Medication adherence, biological and lifestyle risk factors in patients with myocardial infarction: a ten-year follow-up on socially differentiated cardiac rehabilitation Article Swipe
Kathrine Hald
,
Finn Breinholt Larsen
,
Kirsten Melgaard Nielsen
,
Lucette Kirsten Meillier
,
Martin Berg Johansen
,
Mogens Lytken Larsen
,
Bo Christensen
,
Claus Vinther Nielsen
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1080/02813432.2019.1608046
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1080/02813432.2019.1608046
Objective: There is strong evidence that medication adherence and lifestyle changes are essential in patients undergoing secondary cardiovascular disease prevention. Cardiac rehabilitation (CR) increases medication adherence and improves lifestyle changes. Patients with cardiac diseases and a low educational level and patients with little social support are less responsive to improve medication adherence and to adapt lifestyle changes. The aim of the present study was to investigate the long-term effects of a socially differentiated CR intervention on medication adherence as well as changes in biological and lifestyle risk factors at two- five- and ten-year follow-up. Design: A prospective cohort study. Setting: The cardiac ward at Aarhus University Hospital, Denmark. Intervention: A socially differentiated CR intervention in addition to the standard CR program. Subjects: Patients admitted with first-episode myocardial infarction between 2000 and 2004, N = 379. Patients were defined as socially vulnerable or non-socially vulnerable according to their educational level and extent of social network. Main outcome measures: Primary outcome was medication adherence to antithrombotics, beta-blockers, statins and angiotensin-converting enzyme inhibitors. Secondary outcomes were biological and lifestyle risk factors defined as; total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, glycated hemoglobin, blood pressure and smoking status. Results: No significant long-term effect of the intervention was found. Conclusions: The results indicate a non-significant effect of the intervention. However, it was found that equality in health was improved in the study population except concerning smoking. General practitioners manage to support the long-term secondary cardiovascular disease prevention in all patients regardless of social status. Key points The socially differentiated intervention did not significantly improve medication adherence or biological and lifestyle risk factors. Despite the non-significant effect of the intervention, equality in health was improved except concerning smoking. General practitioners managed to support the long-term secondary cardiovascular disease prevention in all patients regardless of social status.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1080/02813432.2019.1608046
- https://www.tandfonline.com/doi/pdf/10.1080/02813432.2019.1608046?needAccess=true
- OA Status
- gold
- Cited By
- 18
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2945889058
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2945889058Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1080/02813432.2019.1608046Digital Object Identifier
- Title
-
Medication adherence, biological and lifestyle risk factors in patients with myocardial infarction: a ten-year follow-up on socially differentiated cardiac rehabilitationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-04-03Full publication date if available
- Authors
-
Kathrine Hald, Finn Breinholt Larsen, Kirsten Melgaard Nielsen, Lucette Kirsten Meillier, Martin Berg Johansen, Mogens Lytken Larsen, Bo Christensen, Claus Vinther NielsenList of authors in order
- Landing page
-
https://doi.org/10.1080/02813432.2019.1608046Publisher landing page
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https://www.tandfonline.com/doi/pdf/10.1080/02813432.2019.1608046?needAccess=trueDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
-
https://www.tandfonline.com/doi/pdf/10.1080/02813432.2019.1608046?needAccess=trueDirect OA link when available
- Concepts
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Medicine, Myocardial infarction, Rehabilitation, Secondary prevention, Physical therapy, Internal medicine, Emergency medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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18Total citation count in OpenAlex
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2025: 2, 2024: 1, 2023: 3, 2022: 3, 2021: 5Per-year citation counts (last 5 years)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.outcomes | 171 |
| abstract_inverted_index.patients | 14, 40, 245, 296 |
| abstract_inverted_index.pressure | 191 |
| abstract_inverted_index.program. | 120 |
| abstract_inverted_index.smoking. | 231, 282 |
| abstract_inverted_index.socially | 71, 110, 139, 253 |
| abstract_inverted_index.standard | 118 |
| abstract_inverted_index.ten-year | 92 |
| abstract_inverted_index.Hospital, | 106 |
| abstract_inverted_index.Secondary | 170 |
| abstract_inverted_index.according | 144 |
| abstract_inverted_index.adherence | 7, 25, 51, 77, 161, 261 |
| abstract_inverted_index.essential | 12 |
| abstract_inverted_index.increases | 23 |
| abstract_inverted_index.lifestyle | 9, 28, 55, 85, 175, 265 |
| abstract_inverted_index.long-term | 67, 198, 238, 289 |
| abstract_inverted_index.secondary | 16, 239, 290 |
| abstract_inverted_index.University | 105 |
| abstract_inverted_index.biological | 83, 173, 263 |
| abstract_inverted_index.concerning | 230, 281 |
| abstract_inverted_index.follow-up. | 93 |
| abstract_inverted_index.infarction | 127 |
| abstract_inverted_index.medication | 6, 24, 50, 76, 160, 260 |
| abstract_inverted_index.myocardial | 126 |
| abstract_inverted_index.population | 228 |
| abstract_inverted_index.prevention | 242, 293 |
| abstract_inverted_index.regardless | 246, 297 |
| abstract_inverted_index.responsive | 47 |
| abstract_inverted_index.undergoing | 15 |
| abstract_inverted_index.vulnerable | 140, 143 |
| abstract_inverted_index.educational | 37, 147 |
| abstract_inverted_index.hemoglobin, | 189 |
| abstract_inverted_index.inhibitors. | 169 |
| abstract_inverted_index.investigate | 65 |
| abstract_inverted_index.lipoprotein | 183, 186 |
| abstract_inverted_index.low-density | 182 |
| abstract_inverted_index.prevention. | 19 |
| abstract_inverted_index.prospective | 96 |
| abstract_inverted_index.significant | 197 |
| abstract_inverted_index.cholesterol, | 181, 184, 187 |
| abstract_inverted_index.high-density | 185 |
| abstract_inverted_index.intervention | 74, 113, 202, 255 |
| abstract_inverted_index.non-socially | 142 |
| abstract_inverted_index.first-episode | 125 |
| abstract_inverted_index.intervention, | 274 |
| abstract_inverted_index.intervention. | 214 |
| abstract_inverted_index.measures:</b> | 156 |
| abstract_inverted_index.practitioners | 233, 284 |
| abstract_inverted_index.significantly | 258 |
| abstract_inverted_index.<b>Design:</b> | 94 |
| abstract_inverted_index.beta-blockers, | 164 |
| abstract_inverted_index.cardiovascular | 17, 240, 291 |
| abstract_inverted_index.differentiated | 72, 111, 254 |
| abstract_inverted_index.rehabilitation | 21 |
| abstract_inverted_index.<b>Results:</b> | 195 |
| abstract_inverted_index.<b>Setting:</b> | 99 |
| abstract_inverted_index.non-significant | 210, 270 |
| abstract_inverted_index.<b>Subjects:</b> | 121 |
| abstract_inverted_index.antithrombotics, | 163 |
| abstract_inverted_index.<b>Objective:</b> | 0 |
| abstract_inverted_index.<b>Conclusions:</b> | 205 |
| abstract_inverted_index.<b>Intervention:</b> | 108 |
| abstract_inverted_index.angiotensin-converting | 167 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5109401796 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I204337017 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.4099999964237213 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.87494711 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |