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Two different approaches to assess adherence to medication in Polish cohort of the EUROASPIRE V registry
, 1, 2, 1, 2, 3, 4, 56
Affiliations- Department of Health Promotion, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
- Department of Cardiology an Internal Medicine, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Poland
- Department of Laboratory Medicine, Faculty of Pharmacy, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
- Department of Family Medicine, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
- Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland
- Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
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Abstract
Introduction: The implementation of guidelines on cardiovascular disease (CVD) prevention in patients at
high risk of developing CVD was assessed in the EUROASPIRE V registry.
Aim of the study: This study was designed to compare a simple self-reported quantitative assessment of
adherence to medication using the Medication Adherence Questionnaire (MAQ) with a qualitative evaluation
based on the Adherence in Chronic Disease Scale (ACDS) in the Polish cohort of the EUROSPIRE V registry.
Material and methods: The study was performed in 200 patients (133 women and 67 men) with an average
age of 51.49 (13.63) years and a history of hypertension, hypercholesterolemia or diabetes, but without prior
cardiovascular events. Pharmacological treatment was applied in 127 patients (63.5%) with hypertension,
90 (45%) with hypercholesterolemia, and 31 (15.5%) with diabetes.
Results: According to the MAQ, high adherence to medication (100% or 90%) was declared by 67.7%
of patients, while medium (75% or 50%) and low adherence (< 50% or 0%) by 9.7% and 22.6%, respectively.
The adherence assessed with the ACDS, was high in 38.7%, medium in 44.8%, and low in 16.5%
of patients. A remarkable inconsistency between ACDS and MAQ responses was found. The MAQ and
the ACDS rendered consistent results in 44.8% of patients (111 out of 148), while in the remaining 55.2%
(137 out of 248) of patients the results were discordant.
Conclusions: The assessment of medication adherence based on patient declarations used in the EUROASPIRE
V registry is likely to overestimate the frequency of high adherence.
Abstract
Introduction: The implementation of guidelines on cardiovascular disease (CVD) prevention in patients at
high risk of developing CVD was assessed in the EUROASPIRE V registry.
Aim of the study: This study was designed to compare a simple self-reported quantitative assessment of
adherence to medication using the Medication Adherence Questionnaire (MAQ) with a qualitative evaluation
based on the Adherence in Chronic Disease Scale (ACDS) in the Polish cohort of the EUROSPIRE V registry.
Material and methods: The study was performed in 200 patients (133 women and 67 men) with an average
age of 51.49 (13.63) years and a history of hypertension, hypercholesterolemia or diabetes, but without prior
cardiovascular events. Pharmacological treatment was applied in 127 patients (63.5%) with hypertension,
90 (45%) with hypercholesterolemia, and 31 (15.5%) with diabetes.
Results: According to the MAQ, high adherence to medication (100% or 90%) was declared by 67.7%
of patients, while medium (75% or 50%) and low adherence (< 50% or 0%) by 9.7% and 22.6%, respectively.
The adherence assessed with the ACDS, was high in 38.7%, medium in 44.8%, and low in 16.5%
of patients. A remarkable inconsistency between ACDS and MAQ responses was found. The MAQ and
the ACDS rendered consistent results in 44.8% of patients (111 out of 148), while in the remaining 55.2%
(137 out of 248) of patients the results were discordant.
Conclusions: The assessment of medication adherence based on patient declarations used in the EUROASPIRE
V registry is likely to overestimate the frequency of high adherence.
Keywords
Adherence to medication, hypertension, diabetes, hypercholesterolemia
About this articleTitle
Two different approaches to assess adherence to medication in Polish cohort of the EUROASPIRE V registry
Journal
Issue
Article type
Original article
Pages
108-113
Published online
2022-04-19
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4269
Article views/downloads
377
DOI
Bibliographic record
Medical Research Journal 2022;7(2):108-113.
Keywords
Adherence to medication
hypertension
diabetes
hypercholesterolemia
Authors
Aldona Kubica
Piotr Michalski
Michał Kasprzak
Łukasz Pietrzykowski
Tomasz Fabiszak
Joanna Siódmiak
Krzysztof Buczkowski
Piotr Jankowski
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