{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:30:18Z","timestamp":1791304218922,"version":"4.3.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,6,4]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The benefits of preventive medications after acute coronary syndrome are impeded by low medication persistence, in particular among marginalized patient groups. Patient education might increase medication persistence, but the effect is still uncertain, especially among migrant groups. We, therefore, assessed whether use of patient education was associated with medication persistence after acute coronary syndrome and whether migrant background modified the potential associations.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              A cohort of patients discharged with a diagnosis of acute coronary syndrome (N=33\u00a0199) was identified in national registers. We then assessed number of contacts for patient education during a period of 6\u00a0months after discharge and the initiation and discontinuation of preventive medications during a period of up to 5\u00a0years. Results were adjusted for comorbidity and sociodemographic factors. Three or more contacts for patient education was associated with a higher likelihood of initiating preventive medications, corresponding to adjusted relative risks ranging from 1.12 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.06\u20131.18) for statins to 1.39 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.28\u20131.51) for\n              <jats:styled-content style=\"fixed-case\">ADP<\/jats:styled-content>\n              inhibitors. Lower risks of subsequent discontinuation were also observed, with adjusted hazard ratios ranging from 0.86 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 0.79\u20130.92) for statins to 0.92 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 0.88\u20130.97) for \u03b2 blockers. Stratification and test for effect modification by migrant status showed insignificant effect modification, except for initiation of\n              <jats:styled-content style=\"fixed-case\">ADP<\/jats:styled-content>\n              inhibitors and statins.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Patient education is associated with higher chance of initiating preventive medications after acute coronary syndrome and a lower long\u2010term risk of subsequent discontinuation independently of migrant status.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.009528","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T09:20:21Z","timestamp":1559121621000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Education of Migrant and Nonmigrant Patients Is Associated With Initiation and Discontinuation of Preventive Medications for Acute Coronary Syndrome"],"prefix":"10.1161","volume":"8","author":[{"given":"Hanne Winther","family":"Frederiksen","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Copenhagen University Hospital Herlev Denmark"},{"name":"Danish Research Centre for Migration, Ethnicity and Health University of Copenhagen Copenhagen Denmark"},{"name":"Section\u00a0of Immigrant Medicine Department of Infectious Diseases University Hospital Hvidovre Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann\u2010Dorthe","family":"Zwisler","sequence":"additional","affiliation":[{"name":"Danish Knowledge Centre for Rehabilitation and Palliative Care University of Southern Denmark Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren Paaske","family":"Johnsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buket","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tove","family":"Lindhardt","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Copenhagen University Hospital Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Norredam","sequence":"additional","affiliation":[{"name":"Danish Research Centre for Migration, Ethnicity and Health University of Copenhagen Copenhagen Denmark"},{"name":"Section\u00a0of Immigrant Medicine Department of Infectious Diseases University Hospital Hvidovre Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","first-page":"CD00889","article-title":"Patient education in the management of coronary heart disease","volume":"6","author":"Anderson L","year":"2017","unstructured":"Anderson L, Brown JP, Clark AM, Dalal H, Rossau HK, Bridges C, Taylor RS. 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