Ambulatory assessment of medication adherence in high cardiovascular-risk patients. The Polish population of the EUROASPIRE V survey

Introduction: Patients’ non-compliance with therapeutic recommendations is an important factor limiting the effectiveness of treatment. This study aimed to compare patients’ declarations regarding their drug intake (Medication Adherence Questionnaire) results in Chronic Disease Scale (ACDS). Material and methods: The included 200 patients (66.5% women) without prior cardiovascular events, diagnosed hypertension, hypercholesterolemia, or diabetes within 6-24 months before inclusion. To assess plan implementation ACDS MAQ questionnaires were used. Results: Based on declarations, a satisfactory level adherence (MAQ 5 4) was reported for 75.58% treated 51.62% diabetes, 62.22% hypercholesterolemia. A non-adherence risk assessment use yielded high (i.e. low non-adherence) 38.58% hypertension patients, 51.61% 41.11% hypercholesterolemia patients. Regardless disease, indicating full 5) almost often did not confirm that similar question 1 ACDS. Conclusions: self-assessment poses overestimation; particularly when it based answering only single question. Additional application seems help as well define barriers, beliefs, behaviors determine it. provides basis take action improve implementation.