Table 1

Overview of studies exploring factors relating to adherence to OAPs, including study design, significant outcomes and measurement time points

Study type, collection methods, sample sizeSignificant factors impacting non-adherenceMeasurement time point (postdischarge; months)
Author, year, country13612
Bally, 2012, SwitzerlandObservational self-report (questionnaire to GPs and patients)
n=204
Demographic
  • Older age

Treatment
  • Side effects (experienced)

XX
Blich, 2012, IsraelObservational self-report, interview with physician, medical record review
n=314
Demographic
  • Unemployed

  • Ethnicity (non-Jew)

  • Low socioeconomic status

System process
  • No referral to cardiologist at discharge

  • No medication instruction at discharge

X
Deghani, 2014, SpainProspective, observational registry data review
n=248
Demographic
  • Older age

  • Ethnicity (non-white)

  • Female gender

Clinical
  • Prior cardiovascular procedure

Treatment
  • Side effects (experienced)

X
Ferreira-Gonzalez, 2010, SpainProspective self-report (interviews with patients), secondary care
n=1622 (182 on clopidogrel)
Demographic
  • Being an immigrant

Treatment
  • Concomitant drugs (psychotropic)

X
Gencer, 2015, SwitzerlandProspective self-report (interviews with patients), secondary care
n=3055 (2597 on P2Y12 inhibitor)
Demographic
  • Older age

Treatment
  • Side effects (experienced)

Opportunity
  • Cost

Psychosocial
  • Low treatment necessity

X
Kubica, 2015, PolandProspective, observational, prescription database review
n=184
Demographic
  • Male gender

Clinical
  • ADP-PA during hospitalisation

  • STEMI

  • 3-vessel CAD*

X
Melloni, 2009, USAProspective self-report (interviews with patients), secondary care
n=1077 (816 on clopidogrel)
Demographic
  • Lower level of education

Clinical
  • Prior cardiovascular procedure

  • Comorbidities

  • Less clinical follow-up

Treatment
  • Greater number of medicines at discharge

Opportunity
  • Cost

Psychosocial
  • Forgetting

X
Muntner, 2011, USAProspective self-report (interview with patient), secondary care
n=285
Opportunity
  • Cost

  • Access/logistics

Psychosocial
  • Poor relationship with doctor

  • Low adherence at baseline

X
Nordstrom, 2013, USARetrospective, prescription database review
n=1340
Clinical
  • Prior PCI*

  • Prior depression*

  • Prior bleeds*

  • Pre-existing cardiovascular condition

Psychosocial
  • Low adherence at baseline

Treatment
  • Baseline statin use*

  • Baseline anticoagulant use*

X
Pallares, 2009, USAProspective self-report (interview with patient), secondary care
n=257
Clinical
  • Prior cardiovascular procedure

Treatment
  • Side effects (experienced)

System process
  • No information at discharge

Opportunity
  • Cost

  • Access/logistics

Psychosocial
  • Low treatment necessity

  • Low understanding of treatment

XX
Poh, 2009, SingaporeProspective registry database review
n=207
Demographic
  • Not living with caregiver

  • Being single

Clinical
  • Lower BMI

X
Shimony, 2010, IsraelRetrospective prescriptions database
n=1397
Demographic
  • Low socioeconomic status

X
Spertus, 2006, USAProspective self-report (patient interview), secondary care
n=500
Demographic
  • Older age

  • Lower level of education

Clinical
  • Prior anaemia

  • Pre-existing cardiovascular condition

System process
  • No information at discharge

X
Tuppin, 2010, FranceRetrospective prescription database
n=1056
Demographic
  • Older age

Treatment
  • Prior use of clopidogrel*

Clinical
  • Comorbidities

  • Stent implantation*

Opportunity
  • Cost

X
Zhu, 2011, USARetrospective prescription database
n=10 465
Demographic
  • Younger age

Clinical
  • Comorbidities

  • PCI with no stent

  • Prior hospitalisation for cardiovascular event

Treatment
  • Prior use of clopidogrel

X
  • *Associated with greater adherence.

  • ADP-PA, ADP-induced platelet aggregation; BMI, body mass index; CAD, coronary artery disease; GP, general practitioner; PCI, percutaneous coronary intervention; STEMI, ST segment elevation myocardial infarction.