The Impact of Beliefs Towards Illness and Medications on Adherence and Clinical Outcomes in Acute Coronary Syndrome Patients in Hong Kong
Refereed conference paper presented and published in conference proceedings


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AbstractObjectives
To assess the impact of beliefs towards illness and medications on adherence and readmission in acute coronary syndrome (ACS) patients

Methods
A phone interview that evaluated beliefs towards illness using the Brief Illness Perception Questionnaire (BIPQ), beliefs towards medications using the Beliefs about Medicines Questionnaire (BMQ) and adherence using a self-reported scale was done. Patients discharged for 1, 6, and 12 months were recruited and surveyed. 1-month, 6-month and 12-month readmission data was collected. Spearman’s rank correlation was used to show correlation between belief scores, adherence and readmission, while ordinal regression was used to adjust for covariates.

Results
Seventy-nine patients were surveyed; 30, 22, and 27 were discharged from the index ACS admission for 1, 6 and 12 months respectively. Significant positive correlations were found between adherence score with BMQ-Specific Necessity score (rs=0.287, p=0.010), necessity-concerns differential (rs=0.539, p<0.001), and an inverse correlation between adherence and BMQ-Specific Concerns score (rs=-0.443, p<0.001). Higher BMQ Specific-Necessity scores (aOR=1.404, 95% CI:1.147-1.719) and a monthly income less than HKD$10,000 compared to HK$10,000 or greater (aOR=4.540, 95% CI: 1.761-14.311) was associated with higher adherence, while higher BMQ Specific-Concerns scores were related to lower adherence (aOR=0.774, 95% CI: 0.672-0.892). Total BIPQ score (OR=1.134, 95% CI: 1.005–1.278) and number of previous ACS episodes (OR=19.000, 95% CI: 2.029–177.932) predicted 6-month all-causereadmissions and 12-month cardiac readmissions respectively.

Conclusions
Patients’ perceived necessity and concerns towards medications and an income less than HK$10,000 were significantly associated with adherence. Illness perceptions and history of ACS predicted readmissions. These findings are useful for developing interventions to improve adherence in ACS patients.
All Author(s) ListLee VWY, Fung K, Cheung V, Yan BPY
Name of ConferenceHong Kong Pharmacy Conference 2018
Start Date of Conference10/03/2018
End Date of Conference11/03/2018
Place of ConferenceHong Kong
Country/Region of ConferenceHong Kong
Proceedings TitleValue in Health
Year2017
Month10
Day20
Volume Number20
Issue Number9
PagesA621 - A622
ISSN1098-3015
eISSN1524-4733
LanguagesEnglish-United Kingdom

Last updated on 2021-27-01 at 23:08