Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial
ABSTRACT BACKGROUND Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement OBJECTIVE The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving a...
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| Veröffentlicht in: | Journal of general internal medicine : JGIM 2015-04, Vol.30 (4), p.469-475 |
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| creator | Palacio, Ana M. Uribe, Claudia Hazel-Fernandez, Leslie Li, Hua Tamariz, Leonardo J. Garay, Sylvia D. Carrasquillo, Olveen |
| description | ABSTRACT
BACKGROUND
Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement
OBJECTIVE
The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving adherence to antiplatelet medications among insured minorities.
DESIGN
This was a randomized study.
PARTICIPANTS
We identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm.
INTERVENTIONS
MINT subjects received quarterly phone calls and the DVD group received a one-time mailed video.
MAIN MEASURES
Outcome variables were collected at baseline and at 12-month post-stent, using surveys and administrative data. The primary outcome was antiplatelet (clopidogrel and prasugrel) adherence measured by Medication Possession Ratio (MPR) and self- reported adherence (Morisky score). We also measured appropriate adherence defined as an MPR ≥ 0.80.
KEY RESULTS
We recruited 452 minority subjects with a new coronary stent (44 % Hispanics and 56 % Black). The patients had a mean age of 69.5 ± 8.8, 58 % were males, 78 % had an income lower than $30,000 per year and only 22 % had achieved high school education or higher. The MPR for antiplatelet medications was 0.77 for the MINT group compared to 0.70 for the DVD group (
p
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| doi_str_mv | 10.1007/s11606-014-3139-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4370989</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3641757141</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-5f058263b2132c87fe5edd09bbd29436524ccee94c5375ed1388f91a15c391fb3</originalsourceid><addsrcrecordid>eNp1ks-O0zAQxi0EYsvCA3BBlrhwCdhxnDgXUKj4U2krECxny3UmrVeJ3bXdIngf3pPpdlkVJE6WPL_55hv7I-QpZy85Y82rxHnN6oLxqhBctIW6R2ZclrLgVdvcJzOmVFWoRlRn5FFKV4xxUZbqITkrpcR-1czIr7nx9PMmeCjemgQ9XYbs9ia74M1IFz5D3Dv47vyaLqZtDHugS-idvSFo128ggrdAc6Cdz247mgwj5BMo0W5AFWroPERUjT_o1ww-024KqPrFWIeTls6H6LKD9IZ2eOn7MLmf6OcyYvkxeTCYMcGT2_OcfHv_7nL-sbj49GEx7y4KKyuWCzkwqcparEpc1KpmAAl9z9rVqi_bStSyrKwFaCsrRYMlLpQaWm64tKLlw0qck9dH3e1uNUFv0WY0o95GN6FvHYzTf1e82-h12OtKNKxVLQq8uBWI4XoHKevJJQvjaDyEXdK8ruumxGEM0ef_oFdhF_HVb6jmoMY5UvxI2RhSijDcmeFMH0KgjyHQGAJ9CIFW2PPsdIu7jj-_jkB5BBKW_Briyej_qv4GQIS_yA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1667989311</pqid></control><display><type>article</type><title>Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Palacio, Ana M. ; Uribe, Claudia ; Hazel-Fernandez, Leslie ; Li, Hua ; Tamariz, Leonardo J. ; Garay, Sylvia D. ; Carrasquillo, Olveen</creator><creatorcontrib>Palacio, Ana M. ; Uribe, Claudia ; Hazel-Fernandez, Leslie ; Li, Hua ; Tamariz, Leonardo J. ; Garay, Sylvia D. ; Carrasquillo, Olveen</creatorcontrib><description>ABSTRACT
BACKGROUND
Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement
OBJECTIVE
The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving adherence to antiplatelet medications among insured minorities.
DESIGN
This was a randomized study.
PARTICIPANTS
We identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm.
INTERVENTIONS
MINT subjects received quarterly phone calls and the DVD group received a one-time mailed video.
MAIN MEASURES
Outcome variables were collected at baseline and at 12-month post-stent, using surveys and administrative data. The primary outcome was antiplatelet (clopidogrel and prasugrel) adherence measured by Medication Possession Ratio (MPR) and self- reported adherence (Morisky score). We also measured appropriate adherence defined as an MPR ≥ 0.80.
KEY RESULTS
We recruited 452 minority subjects with a new coronary stent (44 % Hispanics and 56 % Black). The patients had a mean age of 69.5 ± 8.8, 58 % were males, 78 % had an income lower than $30,000 per year and only 22 % had achieved high school education or higher. The MPR for antiplatelet medications was 0.77 for the MINT group compared to 0.70 for the DVD group (
p
< 0.05). The percentage of subjects with adequate adherence to their antiplatelet medication was 64 % in the MINT group and 50 % in the DVD group (
p
< 0.01). Self-reported adherence at 12 months was higher in the MINT group compared to the DVD group (
p
< 0.01). Results were similar among drug-eluting stent (DES) recipients.
