Impact of care transition on medication adherence in cardiac patients
Research type
Research Study
Full title
‘Moving from hospital to home’ – exploring the impact of care transition on medication adherence in cardiac patients: a qualitative approach
IRAS ID
178958
Contact name
John Weinman
Contact email
Sponsor organisation
King's College London
Duration of Study in the UK
1 years, 0 months, 21 days
Research summary
Medication adherence following an acute coronary syndrome (ACS) event is often sub-optimal. Poor adherence is associated with increased risk of rehospitalisation along with higher rates of morbidity and mortality. Some sociodemographic and clinical factors have been shown to predict poor adherence, however, such determinants are generally not amenable to change. This has led to an increased focus on potentially modifiable factors such as patient beliefs, attitudes, motivation and mood (Allen LaPointe et al., 2011).
After an ACS event, patients should be well informed about how they go about managing their condition at home. Transitioning from one care setting to another can be challenging time for patients in terms of their disease management (Piraino et al., 2012). If patients do not feel sufficiently informed about their medicines then they are more likely to have concerns about their medications which can negatively impact on adherence.
The aim of this proposed study is to explore how an ACS patients’ journey from hospital into primary care impacts on medicines use. Further, to understand how medicine information is communicated and how this influences patient beliefs about medicines.
LaPointe, N. M. A., Ou, F. S., Calvert, S. B., Melloni, C., Stafford, J. A., Harding, T., ... & Alexander, K. P. (2011). Association between patient beliefs and medication adherence following hospitalization for acute coronary syndrome. American Heart Journal, 161(5), 855-863.
Piraino, E., Heckman, G., Glenny, C., & Stolee, P. (2012). Transitional care programs: who is left behind? A systematic review. International Journal of Integrated Care, 12.
REC name
London - West London & GTAC Research Ethics Committee
REC reference
15/LO/0852
Date of REC Opinion
28 May 2015
REC opinion
Favourable Opinion