Attitudes and behavior of peripheral arterial disease patients toward influencing their physician's prescription of cholesterol-lowering medication
Meyers Primary Care Institute; Department of Medicine; Division of Preventive and Behavorial Medicine; Division of Cardiovascular Medicine; Clinical and Population Health Research
Peripheral Vascular Diseases; Cholesterol, LDL; Anticholesteremic Agents; Patient Compliance
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine
Among 355 peripheral arterial disease (PAD) patients with low density lipoprotein cholesterol (LDL-C) levels >/= 70 mg/dl, we assessed knowledge regarding optimal LDL levels and the importance of LDL-C-lowering therapy. We also assessed PAD participants' behaviors and attitudes regarding their engagement with their physician in treatment decisions for LDL-C lowering. The average baseline LDL-C level of participants was 103.4 mg/dl +/- 30.7 mg/dl. Seventy-six percent of participants were taking at least one cholesterol-lowering medication. Sixty-six percent were unable to define their optimal LDL-C. Only 47% strongly agreed that their own actions and decisions could reduce their LDL-C. Just 29.8% were aware that patients who request specific medications from their physician were more likely to receive them, and 16% had asked their physician whether they should be taking more cholesterol-lowering medication. These findings suggest that further study is needed to identify effective interventions to educate PAD patients and their physicians about the importance of cholesterol-lowering therapy and to encourage PAD patients to participate with their physician in decisions regarding cholesterol-lowering treatment. Clinical Trial Registration - URL: http://www.clinicaltrials.gov. Unique identifier: NCT00217919.
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Citation: Vasc Med. 2010 Apr;15(2):83-90. Epub 2010 Jan 29. Link to article on publisher's site
McDermott, Mary McGrae; Mazor, Kathleen M.; Reed, George W.; Pagoto, Sherry L.; Graff, Rex; Merriam, Philip A.; Kibbe, Melina; Greenland, Philip; Ockene, Judith K.; Olendzki, Barbara C.; Tao, Huimin; and Ockene, Ira S., "Attitudes and behavior of peripheral arterial disease patients toward influencing their physician's prescription of cholesterol-lowering medication" (2010). Preventive and Behavioral Medicine Publications and Presentations. 87.