The influence of patient expectations on adherence to treatment regimen after myocardial infarction

Pietrzykowski, Łukasz; Kasprzak, Michał; Michalski, Piotr; Kosobucka, Agata; Fabiszak, Tomasz; Kubica, Aldona

doi:10.1016/j.pec.2021.05.030

Cited by 23 publications

(30 citation statements)

References 33 publications

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“…Over time, a gradual decline in adherence was observed for all groups of medications. Sufficient adherence for all medication groups was found only in 29.4% of patients throughout the whole follow-up period [15][16][17][18]. These findings are in line with those obtained by Naderi et al [2] in a meta-analysis of 20 studies evaluating 7 groups of drugs showing a mean adherence level of 57.0% and its decline over consecutive quarters of follow-up.…”

supporting

confidence: 88%

“…The series of recent publications reporting results of a single centre, observational, cohort clinical trial with 1-year follow-up, was intended to reflect 'real world' practice [15][16][17][18]. All study participants received in-hospital educational and motivational verbal interventions on ischemic heart disease, focusing on its symptoms and management supported by an educational brochure entitled "Myocardial infarction" that was handed out at the beginning of hospitalization.…”

mentioning

confidence: 99%

“…According to the authors' best knowledge, this research [15][16][17][18] is the first one to comprehensively analyse the level of adherence to medication and its determinants as well as the variability of these determinants during the follow-up after hospital discharge.…”

mentioning

confidence: 99%

“…The multivariate analysis defined determinants of medication adherence: age under 65 years in the first quarter of follow-up for ACEI, P2Y12 receptor inhibitor and statin; prior CABG in the 1st quarter of follow up for ACEI and P2Y12 receptor inhibitor; level of education and place of residence for P2Y12 receptor inhibitor in the 1st quarter of follow-up; economic status for all assessed drugs in the 2nd quarter; marital status for ACEI in the 1st quarter of follow-up; arterial hypertension for ACEI in the 1st quarter of follow-up [15][16][17][18]. Identifying the factors responsible for the decline in adherence in the sequential quarters helps better understand the mechanisms governing this phenomenon and apply targeted corrective interventions.…”

mentioning

confidence: 99%

“…Additional educational and motivational efforts should be directed to elderly, less educated, living alone patients and those after CABG in order to increase the likelihood of implementation of prescribed medication after discharge from the hospital. Maintenance of medication during long term treatment requires special support in rural residents and patients with lower economic status [15][16][17][18].…”

mentioning

confidence: 99%

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The therapeutic plan implementation in patients discharged from the hospital after myocardial infarction

Kubica

Pietrzykowski

2021

Medical Research Journal

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confidence: 88%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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The therapeutic plan implementation in patients discharged from the hospital after myocardial infarction

Kubica

Pietrzykowski

2021

Medical Research Journal

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The quality of long‐term counselling for percutaneous coronary intervention patients: A cross‐sectional study

et al. 2023

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Aim To compare the long‐term counselling quality among the patients visited and not visited at cardiac nurse after percutaneous coronary intervention (PCI) and related factors one to two years after PCI. Design An explorative, register‐based cross‐sectional study. Methodology methods A sample was drawn from the one university hospital's procedure register consisted of the patients undergone a PCI (n = 977). The data was collected by Counselling Quality Instrument (CQI) questionnaire by mail, and analysed by basic and multivariate methods. Findings results Of the respondents (n = 459), less than half the patients (48.4%) visited at cardiac nurse one to two years after PCI as instructed in the national current care guidelines. Patients, who visited the nurse (n = 194) had higher satisfaction for counselling than the ones not visited (n = 70). Nevertheless, patients, especially those who had no dyslipidemia, had Unstable Angina Pectoris or Non‐ST‐elevated myocardial infarction or were out of the workforce, were unsatisfied with counselling, and needed more social support, patient‐centred counselling and goal orientating implementation from the cardiac nurse. A half of the PCI patients (51.6%) did not visit the cardiac nurse at the primary health care. Patient or public contribution Cardiac nurses assisted the members of research group by assessing the questionnaire prior sending it to the patients and patients contributed by completing the questionnaires. We thank both parties for their contribution. Implication for profession and patient care This study demonstrated, that patients out of the workforce and having emergency PCI are in need for better quality counselling, concentrating on social support, patient‐centred counselling and goal orientating implementation from the cardiac nurse. Those patients, who did not visit the cardiac nurse, should be offered easier access to cardiac nurse for example, by novel digital solutions.

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Identifying the psychological effects of nocebo education: results from two pre-registered experiments

Görner,

Spotts,

Geers

2024

J Behav Med

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Providing treatment side effect information to patients increases the risk of harm due to the nocebo effect. Nocebo education, in which patients learn about nocebo effects, is a novel strategy that can be used across a variety of situations and individuals to decrease unpleasant treatment side effects. It is currently unclear which psychological changes are induced by nocebo education, which is information required to maximize this intervention. Two pre-registered studies investigated the effects of nocebo education on side effect expectations, side effect control beliefs, feelings toward treatments, intentions to avoid or seek side effect information, and perceptions of treatment efficacy. In Study 1 (N = 220), adult participants either watched or did not watch a nocebo education intervention video prior to reading vignettes about receiving a surgical treatment for pain and a medication for pain. Study 2 (N = 252) was similar to Study 1, with the inclusion of a health behavior video control group and participants only reading about a medication treatment for pain. In both experiments, nocebo education reduced global side effect expectations and increased side effect self-efficacy beliefs. Nocebo education also increased intentions to avoid side effect information and decreased intentions to seek more side effect information. Evidence was inconclusive on whether nocebo education changes affective associations with the treatments. The findings demonstrate that nocebo education has a multi-faceted influence with the potential to change patient behavior. The results can be used to improve the management of adverse treatment side effects.

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The influence of patient expectations on adherence to treatment regimen after myocardial infarction

Cited by 23 publications

References 33 publications

The therapeutic plan implementation in patients discharged from the hospital after myocardial infarction

The therapeutic plan implementation in patients discharged from the hospital after myocardial infarction

The quality of long‐term counselling for percutaneous coronary intervention patients: A cross‐sectional study

Identifying the psychological effects of nocebo education: results from two pre-registered experiments

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