Medication adherence in older women with coronary heart disease is suboptimal, with universal economic barriers and frequent psychological barriers and side effects.
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May prompt barrier screening in older women with CHD; leaves open whether interventions improve adherence.
UNLABELLED: The purposes of this study were to examine medication adherence in older women with coronary heart disease and to identify barriers and facilitators of medication adherence. METHODS: The study used a semistructured interview guide and established measures to examine medication taking 3 months after hospital discharge. RESULTS: Thirty-two women completed the study: 65.6% were adherent to medications, but others were less adherent and self-modified their therapy. Over half (52.1%) suffered side effects, 71.9% had experienced psychological barriers, and all had economic barriers. Facilitators included a pillbox system (85%) and discharge medication counseling (90%). CONCLUSION: Tailored interventions to improve adherence in older women are needed.
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West et al. (2010) studied this question.
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