Patient-reported barriers to statin adherence: Excerpts from a motivational interviewing intervention in older adults

ObjectiveDespite a known benefit in the reduction of cardiovascular risk, adherence to statins remains suboptimal. A qualitative analysis was conducted within an intervention that identified trajectories statin patients and used motivational interviewing (MoI) improve adherence. The objective this study evaluate transcripts MoI telephonic identify potential, past, current barriers specific distinct trajectories.MethodsThe customized by past 1-year (rapid discontinuation, gradual decline, gaps adherence). Two authors independently extracted documented from phone transcripts. Themes were derived literature priori cataloging recurring themes transcripts.ResultsThe calls made 157 reviewed which 25.2% did not communicate barrier despite falling into low-adherence trajectory when examining refill data. most commonly reported included adverse effects (40.1%), forgetfulness (30.0%), lack skills or knowledge pertaining (25%). More rapid discontinuation group perceived medication as unnecessary, whereas more communication with their health care provider. Several among who fell reported. Some report any barriers, may have indicated denial. useful providing knowledge, clarifying regimens, reinforcing need take statins.ConclusionThis patient-reported elicited during student pharmacists. There differences each trajectory, emphasize for additional tailored interventions patient