Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

HOW ADHERENT ARE ASIAN PATIENTS TO HEALTH RECOMMENDATIONS AFTER ACUTE CORONARY SYNDROME (ACS)?

Author

Lee WL, Abdullah KL, Bulgiba AM, Abidin IZ

Institution

University of Malaya

Abstract

Objectives: Poor adherence is a significant nursing and public health concern because it affects the patient’s quality of life and it compounds disease burden of the growing coronary heart disease population. Thus, this paper examined the recalled and adherence rates to health recommendations as well as the prevalence and factors of suboptimal adherence among survivals of ACS.

Methods: A cross sectional survey of 210 patients using consecutive sampling was conducted. The Medical Outcome Study Specific Adherence Scale (MOSSAS) questionnaire was adapted to measure the extent of patient adherence to recalled health recommendations. Logistic regression modeling was applied to determine factors and odds ratio of suboptimal adherence.

Results: The suboptimal adherence rate was 65.2% (95% CI: 58.8% to 71.7%). Recall of recommendations rates varied from 38.1% - 95.3% while the adherence rates varied from 22.1% to 95.1 % across the six aspects of health recommendation namely: medication taking, dietary modification, regular physical exercise, stress reduction, gathering social support and avoidance of substances abuse. There were higher odds of suboptimal adherence among those who had to adhere to more than three aspects of recommendations, active smokers and the Malay ethnic race.

Conclusion: Regular monitoring of patient recall and adherence rate can provides information on the effectiveness of patient care management and outcomes. Identifying patients with higher risk for poor adherence is recommended for more targeted interventions.