Antoinette B. Coe|Leticia R. Moczygemba|Sharon B.S. Gatewood|Robert D. Osborn|Gary R. Matzke|Jean Venable R. Goode
Medication adherence challenges among patients experiencing homelessness in a behavioral health clinic
Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University
behavioral health medication nonadherence associated poor health outcomes increased healthcare costs little known reasons nonadherence behavioral health medications among homeless people identify reasons medication nonadherence including sociodemographic healthrelated factors behavioral health conditions associated medication nonadherence among behavioral health patients served health care homeless center hch virginia study sample selected existing database included sociodemographic healthrelated information medicationrelated problems identified pharmacistprovided medication review conducted october 2008september 2009 patients experiencing risk homelessness 18 years old least one behavioral health condition medication review eligible study qualitative content analysis pharmacist documentation describing patients reasons medication nonadherence conducted behavioral model vulnerable populations theoretical framework outcome variable selfreported medication nonadherence descriptive multivariate logistic regression statistics used total 426 individuals met study criteria mean age 447 102 years patients africanamerican 605 female 516 content analysis identified patientrelated factors 748 therapyrelated factors 118 social economic factors 88 common reasons patients medication nonadherence patients posttraumatic stress disorder ptsd adjusted odds ratio 04 95 ci 019087 less likely medication adherence problem identified medication review content analysis identified patientrelated factors common reason nonadherence behavioral health medications quantitative analysis patients ptsd diagnosis less likely nonadherence identified may related reluctance selfreport nonadherence diagnosis warrants study