title: Factors associated with changes over time in medication-taking behavior up to 12 months after initial mild cerebral infarction onset.
abstract: OBJECTIVE
  The aim of this study was to clarify the changes in medication-taking behavior and related factors over time in patients with initial mild cerebral infarction up to 12 months after onset.
  
  
  METHODS
  Thirty-one patients with initial mild cerebral infarction were surveyed a total of four times: on admission to hospital, 3 months after onset, 6 months after onset, and 12 months after onset. Patients were surveyed regarding medication compliance, awareness of taking medication, perceived behavioral control, lifestyle risk factors, and subjective norms.
  
  
  RESULTS
  Medication compliance improved over time from the time of admission, but no changes were seen in awareness of taking medication. A cluster analysis based on changes in medication compliance over time revealed a "Persistently high compliance group" and a "Persistently low compliance group" for medication compliance. The health locus of control in the "Persistently high compliance group" was perceived as the result of chance and fate.
  
  
  CONCLUSIONS
  Assessing the current state of medication compliance and the health locus of control during hospitalization permitted an understanding of patient characteristics, and indicated a need for recurrence prevention education and medication guidance tailored to each patient's cognitive and behavioral characteristics. J. Med. Invest. 64: 85-95, February, 2017.
authors.affiliation: Graduate School of Health Sciences, Tokushima University.
authors.forename: Akie
authors.initials: A
authors.lastname: Kobayashi
authors.forename: Ayako
authors.initials: A
authors.lastname: Tamura
authors.forename: Takako
authors.initials: T
authors.lastname: Ichihara
authors.forename: Takako
authors.initials: T
authors.lastname: Minagawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000188:drug therapy* / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D055502:Secondary Prevention; D011795:Surveys and Questionnaires; D013997:Time Factors