Evidence map›Paper›PMID 35246500›Full record

SynthesisOpen heart2022

Medication-taking for secondary prevention of acute myocardial infarction: a thematic meta-synthesis of patient experiences.

Hannah Piekarz, Catherine Langran, Amna Raza, Parastou Donyai

Abstract readSystematic Review
In one paragraph

Synthesis in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Hannah PiekarzDepartment of Pharmacy, University of Reading School of Chemistry Food and Pharmacy, Reading, UK h.piekarz@pgr.reading.ac.uk.ORCID 0000-0002-2706-1677
Catherine LangranDepartment of Pharmacy, University of Reading School of Chemistry Food and Pharmacy, Reading, UK.ORCID 0000-0001-5186-4528
Amna RazaDepartment of Pharmacy, University of Reading School of Chemistry Food and Pharmacy, Reading, UK.ORCID 0000-0001-5186-4528
Parastou DonyaiDepartment of Pharmacy, University of Reading School of Chemistry Food and Pharmacy, Reading, UK.ORCID 0000-0001-5403-6170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo collate existing qualitative research examining patients' medication-taking experiences in secondary prevention of acute myocardial infarction (AMI) and produce new knowledge, a systematic review and meta-synthesis of patient qualitative studies was conducted.

methodA systematic review found nine reports suitable for inclusion. Themes found by the report authors and report characteristic data were extracted. Reports were assessed for quality. A meta-synthesis using thematic coding and constant comparison method produced higher order themes, and these were used to construct a statement organised by theme using specific examples from the included studies.

resultsAll patients discussed their medication-taking in thematic categories of beliefs about medication and illness, personal ability and interpersonal factors. Themes differed between classes of medication and between patients, suggesting tailored interventions to medications and individual patients would be appropriate. Some themes overlapped with those discussed by the broader group of cardiovascular patients, but some themes were unique to this myocardial infarction patient group, again indicating that a tailored approach is appropriate for this patient group.

conclusionThe themes of beliefs about medication and illness, personal ability and interpersonal support provide tangible starting points for addressing adherence issues. The concept of medication-taking had unique elements within the post-AMI group of patients, and between classes of medication. While these themes were grouped into more generalised higher-order constructs, there were differences between patients within the themed group, indicating that themes are useful as a guide, but individual-level patient support is appropriate.

Indexed as

Myocardial InfarctionHumansPatient Outcome AssessmentQualitative ResearchSecondary Preventioncardiac rehabilitationeducationmedicalmyocardial infarction

Identifiers

PMID35246500
PMCPMC8900060

What OpenQuestion holds

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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.