title: The effect of self-efficacy enhancement program on medication adherence among post-acute myocardial infarction.
abstract: Studies have reported that adherence to medications after hospital discharge for myocardial infarction is poor with about 12% to 20% of patients discontinue their medications six months after discharge. This study aimed to examine the effect of self-efficacy enhancement program on medication adherence in post-acute myocardial infarction patients.
  
  
  
  A total 44 patient with post-acute myocardial infarction were recruited from the in-patient department, Police General Hospital. The participants were random assigned into control group and experimental group. The control group received conventional care while the experimental group attended a four-week self-efficacy enhancement program, which included motivation, skill practice, and monitoring skills. The mean self-efficacy score between groups was assessed. The pill count was used to measure medication adherence. Correlations between self-efficacy and medication adherence were examined. Data were analyzed using descriptive statistic, Pearson's correlation, and t-test.
  
  
  
  The mean score on medication adherence of the experiment group who attended the self-efficacy enhancement program was significantly greater than the control group (t=-2.77; df=21; p=0.01). The mean scores of self-efficacy between the experimental and control group were 35.73 (SD=4.11) and 35.41 (SD=3.78). The correlations between self-efficacy and medication adherence were significantly (r=1.00, p=0.00).
  
  
  
  The effectiveness of self-efficacy enhancement program was effective in improving medication adherence in Thai post-acute myocardial infarction.
authors.affiliation: Faculty of Nursing, Chulalongkorn University, Bangkok 10330, Thailand. Electronic address: Rapin.p@chula.ac.th.
authors.forename: Rapin
authors.initials: R
authors.lastname: Polsook
authors.affiliation: Faculty of Nursing, Chulalongkorn University, Bangkok 10330, Thailand. Electronic address: Yupin.a@chula.ac.th.
authors.forename: Yupin
authors.initials: Y
authors.lastname: Aungsuroch
authors.affiliation: Faculty of Nursing, Chulalongkorn University, Bangkok 10330, Thailand. Electronic address: ta_thida@hotmail.com.
authors.forename: Thida
authors.initials: T
authors.lastname: Thongvichean
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D020377:Self Efficacy
keywords: Medication adherence; Myocardial infarction; Self-efficacy; Thai