| Preventive medication adherence in african american and caucasian headache patients. | |
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MedLine Citation:
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PMID: 21457237 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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(Headache 2011;51:520-532) Study Objectives.- To examine race-related differences in adherence to preventive medication agents in headache patients and identify factors predictive of medication adherence in Caucasian and African American headache patients. Methods.- Using a longitudinal naturalistic study design, data from 77 Caucasian and 32 African American headache patients were collected through (1) 30-day daily diaries that assessed medication adherence, headache frequency, and headache episode severity; (2) self-administered surveys that assessed headache management self-efficacy; and (3) telephone-administered psychiatric interviews that yielded psychiatric diagnoses. Using daily diary adherence data, patients' adherence to preventive agents was dichotomized as "Inconsistent" (ie, adhered fewer than 80% of days) or "Consistent" (ie, adhered ≥80% of days during the past month). Results.- The proportion of adherent African American patients (69%) did not differ significantly from the proportion of adherent Caucasian patients (82%). Exploratory univariate logistic regression analyses found that preventive medication adherence levels of 80% or less were associated with being diagnosed with major depressive disorder and lower levels of headache management self-efficacy. Conclusions.- Future research should test if interventions that reduce depressive symptoms and increase patients' levels of headache management self-efficacy can produce concomitant increases in adherence to preventive headache agents. |
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Authors:
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Bernadette D Heckman; Gary Ellis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Headache Volume: 51 ISSN: 1526-4610 ISO Abbreviation: Headache Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985091R Medline TA: Headache Country: United States |
Other Details:
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Languages: eng Pagination: 520-32 Citation Subset: IM |
Copyright Information:
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© 2011 American Headache Society. |
Affiliation:
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From the Department of Psychology, Ohio University, Athens, OH, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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