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Predictors of Medication Adherence Behavior to Secondary Stroke Prevention Therapy among Stroke Survivors
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| Author:
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ZAKKY CHOLISOH, HIDAYAH KARUNIAWATI, MOHD ASRUL AFFENDI ABDULLAH, FARIDAH BINTI KORMIN
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| Abstract:
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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.
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| Keyword:
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Predictor, Medication Adherence; Stroke prevention, Indonesia.
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| EOI:
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| DOI:
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| Download:
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