Multicultural medication adherence: a comparative study.
The purpose of this study was to evaluate the effect of several interventions on improving medication adherence among White, Black, and Hispanic older women. A total of 109 women older than age 65 who were participating in a clinical osteoporosis trial were recruited for this 12-month study examining medication adherence. After baseline medication adherence was assessed, participants underwent standardized teaching. Participants were contacted monthly by telephone and were seen in a clinic setting every 3 months. All participants used a pillbox for 6 months, and the minority women used an electronic monitoring bottle for 6 months. Adherence was highest in White women. Black women showed significant improvement in adherence at 9 and 12 months, and Hispanic women demonstrated a significant increase in adherence at 12 months. The use of electronic monitors had a positive effect on adherence for the minority women.
Clinical Trials Unit, Connecticut Children's Medical Center, Hartford 06106, USA.
Bertha
B
Robbins
Kerry J
KJ
Rausch
Ramon I
RI
Garcia
Karen M
KM
Prestwood
D001741:Black or African American / Q000193:education / Q000208:ethnology*; D000368:Aged; D015984:Causality; D002986:Clinical Trials as Topic / Q000451:nursing / Q000523:psychology; D018864:Cultural Diversity; D016903:Drug Monitoring / Q000379:methods / Q000523:psychology; D004358:Drug Therapy / Q000451:nursing / Q000523:psychology*; D004522:Educational Status; D015914:Estrogen Replacement Therapy / Q000451:nursing / Q000523:psychology; D006630:Hispanic or Latino / Q000193:education / Q000208:ethnology*; D006801:Humans; D007182:Income; D008960:Models, Psychological; D015403:Nursing Evaluation Research; D010349:Patient Compliance / Q000208:ethnology*; D010353:Patient Education as Topic / Q000379:methods; D017010:Reminder Systems; D011795:Surveys and Questionnaires; D044465:White People / Q000193:education / Q000208:ethnology*; D014930:Women / Q000193:education / Q000523:psychology*