Key result
Medication adherence positively correlates with cardiac self-efficacy and management attitudes in older adults with CAD.
Why the study?
Coronary artery disease is common in the elderly and medication therapy remains the primary treatment, but medication adherence, self-efficacy, and management attitudes needed evaluation.
Cross-Sectional (n=380)
Effect estimate: ρ = 0.3801, ρ = 0.4562, r = 0.3411
p-value: p=≤ 0.0001
In older adults with CAD, medication adherence is positively correlated with cardiac self-efficacy and attitude toward disease management, highlighting the need for periodic assessment to identify at-risk patients.
Hypothesis-generating for adherence interventions via self-efficacy in older CAD adults; randomized trials needed before practice change.
Introduction: Coronary artery disease (CAD) is the fourth most common chronic illness in the elderly. Despite advancements in the management of CAD, medication therapy remains the supreme mode of treatment. Methods: The study aimed to assess medication adherence, self-efficacy, and attitude toward the management of CAD in 380 older adults. Adherence Scale in Chronic Disease Scale, Sullivan’s Cardiac Self-efficacy Scale, and a self-constructed attitude scale were used to assess medication adherence, cardiac self-efficacy, and attitude toward the management of CAD. Results: The majority (49.21%) reported medium medication adherence. The self-efficacy mean score was 49.56 ± 9.07. More than half, 53.16% had an unfavorable attitude toward the management of CAD. A positive correlation was established between medication adherence and cardiac self-efficacy, medication adherence and attitude, and cardiac self-efficacy and attitude with ρ = 0.3801, P ≤ 0.0001; ρ = 0.4562 , P ≤ 0.0001; and r = 0.3411 , P ≤ 0.0001, respectively. Discussion: The current study findings were aligned to the findings of a clinical research study among 221 patients which revealed that 49.8% had a medium level of adherence, whereas 26.7% had high adherence and 23.5% had low level of adherence on using the Adherence in Chronic Disease Scale. This study indicates the need for nurses and other healthcare providers to assess medication adherence, self-efficacy, and attitude of the patients periodically, as it will help them to identify the patients at risk and plan interventions appropriately. Conclusion: Older adults with CAD are at a risk of developing life-threatening complications due to various influencing factors. Therefore, healthcare workers should collaborate to pave the ground for ensuring higher medication adherence and improving the general health of older adults.
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Prakash et al. (2025) conducted a cross-sectional in Coronary artery disease (n=380). Medication adherence, cardiac self-efficacy, and attitude was evaluated on Correlation between medication adherence, cardiac self-efficacy, and attitude (ρ = 0.3801, ρ = 0.4562, r = 0.3411, p=≤ 0.0001). Medication adherence, cardiac self-efficacy, and attitude toward management were significantly and positively correlated among older adults with coronary artery disease (P ≤ 0.0001).
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