Improving the physician-patient cardiovascular risk dialogue to improve statin adherence

BMC Fam Pract. 2009 Jun 30:10:48. doi: 10.1186/1471-2296-10-48.

Abstract

Background: The purpose of this study was to evaluate the effectiveness of a patient education program developed to facilitate statin adherence.

Methods: A controlled trial was designed to test the effectiveness of a multifaceted patient education program to facilitate statin adherence. The program included a brief, in-office physician counseling kit followed by patient mailings. The primary end point was adherence to filling statin prescriptions during a 120-day period. Patients new to statins enrolled and completed a survey. Data from a national pharmacy claims database were used to track adherence.

Results: Patients new to statin therapy exposed to a patient counseling and education program achieved a 12.4 higher average number of statin prescription fill days and were 10% more likely to fill prescriptions for at least 120 days (p = .01).

Conclusion: Brief in-office counseling on cardiovascular risk followed by patient education mailings can be effective in increasing adherence. Physicians found a one-minute counseling tool and pocket guidelines useful in counseling patients.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Attitude to Health
  • Cardiovascular Diseases / prevention & control*
  • Counseling
  • Female
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Male
  • Medication Adherence*
  • Middle Aged
  • Patient Education as Topic / methods*
  • Physician-Patient Relations*
  • Risk Factors
  • Surveys and Questionnaires

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors