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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

A Step Towards Excellence
Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Predictors of Medication Adherence Behavior to Secondary Stroke Prevention Therapy among Stroke Survivors

Author: ZAKKY CHOLISOH, HIDAYAH KARUNIAWATI, MOHD ASRUL AFFENDI ABDULLAH, FARIDAH BINTI KORMIN
Abstract: This study aimed to identify multi-dimensional factors which affect adherence to secondary stroke prevention therapy. Ninety six (96) outpatients with stroke in a public hospital in Surakarta were recruited. The adapted Morisky Modified Scale (MMS) was used to measure medication adherence. Predictors of adherence evaluated in this study including: (1) Patient related factors, (2) treatment related factors, (3) socio-economic factors, (4) condition related factors, and (5) health care system related factors. Most stroke survivors which participate in this study were adherent to secondary stroke prevention medication. Patient related factors, socio-economic factors, condition related factors, and health care system related factors were not associated with respondents’ high adherence to their medications. However, treatment related factors particularly reported medications’ side effects were associated with high medication adherence. Patients who did not report medication side effects were 8 times more likely to be adherent to their medications than patients who reported medication side effects. This study highlighted that treatment related factor i.e. reported medication side effects was the sole independent predictors of medication adherence in secondary stroke prevention therapy.
Keyword: Predictor, Medication Adherence; Stroke prevention, Indonesia.
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