Leah L Zullig1, Felicia McCant1, S Dee Melnyk2, Susanne Danus1, Hayden B Bosworth3. 1. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA. 2. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA; Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, USA. 3. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, USA; Department of Medicine, Division of General Internal Medicine, Duke University, Durham, USA; School of Nursing, Duke University, Durham, USA; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, USA. Electronic address: boswo001@mc.duke.edu.
Abstract
OBJECTIVE: To determine whether antihypertensive medication adherence could improve using a Meducation® technology health literacy intervention. METHODS: We conducted a six-month feasibility study among patients with cardiovascular disease (CVD) risk factors receiving care from hospital-based primary care clinics. All patients received a personalized Meducation® calendar listing CVD-related medications. We evaluated changes in medication adherence and clinical outcomes at six months. RESULTS: There was a 42% enrollment rate (n=23). Forty percent had low health literacy, defined as less than 9th grade reading level. At three months, self-reported medication adherence improved. At six months, medication possession ratio improved 3.2%. Also, at six months there were decreases in patients' average systolic blood pressure (0.5 mmHg), diastolic blood pressure (1.5 mmHg), and body weight (3.6 pounds) (p>0.05). CONCLUSIONS: A health literacy intervention may be a feasible mechanism to improve cardiovascular-related medication adherence and outcomes. PRACTICE IMPLICATIONS: Health literacy interventions may improve adherence while requiring relatively few resources to implement. Published by Elsevier Ireland Ltd.
OBJECTIVE: To determine whether antihypertensive medication adherence could improve using a Meducation® technology health literacy intervention. METHODS: We conducted a six-month feasibility study among patients with cardiovascular disease (CVD) risk factors receiving care from hospital-based primary care clinics. All patients received a personalized Meducation® calendar listing CVD-related medications. We evaluated changes in medication adherence and clinical outcomes at six months. RESULTS: There was a 42% enrollment rate (n=23). Forty percent had low health literacy, defined as less than 9th grade reading level. At three months, self-reported medication adherence improved. At six months, medication possession ratio improved 3.2%. Also, at six months there were decreases in patients' average systolic blood pressure (0.5 mmHg), diastolic blood pressure (1.5 mmHg), and body weight (3.6 pounds) (p>0.05). CONCLUSIONS: A health literacy intervention may be a feasible mechanism to improve cardiovascular-related medication adherence and outcomes. PRACTICE IMPLICATIONS: Health literacy interventions may improve adherence while requiring relatively few resources to implement. Published by Elsevier Ireland Ltd.
Entities:
Keywords:
Cardiovascular diseases; Health literacy; Medication adherence; Veteran's health
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