Task force #4--adherence issues and behavior changes: achieving a long-term solution. 33rd Bethesda Conference.
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Cardiovascular Diseases↗
Biomedical subjects
Jacqueline Dunbar-Jacob
Publications and source records attributed to Jacqueline Dunbar-Jacob.
Adherence to angiotensin-converting enzyme inhibitor therapy for heart failure.
This study examined adherence to angiotensin-converting enzyme inhibitor therapy among 171 heart failure clinic patients. Adherence was monitored over a 3-month period with an electronic event monitor housed in a medication bottle cap, which recorded the date and time the cap was opened and closed. The average percentage of days that the prescribed number of doses (regimen adherence) was taken over the observation period was 84%. Seventy-one percent of patients showed 85%-100% adherence with their daily regimen; 19% exhibited less than 70% adherence. The overall high rates of adherence to angiotensin-converting enzyme inhibitor therapy observed among heart failure clinic patients is consistent with research that shows improved outcomes for patients managed in heart failure clinics. Electronic medication monitoring can be useful in identifying a substantial fraction of patients who are poorly adherent so that interventions to improve adherence can be targeted toward them. Additional research is needed to develop and test adherence-enhancing interventions.
Aged↗
Medication adherence in persons with cardiovascular disease.
The purpose of this investigation was to determine medication adherence rates among 3 groups of elderly individuals 62 years of age or older, experiencing comorbid conditions including at least 1 cardiovascular disorder. Data, taken from a 3-week period, were combined across the groups to calculate the percentage of prescribed doses taken, percentage of days with correct number of doses, and percentage of expected doses with the correct timing of administration. Multiple linear regression also was performed on several sociodemographic variables to determine their ability to predict adherence. Risks for poor adherence and suggestions to increase adherence are presented.
Black or African American↗
Ancillary studies in clinical trials.
BACKGROUND: Randomized clinical trials offer unique opportunities for testing questions of relevance to nursing through the mechanism of ancillary studies. APPROACH: A review of the strategies to prepare and negotiate an ancillary study through a randomized clinical trial structure is offered. RESULTS: Several steps are required that are unique to the ancillary studies arena. These steps involve (a) accessing the main trial; (b) obtaining approval; (c) funding; and (d) publication. There are hurdles and strategies to address them. DISCUSSION: Collaboration and compromise are the keys to success in the conduct of an ancillary study of scientific merit. The cost-effectiveness, excellent collaboration, and the opportunity to further develop one's research skills and research program in a highly scientific interdisciplinary environment are well worth the effort.
Information Systems↗