Abstract
In the current issue of Circulation Cardiovascular Quality and Outcomes , Zullig et al1 report an association between perceived life chaos and medication nonadherence among patients who had a history of acute myocardial infarction and hypertension within the previous 3 years. Patients were enrolled in the ongoing Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE) trial. SPRITE is a 3-arm randomized trial evaluating the effects of a nurse-delivered, telephone-based patient education intervention versus a web-based patient education intervention versus usual care on systolic blood pressure and other cardiovascular risk factors.2 Article see p 619 The investigators conducted a cross-sectional study of baseline data from 406 patients enrolled in the SPRITE trial. They administered a 6-item version of the Confusion, Hubbub, and Order Scale (CHAOS), which includes the following items3: (1) My life is organized. (2) My life is unstable. (3) My routine is the same from week to week. (4) My daily activities from week to week are unpredictable. (5) Keeping a schedule is difficult for me. (6) I do not like to make appointments too far in advance because I do not know what might come up. Items were rated on a 5-point Likert scale (from definitely true to definitely false), and total scores ranged from 0 to 30, with higher scores indicating greater perceived chaos. Patients also completed a Likert scale variation of the original …
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