Evidence map›Paper›PMID 25737633›Full record

ArticlePatient preference and adherence2015

Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.

Leah L Zullig, Ryan J Shaw, Bimal R Shah, Eric D Peterson, Jennifer H Lindquist, Matthew J Crowley, Steven C Grambow, Hayden B Bosworth

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Online Health Information-Seeking Behaviours and eHealth Literacy among First-Generation Chinese Immigrants.International journal of environmental research and public health · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Leah L ZulligCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Division of General Internal Medicine, Duke University, Durham, NC, USA.
Ryan J ShawCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; School of Nursing, Duke University, Durham, NC, USA.
Bimal R ShahDivision of Cardiology, Department of Medicine, Duke University, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Durham, NC, USA.
Eric D PetersonDivision of Cardiology, Department of Medicine, Duke University, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Durham, NC, USA.
Jennifer H LindquistCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Matthew J CrowleyCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Division of General Internal Medicine, Duke University, Durham, NC, USA.
Steven C GrambowDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Hayden B BosworthCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Division of General Internal Medicine, Duke University, Durham, NC, USA ; School of Nursing, Duke University, Durham, NC, USA ; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.

Funding

Using Data to Drive Change in National CV Care: The Duke CERTSU19HS021092 · AHRQ · DUKE UNIVERSITY · PI PETERSON, ERIC DAVID · 2011 to 2015
$4.2M
AHRQ HHS U19 HS021092
6 · The paper itself

Abstract

objectivesOur objectives were to: 1) describe patient-reported communication with their provider and explore differences in perceptions of racially diverse adherent versus nonadherent patients; and 2) examine whether the association between unanswered questions and patient-reported medication nonadherence varied as a function of patients' race.

methodsWe conducted a cross-sectional analysis of baseline in-person survey data from a trial designed to improve postmyocardial infarction management of cardiovascular disease risk factors.

resultsOverall, 298 patients (74%) reported never leaving their doctor's office with unanswered questions. Among those who were adherent and nonadherent with their medications, 183 (79%) and 115 (67%) patients, respectively, never left their doctor's office with unanswered questions. In multivariable logistic regression, although the simple effects of the interaction term were different for patients of nonminority race (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.19-3.92) and those of minority race (OR: 1.19; 95% CI: 0.54-2.66), the overall interaction effect was not statistically significant (P=0.24).

conclusionThe quality of patient-provider communication is critical for cardiovascular disease medication adherence. In this study, however, having unanswered questions did not impact medication adherence differently as a function of patients' race. Nevertheless, there were racial differences in medication adherence that may need to be addressed to ensure optimal adherence and health outcomes. Effort should be made to provide training opportunities for both patients and their providers to ensure strong communication skills and to address potential differences in medication adherence in patients of diverse backgrounds.

Indexed as

acute myocardial infarctioncommunicationhealth policy and outcome researchhypertension

Identifiers

PMID25737633
PMCPMC4344178

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.