ArticleJournal of racial and ethnic health disparities2019
"You Want to Give the Best Care Possible, and You Know When They Leave Your Pharmacy, You Didn't Give the Best Care Possible Most of the Time": Pharmacist- and Community Health Worker-Identified Barriers and Facilitators to Medication Adherence in Marshallese Patients.
Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Design of a randomized controlled trial using a community-academic partnership to improve medication adherence: MI-CARE study protocol and implementation.Contemporary clinical trials · 2026Article
- Adherence to pharmacological therapy for hypertension in Portugal: a health professionals focus groups study.BMC primary care · 2025Article
- Article
- Assessment of Diabetes-Related Health Disparities among the Marshallese Living in the Republic of the Marshall Islands.Hawai'i journal of health & social welfare · 2021Article
- Investigating the Association between English Proficiency and General Health among Marshallese Adults in the United States.Journal of health care for the poor and underserved · 2021Article
- Factors Associated with First-Time Telehealth Utilization for Marshallese Living in the United States.Telemedicine reports · 2021Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe Marshallese experience high rates of chronic diseases including hypertension and diabetes. Medication adherence is crucial to successful disease management, and healthcare providers play a crucial role in assisting their patients with medication adherence.
methodsA qualitative study design was used with individual interviews and focus groups with pharmacists and community health workers (CHWs) serving the Marshallese community in Northwest Arkansas. Participants were asked about their experiences with and perceptions of barriers and facilitators to medication adherence among Marshallese adults in Northwest Arkansas.
resultsEight pharmacists and nine CHWs were interviewed. Five themes emerged regarding barriers to medication adherence: (1) financial, (2) transportation, (3) language, (4) health literacy and understanding of Western medicine, and (5) mistrust. Four themes emerged regarding facilitators to medication adherence: (1) in-depth patient education strategies, (2) efforts to address the language barrier, (3) family engagement, and (4) public transportation and prescription home delivery. DISCUSSION: Pharmacists and CHWs identified the same barriers to medication adherence, which are consistent with those documented in previous studies. Pharmacists also reported distress over their inability to confirm Marshallese patient understanding in relation to the use of prescribed medications.
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