CONCLUSIONS
Among racial minorities, a phone-based motivational interview is effective at improving adherence to antiplatelet medications post coronary stent placement. Phone-based MINT seems to be a promising and cost-effective strategy to modify risk behaviors among minority populations at high cardiovascular risk.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-014-3139-8</identifier><identifier>PMID: 25500787</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>African Continental Ancestry Group - ethnology ; African Continental Ancestry Group - psychology ; Aged ; Cardiovascular system ; Compliance ; Coronary Vessels - pathology ; Coronary Vessels - surgery ; Drug therapy ; Female ; Hispanic Americans - ethnology ; Hispanic Americans - psychology ; Humans ; Internal Medicine ; Interviews as Topic - methods ; Male ; Medication Adherence - ethnology ; Medication Adherence - psychology ; Medicine ; Medicine & Public Health ; Middle Aged ; Minority & ethnic groups ; Minority Groups - psychology ; Motivational Interviewing - methods ; Original Research ; Platelet Aggregation Inhibitors - therapeutic use ; Stents</subject><ispartof>Journal of general internal medicine : JGIM, 2015-04, Vol.30 (4), p.469-475</ispartof><rights>Society of General Internal Medicine 2014</rights><rights>Society of General Internal Medicine 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-5f058263b2132c87fe5edd09bbd29436524ccee94c5375ed1388f91a15c391fb3</citedby><cites>FETCH-LOGICAL-c540t-5f058263b2132c87fe5edd09bbd29436524ccee94c5375ed1388f91a15c391fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370989/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370989/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25500787$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palacio, Ana M.</creatorcontrib><creatorcontrib>Uribe, Claudia</creatorcontrib><creatorcontrib>Hazel-Fernandez, Leslie</creatorcontrib><creatorcontrib>Li, Hua</creatorcontrib><creatorcontrib>Tamariz, Leonardo J.</creatorcontrib><creatorcontrib>Garay, Sylvia D.</creatorcontrib><creatorcontrib>Carrasquillo, Olveen</creatorcontrib><title>Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>ABSTRACT
BACKGROUND
Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement
OBJECTIVE
The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving adherence to antiplatelet medications among insured minorities.
DESIGN
This was a randomized study.
PARTICIPANTS
We identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm.
INTERVENTIONS
MINT subjects received quarterly phone calls and the DVD group received a one-time mailed video.
MAIN MEASURES
Outcome variables were collected at baseline and at 12-month post-stent, using surveys and administrative data. The primary outcome was antiplatelet (clopidogrel and prasugrel) adherence measured by Medication Possession Ratio (MPR) and self- reported adherence (Morisky score). We also measured appropriate adherence defined as an MPR ≥ 0.80.
KEY RESULTS
We recruited 452 minority subjects with a new coronary stent (44 % Hispanics and 56 % Black). The patients had a mean age of 69.5 ± 8.8, 58 % were males, 78 % had an income lower than $30,000 per year and only 22 % had achieved high school education or higher. The MPR for antiplatelet medications was 0.77 for the MINT group compared to 0.70 for the DVD group (
p
< 0.05). The percentage of subjects with adequate adherence to their antiplatelet medication was 64 % in the MINT group and 50 % in the DVD group (
p
< 0.01). Self-reported adherence at 12 months was higher in the MINT group compared to the DVD group (
p
< 0.01). Results were similar among drug-eluting stent (DES) recipients.
CONCLUSIONS
Among racial minorities, a phone-based motivational interview is effective at improving adherence to antiplatelet medications post coronary stent placement. Phone-based MINT seems to be a promising and cost-effective strategy to modify risk behaviors among minority populations at high cardiovascular risk.</description><subject>African Continental Ancestry Group - ethnology</subject><subject>African Continental Ancestry Group - psychology</subject><subject>Aged</subject><subject>Cardiovascular system</subject><subject>Compliance</subject><subject>Coronary Vessels - pathology</subject><subject>Coronary Vessels - surgery</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Hispanic Americans - ethnology</subject><subject>Hispanic Americans - psychology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Interviews as Topic - methods</subject><subject>Male</subject><subject>Medication Adherence - ethnology</subject><subject>Medication Adherence - psychology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups - psychology</subject><subject>Motivational Interviewing - methods</subject><subject>Original Research</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Stents</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1ks-O0zAQxi0EYsvCA3BBlrhwCdhxnDgXUKj4U2krECxny3UmrVeJ3bXdIngf3pPpdlkVJE6WPL_55hv7I-QpZy85Y82rxHnN6oLxqhBctIW6R2ZclrLgVdvcJzOmVFWoRlRn5FFKV4xxUZbqITkrpcR-1czIr7nx9PMmeCjemgQ9XYbs9ia74M1IFz5D3Dv47vyaLqZtDHugS-idvSFo128ggrdAc6Cdz247mgwj5BMo0W5AFWroPERUjT_o1ww-024KqPrFWIeTls6H6LKD9IZ2eOn7MLmf6OcyYvkxeTCYMcGT2_OcfHv_7nL-sbj49GEx7y4KKyuWCzkwqcparEpc1KpmAAl9z9rVqi_bStSyrKwFaCsrRYMlLpQaWm64tKLlw0qck9dH3e1uNUFv0WY0o95GN6FvHYzTf1e82-h12OtKNKxVLQq8uBWI4XoHKevJJQvjaDyEXdK8ruumxGEM0ef_oFdhF_HVb6jmoMY5UvxI2RhSijDcmeFMH0KgjyHQGAJ9CIFW2PPsdIu7jj-_jkB5BBKW_Briyej_qv4GQIS_yA</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Palacio, Ana M.