title: Barriers and facilitators for medication adherence in stroke patients: a qualitative study conducted in French neurological rehabilitation units.
abstract: OBJECTIVE
  To describe the perceptions of French patients, caregivers and healthcare professionals on stroke and secondary preventive medications.
  
  
  METHODS
  A qualitative study was conducted, based on four predetermined topics: stroke, secondary prevention medications, patient's experience, relationship between patient/caregiver and healthcare team.
  
  
  RESULTS
  Twenty-six interviews were conducted. Difficulties in taking medications, lack of knowledge on stroke and medication benefits, fear of over medication were identified as barriers for adherence in patients. Doubts about generic drugs were expressed by caregivers. Healthcare professionals reported lack of knowledge and absence of clinical symptoms as barriers. On the other hand, support from caregivers and healthcare professional support is essential for compliance in all participants. Patients and caregivers expressed that fear of recurrence was a facilitator for treatment compliance.
  
  
  CONCLUSIONS
  This study highlights the barriers and facilitators for stroke treatment adherence and underlines the similarities and differences between the perceptions of patients, caregivers and healthcare professionals. These results must be integrated into the future French educational programs to improve medication adherence.
authors.affiliation: Pôle de Rééducation et de Réadaptation Fonctionnelles, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Bauler
authors.forename: Sophie
authors.initials: S
authors.lastname: Jacquin-Courtois
authors.forename: Julie
authors.initials: J
authors.lastname: Haesebaert
authors.forename: Jacques
authors.initials: J
authors.lastname: Luaute
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Coudeyre
authors.forename: Corinne
authors.initials: C
authors.lastname: Feutrier
authors.forename: Benoit
authors.initials: B
authors.lastname: Allenet
authors.forename: Evelyne
authors.initials: E
authors.lastname: Decullier
authors.forename: Gilles
authors.initials: G
authors.lastname: Rode
authors.forename: Audrey
authors.initials: A
authors.lastname: Janoly-Dumenil
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D011369:Professional-Patient Relations; D036301:Qualitative Research; D055502:Secondary Prevention; D020521:Stroke / Q000188:drug therapy* / Q000523:psychology*; D000071939:Stroke Rehabilitation; D055815:Young Adult