Medication Adherence, Self-efficacy, and Attitude toward the Management of Coronary Artery Disease among Elderly with Coronary Artery Disease
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Date
2025-06
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Publisher
Wolters Kluwer – Medknow
Abstract
Introduction: Coronary artery disease (CAD) is the fourth most common chronic illness in the elderly. Despite advancements in the management of CAD, medication therapy remains the supreme mode of treatment. Methods: The study aimed to assess medication adherence, self?efficacy, and attitude toward the management of CAD in 380 older adults.Adherence Scale in Chronic Disease Scale, Sullivan’s Cardiac Self?efficacy Scale, and a self?constructed attitude scale were used to assess medication adherence, cardiac self?efficacy, and attitude toward the management of CAD. Results: The majority (49.21%) reported medium medication adherence. The self?efficacy mean score was 49.56 ± 9.07. More than half, 53.16% had an unfavorable attitude toward the management of CAD. A positive correlation was established between medication adherence and cardiac self?efficacy, medication adherence and attitude, and cardiac self?efficacy and attitude with ? = 0.3801, P ? 0.0001; ? = 0.4562, P ? 0.0001; and r=0.3411, P? 0.0001,respectively.Discussion:The currentstudy findingswere aligned to the findings of a clinicalresearch study among 221 patients which revealed that 49.8% had a medium level of adherence, whereas 26.7% had high adherence and 23.5% had low level of adherence on using the Adherence in Chronic Disease Scale. This study indicates the need for nurses and other healthcare providers to assess medication adherence, self?efficacy, and attitude ofthe patients periodically, asitwill help themto identify the patients atrisk and plan interventions appropriately.Conclusion: Older adults with CAD are at a risk of developing life-threatening complications due to various influencing factors. Therefore, healthcare workers should collaborate to pave the ground for ensuring higher medication adherence and improving the general health of older adults.
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Keywords
Attitude toward management of coronary artery disease, coronary artery disease, medication adherence, older adults, self?efficacy
Citation
Prakash DD, Lucas A, Jayaraman S, George OK, Gowri M. Medication Adherence, Self-efficacy, and Attitude toward the Management of Coronary Artery Disease among Elderly with Coronary Artery Disease. Journal of the Indian Academy of Geriatrics. 2025 Jun; 21(2): 94-99