Evidence map›Paper›PMID 27013911›Full record

ArticleSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2016

Evaluation and implementation of behavioral and educational tools that improves the patients' intentional and unintentional non-adherence to cardiovascular medications in family medicine clinics.

Abdulla Shehab, Asim Ahmed Elnour, Shirina Al Swaidi, Akshaya Srikanth Bhagavathula, Farah Hamad, Omar Shehab, Mahmoud AbuMandil, AboBakr Abasaeed, Ahmed Dahab, Naama Al Kalbani and 5 more

Abstract read
In one paragraph

Article in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

Abdulla ShehabCollege of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU), United Arab Emirates.
Asim Ahmed ElnourCollege of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU), United Arab Emirates; Al-Ain Hospital, Abu Dhabi Health Services Company (SEHA), Al-Ain, United Arab Emirates.
Shirina Al SwaidiCollege of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU), United Arab Emirates.
Akshaya Srikanth BhagavathulaUniversity of Gondar-College of Medicine and Health Sciences, Gondar, Ethiopia.
Farah HamadAjman University of Sciences and Technology, Ajman, United Arab Emirates.
Omar ShehabCollege of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU), United Arab Emirates.
Mahmoud AbuMandilAl-Ain Hospital, Abu Dhabi Health Services Company (SEHA), Al-Ain, United Arab Emirates.
AboBakr AbasaeedCharles University, Hradec Kralove, Czech Republic.
Ahmed DahabMinistry of Health, Nyala, South Sudan.
Naama Al KalbaniTawam Hospital, Abu Dhabi Health Services Company (SEHA), Abu Dhabi, United Arab Emirates.
Rouda AbdullaCollege of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU), United Arab Emirates.
Sahar AsimAjman University of Sciences and Technology, Ajman, United Arab Emirates.
Pinar ErkekogluHacettepe University, Sihhiye 06100, Ankara, Turkey.
Saif Al NuaimiTawam Hospital, Abu Dhabi Health Services Company (SEHA), Abu Dhabi, United Arab Emirates.
Aaesha Al SuwaidiAl-Ain Hospital, Abu Dhabi Health Services Company (SEHA), Al-Ain, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere are limited number of studies describing the reasons and interventions of non-adherence to cardiovascular medications in United Arab Emirates (UAE). We aimed to implement and evaluate the behavioral and educational tools that indicate the reasons of non-adherence in patients with cardiovascular diseases and improve patient's adherence to their cardiovascular medications.

methodsIn this prospective interventional study, we recruited patients (n = 300) with cardiovascular diseases from three family medicine clinics in Al Ain, UAE in 2010. We assessed patients' responses to a validated brief medication questionnaire (BMQ).

resultsAt the end of the study, we observed a significant improvement in adherence. When we compared pre- and post-interventions, the mean (± standard deviation, SD) score for non-adherence to current regimen were 4.1 ± 0.2 vs. 3.0 ± 0.3 (p = 0.034); indication of negative believes or motivational barriers scores was 1.8 ± 0.4 vs. 0.9 ± 0.1 (p = 0.027); the indication of recall barrier scores was 1.6 ± 0.1 vs. 0.8 ± 0.1 (p = 0.014); and the indication of access barrier scores was 1.6 ± 0.2 vs. 0.7 ± 0.2 (p = 0.019). Mean blood pressure, fasting blood glucose, glycosylated hemoglobin, low density lipoprotein and postprandial blood glucose decreased significantly (p < 0.01) post-intervention.

conclusionWe reported that implemented multifaceted tools targeting patients, provider and healthcare system have improved the adherence to cardiovascular medications. Our interventions managed to improve patients' clinical outcome via improving adherence to prescribed cardiovascular medications.

Indexed as

AdherenceCardiovascular diseasesCardiovascular medicationsNon-adherence

Identifiers

PMID27013911
PMCPMC4792890

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.