Observational studyIndian journal of pharmacology
Assessment of adherence to cardiovascular medicines in rural population: An observational study in patients attending a tertiary care hospital.
Observational study in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- A Randomized Controlled Trial Studying the Effect of Medication Adherence Tools in Patients With Heart Failure.Cureus · 2025Article
- A cross-sectional study on the assessment of adherence to cardiovascular medications in Sudan heart center.PloS one · 2025Article
- Article
- Factors associated with self-care behavior among heart failure patients in India: A systematic review.Journal of education and health promotion · 2025Review
- Article
- The Potential of mHealth as a Game Changer for the Management of Sickle Cell Disease in India.JMIR mHealth and uHealth · 2021Article
- The Monitoring of Psychosocial Factors During Hospitalization Before and After Cardiac Surgery Until Discharge From Cardiac Rehabilitation: A Research Protocol.Frontiers in psychology · 2020Article
- Medication concordance in modern medicine - A critical appraisal from an Indian perspective.Journal of family medicine and primary care · 2019Review
- Strengthening and implementing health technology assessment and the decision-making process in the Region of the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2017Article
- Adaptation and Validation of a Chinese Version of Patient Health Engagement Scale for Patients with Chronic Disease.Frontiers in psychology · 2017Article
- Evaluation of patient awareness to drug treatment and self-medication practices: Unexplored dimensions in chronic heart failure management.Perspectives in clinical researchArticle
- Patients' perception of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom.Pharmacy practiceArticle
- Prevalence of statin use among high-risk patients in urban and rural Vellore, Tamil Nadu: A population-based cross-sectional study.Indian journal of pharmacologyArticle
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNonadherence to cardiovascular medicines is a major concern. It increases the morbidity and mortality of cardiovascular patients. The work was conducted to evaluate the adherence to cardiovascular medicines in patients of rural India.
methodsThe study was conducted in the Department of Medicine involving rural patients with essential hypertension (HTN), congestive cardiac failure (CCF), and ischemic heart disease (IHD) over 12 months period. Patients were prescribed with cardiovascular medicines at the initial visit and adherence to medicines was assessed in the subsequent visit. Four items Morisky's Medication Adherence Scale (MMAS-4) was used for assessing medication adherence. Patients were considered adherent to medication if they answered negatively to all four questions.
resultsOverall adherence to medication was 20.83%, 28.37% and 32% in HTN, CCF, and IHD patients, respectively. Nonadherence was highest in patients of HTN. Among the four reasons of nonadherence assessed by MMAS-4, carelessness was the most common and forgetfulness was the least common cause of nonadherence in all the three groups of patients.
conclusionPatients of rural India adhere poorly to cardiovascular medicines. Nonadherence should be considered as a public health problem. Strategies for detecting the level of adherence of cardiovascular medicines, its barriers, and subsequent interventions should be developed by policy-makers to reduce morbidity and mortality due to cardiovascular disorders.
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