MEDICATION ADHERENCE IN CARDIOVASCULAR HEALTH: UNDERSTANDING PATIENTS AND HEALTHCARE PROFESSIONALS’ PERSPECTIVES, CHALLENGES, AND SUSTAINABLE STRATEGIES
Main Article Content
Keywords
Medicine Adherence Challenges, Strategies for Medicine Adherence, HCPs perspectives on Medicine Adherence, Practical Solutions for Medicine Adherence
Abstract
Background: Medication non-adherence poses substantial risks, including disease progression, increased hospitalizations, and elevated healthcare costs. Understanding the importance of medication adherence and the unique challenges faced by individuals with CVD in Pakistan is essential for implementing targeted interventions and improving patient outcomes. This research aims to explore the understanding and challenges of medicine adherence in patients with coronary artery disease and healthcare professionals' perspectives on practical strategies for Pakistani patients.
Methods: Data were collected from 30 participants through in-depth, semi-structured interviews. The sample comprised 20 patients who had suffered a heart attack at least six months ago and 10 healthcare professionals, including cardiologists, nurses, and pharmacists. Data were analyzed using NVIVO software with a thematic analysis approach.
Results: There were total of eight themes emerged from the qualitative data shared by the participants: Patient Understanding and Acceptance of Medication for Cardiovascular Health, Financial, and Practical Challenges in Medication Adherence, Strategies for Sustainable Medication Adherence, Patient-Centered Medication Education and Engagement, Patient Motivation and Understanding in Medication Adherence, Empowering Patients in Long-Term Medication Management, Inconsistency in Patient Education Across Healthcare Providers, and Healthcare Accessibility and Affordability
Conclusion: The data from qualitative interviews provide valuable insights into the factors influencing medication adherence among Pakistani patients with cardiovascular conditions. While consistent adherence reflects patient acceptance and routine-based strategies, inconsistent adherence underscores financial constraints and medication-related challenges. Interventions tailored to address these barriers, including technology-based solutions and family support, could enhance medication adherence and improve cardiovascular health outcomes in the CVD population.
Key Words: , , , .
References
2. Nelson, A.J., Pagidipati, N.J. & Bosworth, H.B. Improving medication adherence in cardiovascular disease. Nat Rev Cardiol (2024). https://doi.org/10.1038/s41569-023-00972-
3. Aremu, Taiwo Opeyemi et al. “Medication Adherence and Compliance: Recipe for Improving Patient Outcomes.” Pharmacy (Basel, Switzerland) vol. 10,5 106. 28 Aug. 2022, https://doi:10.3390/pharmacy10050106
4. Baryakova, T.H., Pogostin, B.H., Langer, R. et al. Overcoming barriers to patient adherence: the case for developing innovative drug delivery systems. Nat Rev Drug Discov 22, 387–409 (2023). https://doi.org/10.1038/s41573-023-00670-0
5. Rohatgi, Karthik W et al. “Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications.” Journal of the American Board of Family Medicine : JABFM vol. 34,3 (2021): 561-570. doi:10.3122/jabfm.2021.03.200361
6. Kvarnström, Kirsi et al. “Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research.” Pharmaceutics vol. 13,7 1100. 20 Jul. 2021, doi:10.3390/pharmaceutics13071100
7. Manias, E., Bucknall, T., Hughes, C. et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr 19, 95 (2019). https://doi.org/10.1186/s12877-019-1102-6
8. Jose, J., AlHajri, L. Potential negative impact of informing patients about medication side effects: a systematic review. Int J Clin Pharm 40, 806–822 (2018). https://doi.org/10.1007/s11096-018-0716-7
9. T, Rameshkumar et al. “Patients’ knowledge about medicines improves when provided with written compared to verbal information in their native language.” PloS one vol. 17,10 e0274901. 31 Oct. 2022, doi:10.1371/journal.pone.0274901
10. American Psychological Association. (2015, October 22). Fear-based appeals are effective at changing attitudes, and behaviors after all [Press release]. https://www.apa.org/news/press/releases/2015/10/fear-based-appeals
11. Jalali, Faride Sadat et al. “Strategies for reducing out-of-pocket payments in the health system: a scoping review.” Cost-effectiveness and resource allocation : C/E vol. 19,1 47. 4 Aug. 2021, doi:10.1186/s12962-021-00301-8
12. Calls for government coverage and insurance schemes align with recommendations for policy-level interventions to address healthcare disparities
13. SanaFatima, Ayesha Khalid, Ammar Ijaz, Asna Tauqeer, Muneeb Abid, Ayesha Farooq, Sabila Ali, Iqra Rasheed, Zohaib Ahmed, Rida Rana
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Adnan Yaqoob
PhD in Nursing Scholar - Aga Khan University School of Nursing and Midwifery/ Principal Nursing Education - Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
Rubina Barolia
Professor, School of Nursing and Midwifery - Aga Khan University, Karachi, Pakistan
Laila Akbar Ladak
Associate Professor, School of Nursing and Midwifery - Aga Khan University Karachi, Pakistan
Furqan Yaqub Pannu
Senior Registrar, Department of Cardiology, Mayo Hospital, Lahore, Pakistan
Aamir Hameed Khan
Professor of Cardiology, Ziauddin Medical University, Karachi, Pakistan