{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:11:31Z","timestamp":1777929091245,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"American Heart Association COVID-19 Fund to Retain Clinical Scientists Award","award":["923717"],"award-info":[{"award-number":["923717"]}]},{"name":"Duke Center for REsearch to AdvanCe Healthcare Equity (REACH Equity) Career Development Award","award":["U54MD012530"],"award-info":[{"award-number":["U54MD012530"]}]},{"name":"National Center for Advancing Translational Sciences of the National Institutes of Health","award":["1KL2TR002554"],"award-info":[{"award-number":["1KL2TR002554"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Systemic lupus erythematosus (SLE) disproportionately affects patients from racial and ethnic minority groups. Medication adherence is lower among these patient populations, and nonadherence is associated with worse health outcomes. We aimed to identify factors that enable adherence to immunosuppressive medications among patients with SLE from racial and ethnic minority groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a qualitative descriptive study design, we conducted in-depth interviews with purposefully selected (1) patients with SLE from racial and ethnic minority groups who were taking immunosuppressants and (2) lupus providers and staff. We focused on adherence facilitators, asking patients to describe approaches supporting adherence and for overcoming common adherence challenges and providers and staff to describe actions they can take to foster patient adherence. We used applied thematic analysis and categorized themes using the Capability, Opportunity, Motivation, Behavior (COM-B) model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We interviewed 12 patients (4 adherent and 8 nonadherent based on medication possession ratio) and 12 providers and staff. Although each patient described a unique set of facilitators, patients most often described social support, physical well-being, reminders, and ability to acquire medications as facilitators. Providers also commonly mentioned reminders and easy medication access as facilitators as well as patient education\/communication and empowerment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Using an established behavioral change model, we categorized a breadth of adherence facilitators within each domain of the COM-B model while highlighting patients\u2019 individual approaches. Our findings suggest that an optimal adherence intervention may require a multi-modal and individually tailored approach including components from each behavioral domain\u2014ensuring medication access (Capability) and utilizing reminders and social support (Opportunity), while coupled with internal motivation through improved communication and empowerment (Motivation).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09612033231225843","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T07:49:41Z","timestamp":1704181781000},"page":"137-144","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A qualitative study of facilitators of medication adherence in systemic lupus erythematosus: Perspectives from rheumatology providers\/staff and patients"],"prefix":"10.1177","volume":"33","author":[{"given":"Shannon","family":"Herndon","sequence":"first","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Corneli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"},{"name":"Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA"},{"name":"Clinical Research Institute, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie","family":"Dombeck","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Swezey","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan EB","family":"Clowse","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa G","family":"Criscione-Schreiber","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca E","family":"Sadun","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayanth","family":"Doss","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3107-5545","authenticated-orcid":false,"given":"Amanda M","family":"Eudy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayden B","family":"Bosworth","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"},{"name":"Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8406-2932","authenticated-orcid":false,"given":"Kai","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"key":"bibr1-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23191"},{"key":"bibr2-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2020.09.004"},{"key":"bibr3-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1002\/art.37795"},{"key":"bibr4-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1191\/0961203302lu161oa"},{"key":"bibr5-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1002\/art.30293"},{"key":"bibr6-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22636"},{"key":"bibr7-09612033231225843","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"bibr8-09612033231225843","volume-title":"The behavior change wheel: a guide to designing interventions","author":"Michie 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