</creator><creator>Uribe, Claudia</creator><creator>Hazel-Fernandez, Leslie</creator><creator>Li, Hua</creator><creator>Tamariz, Leonardo J.</creator><creator>Garay, Sylvia D.</creator><creator>Carrasquillo, Olveen</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150401</creationdate><title>Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial</title><author>Palacio, Ana M. ; Uribe, Claudia ; Hazel-Fernandez, Leslie ; Li, Hua ; Tamariz, Leonardo J. ; Garay, Sylvia D. ; Carrasquillo, Olveen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-5f058263b2132c87fe5edd09bbd29436524ccee94c5375ed1388f91a15c391fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>African Continental Ancestry Group - ethnology</topic><topic>African Continental Ancestry Group - psychology</topic><topic>Aged</topic><topic>Cardiovascular system</topic><topic>Compliance</topic><topic>Coronary Vessels - pathology</topic><topic>Coronary Vessels - surgery</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Hispanic Americans - ethnology</topic><topic>Hispanic Americans - psychology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Interviews as Topic - methods</topic><topic>Male</topic><topic>Medication Adherence - ethnology</topic><topic>Medication Adherence - psychology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Minority Groups - psychology</topic><topic>Motivational Interviewing - methods</topic><topic>Original Research</topic><topic>Platelet Aggregation Inhibitors - therapeutic use</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palacio, Ana M.</creatorcontrib><creatorcontrib>Uribe, Claudia</creatorcontrib><creatorcontrib>Hazel-Fernandez, Leslie</creatorcontrib><creatorcontrib>Li, Hua</creatorcontrib><creatorcontrib>Tamariz, Leonardo J.</creatorcontrib><creatorcontrib>Garay, Sylvia D.</creatorcontrib><creatorcontrib>Carrasquillo, Olveen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palacio, Ana M.</au><au>Uribe, Claudia</au><au>Hazel-Fernandez, Leslie</au><au>Li, Hua</au><au>Tamariz, Leonardo J.</au><au>Garay, Sylvia D.</au><au>Carrasquillo, Olveen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><stitle>J GEN INTERN MED</stitle><addtitle>J Gen Intern Med</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>30</volume><issue>4</issue><spage>469</spage><epage>475</epage><pages>469-475</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>ABSTRACT
BACKGROUND
Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement
OBJECTIVE
The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving adherence to antiplatelet medications among insured minorities.
DESIGN
This was a randomized study.
PARTICIPANTS
We identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm.
INTERVENTIONS
MINT subjects received quarterly phone calls and the DVD group received a one-time mailed video.
MAIN MEASURES
Outcome variables were collected at baseline and at 12-month post-stent, using surveys and administrative data. The primary outcome was antiplatelet (clopidogrel and prasugrel) adherence measured by Medication Possession Ratio (MPR) and self- reported adherence (Morisky score). We also measured appropriate adherence defined as an MPR ≥ 0.80.
KEY RESULTS
We recruited 452 minority subjects with a new coronary stent (44 % Hispanics and 56 % Black). The patients had a mean age of 69.5 ± 8.8, 58 % were males, 78 % had an income lower than $30,000 per year and only 22 % had achieved high school education or higher. The MPR for antiplatelet medications was 0.77 for the MINT group compared to 0.70 for the DVD group (
p
< 0.05). The percentage of subjects with adequate adherence to their antiplatelet medication was 64 % in the MINT group and 50 % in the DVD group (
p
< 0.01). Self-reported adherence at 12 months was higher in the MINT group compared to the DVD group (
p
< 0.01). Results were similar among drug-eluting stent (DES) recipients.
CONCLUSIONS
Among racial minorities, a phone-based motivational interview is effective at improving adherence to antiplatelet medications post coronary stent placement. Phone-based MINT seems to be a promising and cost-effective strategy to modify risk behaviors among minority populations at high cardiovascular risk.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25500787</pmid><doi>10.1007/s11606-014-3139-8</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0884-8734 |
| ispartof | Journal of general internal medicine : JGIM, 2015-04, Vol.30 (4), p.469-475 |
| issn | 0884-8734 1525-1497 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4370989 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | African Continental Ancestry Group - ethnology African Continental Ancestry Group - psychology Aged Cardiovascular system Compliance Coronary Vessels - pathology Coronary Vessels - surgery Drug therapy Female Hispanic Americans - ethnology Hispanic Americans - psychology Humans Internal Medicine Interviews as Topic - methods Male Medication Adherence - ethnology Medication Adherence - psychology Medicine Medicine & Public Health Middle Aged Minority & ethnic groups Minority Groups - psychology Motivational Interviewing - methods Original Research Platelet Aggregation Inhibitors - therapeutic use Stents |
| title | Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial |
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