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Educational Psychology

Georgia State University

2009

Disease management

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An Exploratory Model Of Medication Refill Adherence Behavior, Gayle Holmes Payne Oct 2009

An Exploratory Model Of Medication Refill Adherence Behavior, Gayle Holmes Payne

Communication Sciences and Disorders Dissertations

AN EXPLORATORY MODEL OF MEDICATION REFILL ADHERENCE BEHAVIOR by Gayle Holmes Payne Coronary heart disease (CHD) is the leading cause of death in the United States with over 15.8 million Americans suffering from the chronic disease (U.S. Department of Health and Human Services, 2007). Adherence to medication regimens has been identified as a key mediator between medical practice and patient outcomes (Kravitz & Melnikow, 2004). In this study, participants (N = 355) with CHD completed a questionnaire measuring their background characteristics, cognitive status, health literacy skills, self-efficacy levels, their perceived concerns and necessity beliefs about medication use, and enablers and …