Carol Hope|Jingwei Wu|Wanzhu Tu|James Young|Michael D. Murray
Association of medication adherence, knowledge, and skills with emergency department visits by adults 50 years or older with congestive heart failure
University of Mississippi Medical Center|Indiana University – Purdue University Indianapolis|Regenstrief Institute|Sidney & Lois Eskenazi Hospital|University of North Carolina at Chapel Hill|Indiana University – Purdue University Indianapolis
association medication adherence knowledge skills emergency department ed visits patients 50 years age older congestive heart failure chf studiedthe patients study enrolled usual care group ongoing trial patients chf determine effects pharmacybased intervention relevant outcomes participants medication knowledge skills assessed individual interviews medication knowledge assessed patients knowledge dosage frequency indication chf medications medications skills assessment evaluated patients dexterity ability open medication bottles literacy ability read labels ability distinguish colors tablets capsules medication adherence chf drugs calculated electronic monitors prescriptionrefill records sixmonth period primary outcomes study numbers allcause cardiovascular chfspecific ed visits sixmonth period loglinear regression models used analyze effects medication knowledge skill adherence ed visitssixtyone patients participated study multivariate loglinear models adjusted demographic variables showed lower medication adherence p 0001 inability read standard prescription auxiliary labels p 0002 associated increased number cardiovascularrelated ed visits knowledge prescribed dose associated chfspecific ed visits p 0001greater medication knowledge skills adherence associated fewer ed visits among patients 50 years age older chf urban teaching medical center