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Exploring Patient Beliefs and Medication Adherence in the Mediterranean Context: A Cross-Sectional Study in Patients

Vasiliki Belitsi1, Thomas Tsiampalis1,2, Matina Kouvari2,3

  • 1Department of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, Greece.

Life (Basel, Switzerland)
|September 28, 2023
PubMed

Insights

Poor adherence to vascular medications is common, affecting nearly half of patients. Addressing patient beliefs about treatment efficacy and alternatives is crucial for improving cardiovascular medication adherence in Greece.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Science

Background:

  • Poor adherence to vascular medications is a significant contributor to cardiovascular disease (CVD) events and mortality.
  • Understanding patient beliefs is key to improving treatment compliance.

Purpose of the Study:

  • To examine patient beliefs and views influencing adherence to medical treatment for cardiovascular disease.
  • Investigate factors affecting medication adherence in a multi-center study in Greece.

Main Methods:

  • A multi-center study involving 1988 patients with cardiovascular disease or related disorders in Greece.
  • Utilized the 4-item Morisky Medication Adherence Questionnaire to assess adherence and patient beliefs.

Main Results:

  • Nearly half of the participants (48.8%) exhibited poor medication adherence.
  • Negative beliefs about medication were strongly associated with non-adherence (OR = 2.73).
  • Concerns regarding drug efficacy and preference for alternative therapies were significant factors in non-adherence.

Conclusions:

  • Patient beliefs and views are critical targets for interventions to improve medication adherence.
  • Tailored, context-sensitive strategies are needed to enhance adherence and health outcomes in the Mediterranean region.
  • Cultural, socioeconomic, and clinical factors specific to the Mediterranean context should inform adherence interventions.
Abstract

Keywords:
beliefscardiometabolic disordersheart diseasemedication adherencepatient-centered caretreatmentviews

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