Association between concomitant psychiatric drug use,and patients’ beliefs about and persistence with chronic cardiovascular medication

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F12%3A00006050" target="_blank" >RIV/00023884:_____/12:00006050 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1111/ijcp.12544" target="_blank" >http://dx.doi.org/10.1111/ijcp.12544</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/ijcp.12544" target="_blank" >10.1111/ijcp.12544</a>

Result language

angličtina

Original language name

Association between concomitant psychiatric drug use,and patients’ beliefs about and persistence with chronic cardiovascular medication

Original language description

Objective: Psychiatric disorders are associated with an increased risk of cardiovascular diseases and may result in additional risk of non-adherence. No data on the influence of concomitant psychiatric drug use on patients’ beliefs and persistence related to cardiovascular medication are available. The objective of this study was to assess to what extent the use of concomitant psychiatric drugs is associated with patients’ beliefs about and persistence with chronic cardiovascular medication. Methods: An observational study in patients using cardiovascular medication was conducted. A mailed questionnaire containing socio-demographical questions and a measure of beliefs about medication (Beliefs about Medicines Questionnaire – specific) was sent to patients selected from fifteen participating pharmacies. Persistence was evaluated based on pharmacy records. Results: Of the 1547 included patients, 551 responded to key questions in the questionnaire and were included for beliefs about medication analysis. In concomitant users of psychiatric drugs significantly higher necessity (17.0 vs. 16.0) and higher concerns (14.3 vs. 13.3), as well as higher proportion of ambivalent (34.5% vs. 25.6%) and lower proportion of indifferent patients (24.1% vs. 33.0%) were found compared with non-users (p < 0.05). 65.2% (n = 1009) of patients were persistent on all their cardiovascular drugs. There was no significant association between concomitant use of psychiatric drugs and non-persistence (OR = 1.2; 95% CI 0.9–1.5). Conclusion: Concomitant use of psychiatric drugs was found to be associated with increased beliefs about the necessity of and concerns about cardiovascular medication. Clinicians caring for cardiovascular patients should give additional attention to identifying patients’ beliefs about medication among those concomitantly using psychiatric drugs.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30104 - Pharmacology and pharmacy

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Clinical Practice

ISSN

1742-1241

e-ISSN

—

Volume of the periodical

69

Issue of the periodical within the volume

3

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

328-335

UT code for WoS article

000350307200010

EID of the result in the Scopus database

2-s2.0-84988241338