ArticlePatient preference and adherence2026
Factors Influencing Medication Literacy in Young and Middle-Aged Patients with NYHA Class I-III Heart Failure After Percutaneous Coronary Intervention: A Qualitative Study.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To identify and understand the factors that influence medication literacy in young and middle-aged patients with NYHA class I-III heart failure following percutaneous coronary intervention (PCI). Methods: From October to December 2024, 21 post-PCI patients with NYHA class I-III heart failure aged 18-65 were included in this study, using purposive sampling. Semi-structured interviews were conducted with them. Data were analyzed using directed content analysis for coding, categorization, and thematic extraction. Results: Four primary themes encapsulating the barriers to medication literacy emerged: (1) Deficiencies in foundational drug knowledge, stemming from overly simplistic patient education and a clinical focus on instructional process over practical understanding; (2) Insufficient communication channels with healthcare providers and within families; (3) A lack of critical appraisal skills, evident in persistent cognitive biases and an overreliance on unvetted online health information; and (4) Poor medication management literacy, driven by challenges in adapting lifestyles, work and travel schedules, role transitions, and coping with treatment-related negative emotions. Conclusion: Enhancing medication literacy in this patient population requires a multifaceted strategy. Healthcare teams should develop more nuanced, interactive education programs, establish robust communication and social support systems, actively address patients' cognitive biases while improving their e-health literacy, and help patients integrate medication management seamlessly into their daily routines.
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