Jalal, Z;
Antoniou, S;
Taylor, D;
Paudyal, V;
Finlay, K;
Smith, F;
(2019)
South Asians living in the UK and adherence to coronary heart disease medication: a mixed- method study.
International Journal of Clinical Pharmacy
, 41
pp. 122-130.
10.1007/s11096-018-0760-3.
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Abstract
BACKGROUND: The prevalence of coronary heart disease amongst South Asian population in the UK is higher compared to the general population. OBJECTIVE: This study sought to investigate beliefs and experiences of South Asian patients regarding coronary heart disease and medication taking behaviour. SETTING: A London Heart Attack Centre. METHODS: This mixed method study is part of an original pilot randomised study on 71 patients involving a pharmacy-led intervention to improve medication adherence in coronary heart disease patients. South Asian patients from the randomised study took part in qualitative semi-structured telephone interviews. Both South Asian and non-South Asian patients completed the questionnaire about adherence and beliefs regarding medicines using Morisky Scale and the Belief About Medicines Questionnaire-Specific at 2 weeks, 3 and 6 months. OUTCOME: Patients’ beliefs about coronary heart disease and medication adherence. RESULTS: Seventeen South Asian patients and 54 non-South Asian patients took part. Qualitative data from 14 South Asian patients showed that while some attributed coronary heart disease to genetic, family history for their illness, others attributed it to their dietary patterns and ‘god’s will’ and that little could be done to prevent further episodes of coronary heart disease. On the Belief About Medicines Questionnaire-Specific in South Asian patients, beliefs about necessity of medicines outweighed concerns. South Asian patients (n = 17) showed a similar pattern of adherence compared to non-Asian patients (n = 54). Adherence decreased with time in both populations, adherence measured by Morisky Scale. CONCLUSION: South Asian patients in this study often attributed coronary heart disease to additional causes besides the known risk factors. Future studies on their understanding of the importance of cultural context in their attitudes to prevention and lived experience of the disease is warranted.
| Type: | Article |
|---|---|
| Title: | South Asians living in the UK and adherence to coronary heart disease medication: a mixed- method study |
| Location: | Netherlands |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s11096-018-0760-3 |
| Publisher version: | http://doi.org/10.1007/s11096-018-0760-3 |
| Language: | English |
| Additional information: | © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Adherence, Cardiovascular medication, Coronary heart disease, South Asians, United Kingdom |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10065658 |
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