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Medication adherence is associated with having a caregiver among cardiac patients

Brooke Aggarwal1, Ming Liao, Lori Mosca

  • 1Columbia University Medical Center/New York-Presbyterian Hospital, New York, NY, USA.

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
|March 29, 2013
PubMed

Insights

Patients with cardiovascular disease who have a paid caregiver are half as likely to be non-adherent to their medications. This finding highlights the importance of paid caregiving in improving medication adherence for cardiac patients.

Area of Science:

  • Cardiology
  • Health Services Research
  • Patient Adherence

Background:

  • Medication non-adherence significantly impacts blood pressure and lipid control.
  • Suboptimal adherence is a major challenge in managing cardiovascular disease.

Purpose of the Study:

  • To investigate the association between paid or family caregiver involvement and medication adherence.
  • To assess if caregiving status influences medication adherence in hospitalized cardiovascular disease patients.

Main Methods:

  • A standardized questionnaire assessed medication adherence and caregiving in 1,432 cardiovascular patients.
  • Data included demographics, comorbidities, and caregiving status (paid/professional or family/friend).

Main Results:

  • 39% of cardiac patients were prescribed ≥7 medications; 25% reported non-adherence.
  • Patients with a paid caregiver were 40% less likely to be non-adherent.
  • This association remained significant after adjusting for confounders (OR=0.49).

Conclusions:

  • Cardiac patients with a paid caregiver demonstrated significantly better medication adherence.
  • Having a paid caregiver was associated with a 50% reduction in medication non-adherence.
Abstract

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