Evidence map›Paper›PMID 25500787›Full record

Trial reportJournal of general internal medicine2015

Can phone-based motivational interviewing improve medication adherence to antiplatelet medications after a coronary stent among racial minorities? A randomized trial.

Ana M Palacio, Claudia Uribe, Leslie Hazel-Fernandez, Hua Li, Leonardo J Tamariz, Sylvia D Garay, Olveen Carrasquillo

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  3. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
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  5. Income and antiplatelet adherence following percutaneous coronary intervention.International journal of cardiology. Cardiovascular risk and prevention · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ana M PalacioDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA, APalacio2@med.miami.edu.
Claudia Uribe
Leslie Hazel-Fernandez
Hua Li
Leonardo J Tamariz
Sylvia D Garay
Olveen Carrasquillo
University of Miami · USComprehensive Clinical Research · USVeterans Health Administration · US

Funding

Improving Adherence to Post PCI Antiplatelet Theraphy in Minority PopulationsRC1MD004327 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PALACIO, ANA MARIA · 2009 to 2010
$947k
NIMHD NIH HHS 5 RC1 MD004327NIMHD NIH HHS RC1 MD004327
6 · The paper itself

Abstract

backgroundMinorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement

objectiveThe 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.

designThis was a randomized study.

participantsWe identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm.

interventionsMINT 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

resultsWe 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.

conclusionsAmong 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.

Indexed as

Minority GroupsStentsAgedBlack PeopleCoronary VesselsFemaleHispanic or LatinoHumansInterviews as TopicMaleMedication AdherenceMiddle AgedMotivational InterviewingPlatelet Aggregation InhibitorsPlatelet Aggregation Inhibitors

Identifiers

PMID25500787
PMCPMC4370989
OpenAlexW2044716222

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.