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Effect of limited transportation on medication adherence in patients with epilepsy.
MedLine Citation:
PMID:  21071313     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether limited transportation affects medication adherence in patients with epilepsy.
DESIGN: Descriptive, nonexperimental, cross-sectional study.
SETTING: United States and worldwide, February to April 2007.
PATIENTS: 143 patients with epilepsy.
INTERVENTION: A 22-item survey was developed to ask patients with epilepsy or their caregivers about the impact of limited transportation on adherence with medications. The survey was placed on Zoomerang.com. An invitation to participate in the survey was sent via e-mail to members of the Epilepsy.com website, and an invitation with a link to the survey was placed on Epilepsy.com.
MAIN OUTCOME MEASURES: Whether patients with epilepsy have difficulty picking up prescriptions on time because of transportation problems and whether they felt they would miss fewer doses if transportation was not an issue.
RESULTS: 143 individuals with epilepsy completed part or all of the survey. Of patients who were unable to drive, 45% reported that fewer doses would be missed if transportation was not a problem. Patients who were unable to drive had an odds ratio of 4.2 (P < 0.0001) of being unable to get medications on time. No differences were observed in the number of patients missing prescription medications associated with availability of insurance, use of mail service pharmacies, or population size of patients' area of residence. Ability to drive and distance to the pharmacy were the only factors associated with nonadherence.
CONCLUSION: Limited transportation may be a factor in poor medication adherence in patients with epilepsy.
Authors:
Timothy E Welty; Stacy L Willis; Elisabeth A Welty
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Pharmacists Association : JAPhA     Volume:  50     ISSN:  1544-3450     ISO Abbreviation:  J Am Pharm Assoc (2003)     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101176252     Medline TA:  J Am Pharm Assoc (2003)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  698-703     Citation Subset:  IM    
Affiliation:
Department of Pharmacy Practice, McWhorter School of Pharmacy, Samford University, Birmingham, AL, USA. twelty@kumc.edu
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