Impact of beliefs about medication on the relationship between trust in physician with medication adherence after stroke |
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| Affiliation: | 1. Zhengzhou University, School of Education, Zhengzhou, China;2. Singapore General Hospital, Department of Psychology, Singapore;3. National Neuroscience Institute (Singapore General Hospital Campus), Department of Neurology, Singapore;4. Duke-NUS Medical School, Singapore;5. Singapore General Hospital, Department of Pharmacy, Singapore;6. National Neuroscience Institute, Nursing Division, Singapore;7. Singapore General Hospital, Department of Neurology, Singapore;1. Department of Respiratory Medicine, Hannover Medical School, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany;2. Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), German Lung Research Center (DZL), Hannover, Germany;1. Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne, Victoria, Australia;2. Department of Respiratory and Sleep Medicine, Alfred Health, Melbourne, Victoria, Australia;3. Department of Respiratory and Sleep Medicine, Austin Health, Melbourne, Victoria, Australia;4. Institute for Breathing and Sleep, Melbourne, Victoria, Australia;5. Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia;1. Internal Medicine Residency Program, Einstein-Montefiore, Bronx, NY, USA;2. Albert Einstein College of Medicine, Einstein-Montefiore, Bronx, NY, USA;3. The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, NH, USA;4. Division of General Internal Medicine, Department of Medicine, Einstein-Montefiore, Bronx, NY, USA;1. Boston Medical Center, Department of Family Medicine, Boston, MA 02218, USA;2. Boston University School of Medicine, Department of Family Medicine, Boston, MA 02218, USA;3. University of Massachusetts Medical School, Department of Family Medicine, Worcester, MA 01655, USA;4. Boston University School of Medicine, Division of Graduate Medical Sciences, Boston, MA 02218, USA;1. Children’s Hospital Los Angeles, Los Angeles, United States;2. Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, United States |
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| Abstract: | ObjectiveTo investigate the relationship between medication adherence, trust in physician and beliefs about medication among stroke survivors. To determine whether beliefs about medication would mediate the relationship between trust in physician and medication adherence.MethodsA sample of 200 patients with a diagnosis of ischemic stroke or transient ischemic attack (TIA) completed a one-time survey, including the shortened Medication Adherence Report Scale (MARS-5), Beliefs about Medicines Questionnaire (BMQ), and Trust in Physician Scale (TIPS).ResultsOur study found that medication adherence was associated with trust in physician (p = 0.019) and four factors of beliefs about medication (BMQ1-Necessity: p < 0.001; BMQ2-Concerns: p = 0.024; BMQ3-Overuse: p = 0.016; BMQ4-Harm: p < 0.001). Furthermore, we found monthly income of survivors moderated the relationship between trust in physician and medication adherence (p = 0.007, CI(95%): [?0.822, ?0.132]).ConclusionsThe beliefs about medication mediating the relationship between trust in physician and medication adherence were different based on the stroke survivors’ income bracket.Practice implicationsInterventions being developed to improve medication adherence may benefit from improving stroke survivors’ trust in physician and addressing their beliefs about medication. In addition, healthcare providers are advised to take monthly income into consideration to effectively address stroke survivors’ concerns regarding prescribed medications to mitigate stroke recurrence. |
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| Keywords: | Medication Adherence Secondary stroke prevention Beliefs Income |
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