Can We Identify Minority Patients at Risk of Nonadherence to Antiplatelet Medication at the Time of Coronary Stent Placement?
Ana M Palacio, Denise C Vidot, Leonardo J Tamariz and 5 others
PMID 28060084WHAT IT FOUND
Nurse-delivered phone motivational interviewing was associated with higher antiplatelet adherence after stent placement: 64% of MINT versus 50% of DVD were adequately adherent.
Depression, illness burden, low English proficiency, and living alone flagged risk.
Key findings
0164% of participants who received nurse-delivered phone motivational interviewing were adequately adherent, compared with 50% who received the educational DVD.
02Depressive symptoms were associated with lower odds of adequate medication adherence (odds ratio 0.48), as was a higher Charlson co-morbidity score (odds ratio 0.89).
03The MINT group's association with adherence did not differ significantly by other risk factors (all p values greater than 0.10).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The participants were insured African American and Hispanic patients recruited from one insurance organization, so results may not apply to other groups. The population had low income and education, which may limit ability to discern effects of those variables. The analysis was secondary and did not retest the parent trial's randomization details.
Declared interests
The authors reported access to the data and no conflicts of interest.
The easy way to misread this
Do not read the MINT result as proof that phone motivational interviewing will improve adherence in all patients. The analysis was secondary, the population was insured African American and Hispanic patients from one insurance organization, and the effect was an association with the randomized arm.