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This study aims to assess medication adherence and the appropriateness of prescribed medications among patients admitted to the Coronary Care Unit (CCU). The study will use the Medication Appropriateness Index (MAI) to evaluate the suitability of prescribed medications and the Beliefs about Medicines Questionnaire (BMQ) to assess patients' beliefs and perceptions regarding their medications. Understanding medication adherence and related beliefs may help identify factors associated with inappropriate medication use and non-adherence in hospitalized cardiac patients. The findings of this study may contribute to improving medication management and patient care in the CCU setting.
This is a cross-sectional observational study conducted in the Coronary Care Unit (CCU). The study evaluates medication adherence and the appropriateness of prescribed medications among hospitalized cardiac patients. Medication appropriateness is assessed using the Medication Appropriateness Index (MAI), and patients' beliefs about medicines are assessed using the Beliefs about Medicines Questionnaire (BMQ). Data are collected through medical record review and patient interviews during hospitalization. The study involves no intervention or modification of routine clinical care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CCU HF and AF Patients | Adult patients aged 18 years or older diagnosed with atrial fibrillation or heart failure and discharged from the coronary care unit. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention (observational study) | Other | This is an observational study with no active intervention. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Medication adherence (BMQ) | Medication adherence will be assessed using the Brief Medication Questionnaire (BMQ), a validated tool that evaluates medication-taking behavior and barriers to adherence. | During CCU admission after clinical stabilization (assessed up to 5 days) |
| Medication appropriateness measured by Medication Appropriateness Index (MAI) | Medication appropriateness will be assessed using the Medication Appropriateness Index (MAI). The MAI score ranges from 0 to 12, where lower scores indicate better medication adherence and higher scores indicate poorer adherence. | During CCU admission after clinical stabilization (assessed up to 5 days) |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients aged 18 years or older diagnosed with atrial fibrillation or heart failure who are admitted to the coronary care unit. Participants will be clinically stable at the time of assessment and able to provide informed consent.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Suror S Alsabbagh, Bachelor of Pharmacy | Contact | +9647817091467 | srooralsabbagh@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-Nasiriyah Heart Center | Nasiriyah | Thi Qar | Iraq | |||
| Al-Nasiriyah Teaching Hospital |
Individual participant data will not be shared due to the nature of the study and the absence of a formal data sharing plan.
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D001281 | Atrial Fibrillation |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001145 | Arrhythmias, Cardiac |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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| Nasiriyah |
| Thi Qar |
| Iraq |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |