however, medication knowledge was low [mean score 47·61 (SD 18·73) out of a potential 100]. Predictors of better adherence to medicines were patient-related: female gender and higher self-management capacity, and condition-related: heart failure diagnosis. Socioeconomic and treatment-related factors were not identified as independent predictors of medication adherence. Predictors of better medication knowledge were higher capacity for self-management, more concurrent conditions, younger age and taking fewer medicines.	en_US
dc.publisher	Wiley	en_US
dc.relation.ispartof	Journal of Nursing and Healthcare of Chronic Illness	en_US
dc.relation.isbasedon	10.1111/j.1752-9824.2010.01077.x	en_US
dc.title	Medication knowledge, adherence, and associated factors in people with congestive heart failure and chronic obstructive pulmonary disease	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	3	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.consider-herdc	true	en_US
pubs.issue	1	en_US
pubs.volume	3	en_US

Abstract:

Background. Although medicines are a key component in the self-management of chronic illness, lack of adherence is a common problem. Aim. To describe medication adherence and predictors in relation to the Multidimensional Adherence Model among older adults with chronic illness. Method. During a home interview, we collected data from 118 patients with chronic illnesses (chronic obstructive pulmonary disease and heart failure), following a recent illness exacerbation, to determine self-reported medication adherence, medication knowledge and capacity for self-management of their illness. We used the Medication Adherence Model as an organising framework and performed multivariate analyses to determine the independent predictors. We conducted the study between April 2005June 2006. Results. Participants had an average age of 75·54 years (SD 8·38), with marginally more men (56·8%) than women, and were prescribed an average 4·68 (SD 2·11) medications for their primary diagnosis of either chronic obstructive pulmonary disease or heart failure. Most participants (75·2%) were adherent to their prescribed medicines; however, medication knowledge was low [mean score 47·61 (SD 18·73) out of a potential 100]. Predictors of better adherence to medicines were patient-related: female gender and higher self-management capacity, and condition-related: heart failure diagnosis. Socioeconomic and treatment-related factors were not identified as independent predictors of medication adherence. Predictors of better medication knowledge were higher capacity for self-management, more concurrent conditions, younger age and taking fewer medicines.

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http://hdl.handle.net/10453/18544