ArticleJournal of general internal medicine2013
Key barriers to medication adherence in survivors of strokes and transient ischemic attacks.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01027273 (Preventing Recurrence of All Inner-city Strokes Through Education), which is not on this map. Cited by 44 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Preventing Recurrence of All Inner-city Strokes Through Education
Who cites it
44 citing papers in PubMed, 7 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Antithrombotics prescription and adherence among stroke survivors: A systematic review and meta-analysis.Brain and behavior · 2022Pooled it
- Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review.Frontiers in pharmacology · 2022Pooled it
- Post-stroke medication adherence and persistence rates: a meta-analysis of observational studies.Journal of neurology · 2021Pooled it
- A systematic review of the inclusion of mechanisms of action in NIH-funded intervention trials to improve medication adherence.Behaviour research and therapy · 2018Pooled it
- Psychological Determinants of Medication Adherence in Stroke Survivors: a Systematic Review of Observational Studies.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2017Pooled it
- A Systematic Review and Meta-Analysis on Self-Management for Improving Risk Factor Control in Stroke Patients.International journal of behavioral medicine · 2017Pooled it
- Pooled it
- Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention.Contemporary clinical trials · 2023Trial
- Trial
- Trial
- The effect of a locally adapted, secondary stroke risk factor self-management program on medication adherence among veterans with stroke/TIA.Translational behavioral medicine · 2016 · on this mapTrial
- Differences in Physicians' Verbal and Nonverbal Communication With Black and White Patients at the End of Life.Journal of pain and symptom management · 2016Trial
- Barriers for general practitioners in post-stroke follow-up within a fragmented healthcare system in Sweden - a focus group study.The European journal of general practice · 2026Article
- Older Adults' Access to Pharmacological Treatment, a Human Right to Health: Scoping Review (2020-2025).Pharmacy (Basel, Switzerland) · 2026Review
- Barriers and Facilitators in Secondary Stroke Prevention Among Older Adults: An International Systematic Review of Randomized Controlled Trials.Healthcare (Basel, Switzerland) · 2025Review
- Clinical Perspectives on Stroke Prevention in Patients with Non-valvular Atrial Fibrillation in the Philippines.Cureus · 2025Review
- Advancements and challenges of adherence to secondary prevention medications among patients with ischemic stroke or transient ischemic attack: the healthcare quality improvement in China, 2007-2018.Therapeutic advances in neurological disorders · 2025Article
- Recurrent stroke admissions withWorld journal of virology · 2024Article
- Post-stroke diabetes management: a qualitative study.Frontiers in neurology · 2024Article
- Exploring Patient Beliefs and Medication Adherence in the Mediterranean Context: A Cross-Sectional Study in Patients with Cardiovascular Diseases and Cardiometabolic Disorders in Greece-The IACT-Study.Life (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundEven though medications can greatly reduce the risk of recurrent stroke, medication adherence is suboptimal in stroke survivors.
objectiveTo identify key barriers to medication adherence in a predominantly low-income, minority group of stroke and transient ischemic attack (TIA) survivors.
designCross-sectional study.
participantsSix hundred stroke or TIA survivors, age ≥ 40 years old, recruited from underserved communities in New York City. MAIN MEASURES: Medication adherence was measured using the 8-item Morisky Medication Adherence Questionnaire. Potential barriers to adherence were assessed using validated instruments. Logistic regression was used to test which barriers were independently associated with adherence. Models were additionally controlled for age, race/ethnicity, income, and comorbidity. KEY
resultsForty percent of participants had poor self-reported medication adherence. In unadjusted analyses, compared to adherent participants, non-adherent participants had increased concerns about medications (26 % versus 7 %, p < 0.001), low trust in their personal doctor (42 % versus 29 %, p = 0.001), problems communicating with their doctor due to language (19 % versus 12 %, p = 0.02), perceived discrimination from the health system (42 % versus 22 %, p < 0.001), difficulty accessing health care (16 % versus 8 %, p = 0.002), and inadequate continuity of care (27 % versus 20 %, p = 0.05). In the fully adjusted model, only increased concerns about medications [OR 5.02 (95 % CI 2.76, 9.11); p < 0.001] and perceived discrimination [OR 1.85 (95 % CI 1.18, 2.90); p = 0.008] remained significant barriers.
conclusionsIncreased concerns about medications (related to worry, disruption, long-term effects, and medication dependence) and perceived discrimination were the most important barriers to medication adherence in this group. Interventions that reduce medication concerns have the greatest potential to improve medication adherence in low-income stroke/TIA survivors.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.