Age-related Trust and its Association with Cost-related Medication Nonadherence

Lack of trust among 680 Medicare patients with diabetes at high risk of hospitalization is linked to higher cost-related medication nonadherence, with a stronger effect in younger patients.

• Why it matters: Trust supports shared decision-making and patient-provider relationships, yet age-related changes in trust and medication nonadherence raise questions about whether low trust contributes to CRN and its age differences.
• What they did: Using data from a randomized controlled trial of the Comprehensive Care Physician model at an academic medical center (November 2012–June 2016), the study tested how lack of trust relates to CRN while controlling for other risk factors.
• The result: The effect of lack of trust on CRN decreases with age, and is particularly pronounced among younger patients, suggesting trust-building could improve health behaviors.

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