Evidence map›Paper›PMID 30522585›Full record

ArticlePreventing chronic disease2018

Attitudes, Beliefs, and Cost-Related Medication Nonadherence Among Adults Aged 65 or Older With Chronic Diseases.

Shinduk Lee, Luohua Jiang, Diane Dowdy, Y Alicia Hong, Marcia G Ory

Abstract read
In one paragraph

Article in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. A study of medication compliance in geriatric patients with chronic illness.Journal of family medicine and primary care · 2021
    Article
  17. Relationship Between Multiple Measures of Financial Hardship and Glycemic Control in Older Adults With Diabetes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  18. Article
  19. Article
  20. Article
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

5 authors.

Shinduk LeeTexas A & M School of Public Health, College Station, Texas.
Luohua JiangUniversity of California, Irvine, California.
Diane DowdyTexas A & M School of Public Health, College Station, Texas.
Y Alicia HongTexas A & M School of Public Health, College Station, Texas.
Marcia G OryTexas A & M School of Public Health, College Station, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCost-related medication nonadherence (CRN) can negatively affect chronic disease prevention and management in an aging population. Limited data are available on the interacting influences among such factors as availability of financial resources, attitudes and beliefs of patients, and CRN. The objective of this study was to examine the causal paths among financial resource availability, patient attitudes and beliefs, and CRN.

methodsWe used a nationally representative sample (n = 4,818) from the 2015 National Health Interview Survey; selected respondents were aged 65 or older, had a diagnosis of hypertension or diabetes or both, and were prescribed medication for at least 1 of these conditions. We performed structural equation modeling to examine whether perceived medication affordability, access to health care, and patient satisfaction influenced the effects of financial resource availability on CRN (skipped doses, took less medicine, or delayed filling a prescription to save money).

resultsSix percent of respondents reported CRN in the previous 12 months. The model showed a good to fair fit, and all paths were significant (P < .05) except for age. The effects of financial resource availability on CRN was mediated through perceived medication affordability, access to health care, and patient satisfaction with health care services.

conclusionThis study suggests that patients' attitudes and beliefs can mediate the effects of financial resource availability on CRN. We call for senior-friendly public health interventions that can address these modifiable barriers to reduce CRN among older adults with chronic conditions.

Indexed as

Health Knowledge, Attitudes, PracticeAgedChronic DiseaseCross-Sectional StudiesDiabetes MellitusDrug MonitoringFees and ChargesFemaleHealth SurveysHumansHypertensionMaleMedication AdherencePrescription DrugsSocioeconomic FactorsPrescription Drugs

Identifiers

PMID30522585
PMCPMC6292137

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.