Association between addressing antiseizure drug side effects and patient-reported medication adherence in epilepsy

Lidia M.V.R. Moura, Thiago S. Carneiro, Andrew J. Cole, John Hsu, Barbara G. Vickrey, Daniel B. Hoch

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background and aim: Adherence to treatment is a critical component of epilepsy management. This study examines whether addressing antiepileptic drug (AED) side effects at every visit is associated with increased patient-reported medication adherence. Patients and methods: This study identified 243 adults with epilepsy who were seen at two academic outpatient neurology settings and had at least two visits over a 3-year period. Demographic and clinical characteristics were abstracted. Evidence that AED side effects were addressed was measured through 1) phone interview (patient-reported) and 2) medical records abstraction (physician-documented). Medication adherence was assessed using the validated Morisky Medication Adherence Scale-4. Complete adherence was determined as answering “no” to all questions. Results: Sixty-two (25%) patients completed the interviews. Participants and nonparticipants were comparable with respect to demographic and clinical characteristics; however, a smaller proportion of participants had a history of drug-resistant epilepsy than nonparticipants (17.7% vs 30.9%, P=0.04). Among the participants, evidence that AED side effects were addressed was present in 48 (77%) medical records and reported by 51 (82%) patients. Twenty-eight (45%) patients reported complete medication adherence. The most common reason for incomplete adherence was missed medication due to forgetfulness (n=31, 91%). There was no association between addressing AED side effects (neither physician-documented nor patient-reported) and complete medication adherence (P=0.22 and 0.20). Discussion and conclusion: Among patients with epilepsy, addressing medication side effects at every visit does not appear to increase patient-reported medication adherence.

Original languageEnglish
Pages (from-to)2197-2207
Number of pages11
JournalPatient Preference and Adherence
Volume10
DOIs
StatePublished - 31 Oct 2016

Keywords

  • Antiepileptic drug side effects
  • Epilepsy
  • Medication adherence

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