Design and evaluation of the psychometric properties of a self-questionnaire on patient adherence to wearing elastic compression stockings

Allaert, François-André; Rastel, D.; Graissaguel, Anne; Sion, D.; Hamel-Desnos, C

doi:10.1177/0268355518762824

Cited by 7 publications

(14 citation statements)

References 4 publications

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“…Included studies present variable, and at times, conflicting descriptions of adherence, which are subject to interrelated concepts of the definition, measurement, and rate. Fourteen studies 9 , 38 , 41 , 42 , 44 , 61 , 63 , 68–74 considered adherence a primary outcome measure where the remainder discussed adherence as a secondary outcome measure or as a point of discussion. Thirty studies reported a numerical adherence rate as an outcome of a study.…”

Section: Resultsmentioning

confidence: 99%

Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Bar¹,

Brandis²,

Marks³

2021

PPA

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Purpose Patient adherence to wearing compression stockings in the management of chronic venous insufficiency (CVI) and venous leg ulcers (VLUs) is low. Poor adherence with compression stockings contributes to recurrence and impaired healing of VLUs. As such, the purpose of this review was to report on the scientific evidence related to adherence and explore modifiable factors which impact adherence with compression stockings. Methods A systematic search was conducted from inception to 31 October 2019. Following the PRISMA-ScR Checklist, PubMed, Medline, CINAHL, Cochrane, Embase, OT Seeker and Web of Science were explored using search terms: compression/compression stocking/compression garment/compression sock/stockings/garments and adherence/compliance/concordance. Results We identified 2613 papers of which 125 full text papers were assessed for eligibility and 69 met inclusion criteria. Papers were grouped and charted by concepts relevant to the research questions and narratively synthesized. Several dominant themes emerged, and a conceptual framework was developed incorporating modifiable variables, adherence itself, and outcomes related to adherence. Specifically considering interventions to improve adherence, only five of 14 randomized controlled trials were able to demonstrate improvements in adherence through unidimensional approaches. All nine of the case studies/series demonstrated a positive impact on adherence, eight of which described a personalized multidimensional approach. A lack of consensus around defining, measuring, and quantifying adherence with compression stockings was identified, resulting in wide variation in reported adherence rates. Conclusion Inconsistency in the definition and measurement of adherence limits meaningful interpretation of the literature. No individual intervention has consistently demonstrated improved adherence. Multidimensional interventions show promise but require further investigation with high-quality trials. Improving adherence appears to improve health outcomes in VLU /CVI populations but there is a lack of information directly linking improved adherence with cost outcomes. Trial Registration Open Science Framework: ACTRN12620000544976p.

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Section: Resultsmentioning

confidence: 99%

Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Bar¹,

Brandis²,

Marks³

2021

PPA

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“…Allaert developed a validated, short, selfadministered questionnaire to evaluate the patients' adherence to the GECS treatment. Physicians and nurses should use this suitable tool to assess patients' compliance with GECS in their day-to-day practice [28]. In the future, the methods for measuring compliance should also be unified, and medical staff should pay attention to the evaluation of patients' compliance.…”

Section: Plos Onementioning

confidence: 99%

Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study

Gong

Han

et al. 2020

PLoS ONE

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The study aims to explore the comprehensive reasons for patients' non-compliance with graded elastic compression stockings (GECS) as the treatment for lower limb varicose veins. Phenomenological analysis was applied in this qualitative study. The patients diagnosed with lower limb varicose veins and undergoing elective surgery who showed non-compliance with GECS as the treatment were invited to have semi-structured, in-depth, face-toface interviews. Colaizzi method was employed to analyze the data for emerging themes associated with the reasons for patients' non-compliance. Four main themes and nine subthemes related to the reasons for non-compliance with GECS for lower limb varicose veins were summarized. The main themes that emerged were (1) gaps in the knowledge of GECS therapy as a treatment for lower limb varicose veins, (2) few recommendations from the doctors and nurses, (3) disadvantages of GECS, and (4) sociopsychological factors. These themes provide data for policy and planning to improve patients' compliance with GECS in China. Patients, healthcare professionals, and policy makers should share the responsibility to improve patients' compliance with GECS therapy.

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“…Vulnerable skin can easily be injured if the stockings are inappropriately worn, as elderly individuals often have di culty wearing compression stockings. 14 Therefore, this study focused on vibration therapy as care methods using devices may reduce the need for additional manpower. Previous experiments showed that vibration effectively reduced upper limb lymphedema when provided as an additional care for simple lymphatic drainage 15 and improved lower limb transcutaneous oxygen tension during hemodialysis.…”

Section: Introductionmentioning

confidence: 99%

Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

Tsuchiya

Sato²,

Ueda

et al. 2020

Preprint

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BackgroundElderly individuals can easily develop leg edema that can become chronic, which may result in various problems. Therefore, appropriate care for the edema should be provided. In some cases, chronic leg edema among elderly individuals cannot be controlled by the standard care such as leg elevation or compression. A previous study reported that vibration benefited upper limb lymphedema; however, its effects on chronic leg edema are not yet clarified. Therefore, this study aimed to clarify the effects of vibration for reducing chronic leg edema among chair-bound elderly individuals.MethodsFor participant allocation, a computer-generated list of random numbers was used. Nursing home residents aged ≥65 years with chronic leg edema who spent more time sitting than standing or lying during the day were randomly assigned to the intervention (n = 7) or control group (n = 7). The intervention group underwent vibration therapy three times a day for 2 weeks at 47 Hz and 1.78 m/s2 frequency and horizontal vibration acceleration, respectively. The pitting test was performed at 22 sites, and participants’ pitting scores were calculated based on the pitting depth. Pitting score changes at pre- and post-intervention were compared between the intervention and control groups. Both participants and investigators were not blinded to group assignment.ResultsThe median age of the intervention and control groups was 86 and 84 years, respectively. Participants’ characteristics and edema severity at baseline were not significantly different. The median total pitting score change in the intervention group was −0.4 (interquartile range: −5.3–1.8), which was significantly lower than that of the control group (2.0 [interquartile range: 1.0－5.3], P = 0.01). The intervention group was more likely to have controlled edema (64.3%) than the control group (21.4%) (χ2 (1) = 5.25, P = 0.02).ConclusionsThe intervention group was more likely to have controlled edema than the control group, suggesting that vibration could prevent the worsening of chronic leg edema in chair-bound elderly individuals.Trial registration: UMIN Clinical Trials Registry, UMIN000017716. Registered 1 July 2015, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000020522

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Design and evaluation of the psychometric properties of a self-questionnaire on patient adherence to wearing elastic compression stockings

Cited by 7 publications

References 4 publications

Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study

Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

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