Barriers and facilitators for medication adherence in stroke patients: A qualitative study conducted in french neurological rehabilitation units
Abstract
Objective: To describe the perceptions of French patients, caregivers and healthcare professionals on stroke and secondary preventive medications. Method: A qualitative study was conducted, based on four predetermined topics: stroke, secondary prevention medications, patient's experience, relationship between patient/caregiver and healthcare team. Results: Twenty-six interviews were conducted. Difficulties in taking medications, lack of knowledge on stroke and medication benefits, fear of overmedication were identified as barriers for adherence in patients. Doubts about generic drugs were expressed by caregivers. Healthcare professionals reported lack of knowledge and absence of clinical symptoms as barriers. On the other hand, support from caregivers and healthcare professional support is essential for compliance in all participants. Patients and caregivers expressed that fear of recurrence was a facilitator for treatment compliance. Conclusion: This study highlights the barriers and facilitators for stroke treatment adherence and underlines the similarities and differences between the perceptions of patients, caregivers and healthcare professionals. These results must be integrated into the future French educational programs to improve medication adherence.
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The same factors that improve medication adherence may also decrease it.
“The same factors that improve medication adherence may also decrease it [9,10,11].”
From Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research (2021) · cites this paper as [9]
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“This is in accordance with a study conducted by Bauler et al. (2014) which stated that adherence to medication after a stroke was influenced by various barriers and facilitators.”
ResultA Review of Interventions to Improve Medication Adherence of Patients with Chronic Diseases in Asia
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Background
- Authors
- Bauler, S., Jacquin-Courtois, S., Haesebaert, J., Luaute, J., Coudeyre, E., Feutrier, C., Allenet, B., Decullier, E., Rode, G., & Janoly-Dumenil, A.
- Affiliations
- Hospices Civils de Lyon (FR)
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- Venue
- European Neurology
- Publisher
- S. Karger AG
- Published
- 2014
- Volume
- 72
- Issue
- 5-6
- Pages
- 262-270
- ISSN
- 0014-3022 (ISSN-L)
- 1421-9913
- OpenAlex
- W2019054333
- Cited by
- 36
- References
- 45
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Neurology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- medication adherence, stroke, secondary prevention, barriers and facilitators, patient perspectives, caregiver perceptions, healthcare professional perceptions, generic drugs, fear of recurrence, caregiver support, caregiver-patient relationship, patient education
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Attitude of Health Personnel, Female, France, Health Personnel, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Professional-Patient Relations, Caregivers, Stroke, Qualitative Research, Medication Adherence, Secondary Prevention, Young Adult
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