Medication-taking for coronary artery disease - Patients' perspectives

Background: Medication adherence as a healthcare issue has preoccupied researchers and clinicians for several decades. Sustained investigation is justified given the extent and consequences of non-adherence. While quantitative methodologies conducted predominately from a healthcare professionals' perspective have generated numerous relevant factors involved in adhering to medical regimens, patients' perspectives are required for a more comprehensive appreciation of patient priorities in medication-taking. Aim: The aim of this study was to gain a dynamic understanding of the perspectives of patients with coronary artery disease (CAD) on the factors relating to medication-taking. Methods: A qualitative, descriptive research design was adopted. Ten semi-structured interviews were conducted over a three month period and analysed using content analysis techniques. Findings: Three key dimensions to medication-taking were identified: Keeping track-ways of taking tablets; Reasoning about medications and Social/Professional influences on medication-taking. Conclusion: Research results add to the existing body of knowledge on patients' perspectives on medication-taking. They provide clinicians with an insight into the different dimensions and complex interactions involved. (C) 2007 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.