Mark R Marshall, Samantha Curd, Julia Kennedy, Dharni Khatri, Sophia Lee, Krenare Pireva, Olita Taule'alo, Porsche Tiavale-Moore, Martin J Wolley, Tian M Ma, Angela L Kam, Jun S Suh, Trudi J Aspden
Structural Equation Modelling to Identify Psychometric Determinants of Medication Adherence in a Survey of Kidney Dialysis Patients
Patient preference and adherence
study aimed investigate level patient involvement medication reconciliation processes factors associated involvement patients cardiovascular disease presenting emergency department observational crosssectional design used patients cardiovascular disease presenting adult emergency department academic medical center completed structured survey inclusive patient demographics measures related study concepts data abstracted electronic health record included patients medical history emergency department visit data multivariable model adjusted age gender education difficulty paying bills health status numeracy health literacy medication knowledge evaluated patient involvement medication discussions outcome participants n 93 median age 59 years interquartile range 5167 806 white 968 hispanic 495 married living partner approximately 41 reported employed 369 reported annual household income 25000 almost half n 44 473 reported difficulty paying monthly bills patients reported moderate medication knowledge median 38 interquartile range 3442 perceived involvement care 418 sd 91 controlling patient characteristics difficulty paying monthly bills b 036 p 005 medication knowledge b 030 p 009 associated involvement medication discussions patients presenting emergency department demonstrated moderate medication knowledge involvement medication discussions work needed engage patients