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Coping with adverse drug events in patients with heart failure: Exploring the role of medication beliefs and perceptions

De Smedt, R. H., Jaarsma, T., Ranchor, A. V., van der Meer, K., Groenier, K. H., Haaijer-Ruskamp, F. M. & Denig, P., 2012, In : Psychology & Health. 27, 5, p. 570-587 18 p.

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This study describes coping strategies that patients with heart failure (HF) use to manage adverse drug events (ADEs). The included coping strategies were social support seeking, information seeking, non-adherence and taking alleviating medication. The role of beliefs about medication and ADE perceptions in explaining these coping strategies was assessed using the Self-Regulation Model. We performed a cross-sectional study including 250 HF patients who experienced an ADE. Patients completed validated questionnaires assessing their coping strategies, ADE perceptions and medication beliefs. Social support (60%) and information seeking (32%) were the most commonly used strategies to cope with ADEs. Nonadherence was reported by 7% of the patients. Multivariate linear regression analysis showed that demographics, clinical factors and medication beliefs explained only a small amount of the variance in coping strategies, whereas ADE perceptions explained a substantial amount of variance. Path analysis showed that patients' perceptions about the timeline, consequences and controllability of ADEs by the health care provider were directly related to their coping behaviour. The effect of patients' medication beliefs on their coping strategies was consistent with mediation through their ADE perceptions. Our results support the value of the Self-Regulation Model in understanding patients' coping behaviour with regard to ADEs.

Original languageEnglish
Pages (from-to)570-587
Number of pages18
JournalPsychology & Health
Volume27
Issue number5
Publication statusPublished - 2012

    Keywords

  • adverse drug events, coping, perception, medication beliefs, PRIMARY-CARE, ILLNESS REPRESENTATIONS, ERECTILE DYSFUNCTION, ADHERENCE, QUESTIONNAIRE, NONADHERENCE, MANAGEMENT, SYMPTOMS, HYPERTENSION, STRATEGIES

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