Amy M. Bauer|Melissa M. Parker|Dean Schillinger|Wayne Katon|Nancy E. Adler|Alyce S. Adams|Howard H. Moffet|Andrew J. Karter
Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)
University of Washington|Kaiser Permanente|University of California, San Francisco|University of Washington|University of California, San Francisco|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente
depression adherence antidepressant treatment important clinical concerns diabetes care patientprovider communication patterns associated adherence cardiometabolic medications unknown whether interpersonal aspects care impact antidepressant medication adherence determine whether shared decisionmaking patientprovider trust communication associated early stage ongoing antidepressant adherence observational new prescription cohort study kaiser permanente northern california one thousand five hundred twentythree adults type 2 diabetes completed survey 2006 received new antidepressant prescription 20062010 exposures included items based trust physicians interpersonal processes care instruments consumer assessment healthcare providers systems cahps communication scale measures adherence estimated using validated methods physician prescribing pharmacy dispensing data primary nonadherence medication never dispensed early nonpersistence dispensed never refilled new prescription medication gap npmg proportion time without medication 12 months initial prescription adjusting potential confounders patients perceived lack shared decisionmaking significantly associated primary nonadherence rr 242 p 005 early nonpersistence rr 134 p 001 npmg estimated 5 greater gap medication supply p 001 less trust provider significantly associated early nonpersistence rrs 122125 ps 005 npmg estimated npmg differences 58 ps 001 patients insured consistent access quality care patients perceptions relationships providers including lack shared decisionmaking trust demonstrated strong associations antidepressant nonadherence research explore whether interventions healthcare providers systems foster shared decisionmaking trust might also improve medication adherence