Determinants of medication adherence among chronic patients from an urban area: a cross-sectional study

Pagès-Puigdemont, Neus; Tuneu, Laura; Masip, Montserrat; Valls, Pere; Puig, Teresa; Mangues, María Antònia

doi:10.1093/eurpub/cky259

Cited by 15 publications

(16 citation statements)

References 22 publications

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“…Compared with previous international studies, the adherence rate assessed in this study was similar to the 53% found in Chinese primary-care centers [31], the 48% reported in uninsured American patients who attended community health centers [32], but slightly higher than the 39% observed in Italian outpatient adults [24]. At the national level, our findings are consistent with prior research in Spain performed in chronic patients [33], but significantly different in terms of the adherence rate of 18% reported in tertiary-care settings [23].…”

Section: Discussionsupporting

confidence: 91%

Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

et al. 2019

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Background Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47–0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.

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Section: Discussionsupporting

confidence: 91%

Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

et al. 2019

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“…The cost of the medications and the fact of having to buy them promote non-adherent decisions (3). In this study, inactive individuals in their work activities predominated, with incomes of a minimum wage and uncontrolled blood pressure levels (p < 0.001), since most of the values were at pre-hypertension (SBP = 121-139 mmHg ) and normal (DBP ≤ 80 mmHg) levels, classifying them as isolated hypertension (13).…”

Section: Discussionmentioning

confidence: 74%

“…When considering that the PBC explains the BI of taking antihypertensives and that, among the difficulties encountered by the hypertensive individuals to take them, there is forgetfulness (7,(18)(19), the professionals involved with these patients must encourage them to set alarms to remember to take the pills, ask relatives to remember them, so that, in that way, the behavior of taking the drugs as prescribed is improved (3,10).…”

Section: Discussionmentioning

confidence: 99%

“…Adherence to medication and the behavior related to taking prescription drugs are a challenge for the treatment of Systemic Arterial Hypertension (SAH) (1)(2). Adherence to treatment is a complex area of health behavior and little is known about what actually influences its performance, since sociodemographic factors, beliefs and experiences can intervene in this behavior (3)(4).…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial Determinants of the Intention to Take Oral Antihypertensive Drugs: A Cross-sectional Study

et al. 2020

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Objective: To identify the psychosocial predictors that influence the behavioral intention to take oral antihypertensive drugs. Materials and methods: A cross-sectional study, based on the theory of planned behavior. A questionnaire constructed and validated was applied to 220 individuals with systemic arterial hypertension in outpatient follow-up at a public hospital. The chi-square and Fisher’s exact tests, Spearman’s correlation and multiple logistic regression were used for data analysis. Results: The participants presented a high intention of taking antihypertensive drugs. The behavioral beliefs (ß = 0.0432; p = 0.0364), subjective norm (ß = -1.5708; p < 0.01) and perceived behavioral control (ß = 2.2809; p = 0.0028) explained the behavioral intention in 33 %. Conclusions: The behavioral beliefs, the subjective norm, and the perceived behavioral control are significant psychosocial predictors of taking antihypertensive drugs and must be valued, individually and jointly, in the health actions targeted at this population.

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“…1 Thus, it is important to develop motivating, theory-based strategies, to strengthen and encourage the taking of antihypertensives. 2 The Theory of Planned Behavior (TPB) assumes that human behavior is predicted by intention (motivation) and influenced by three psychosocial determinants and their respective beliefs: attitude, formed by behavioral beliefs, likely outcomes of behavior and evaluations of these outcomes by individuals; subjective norm, formed by normative beliefs about the opinion of significant people and the motivation to meet these expectations; and perceived behavioral control, inherent to control beliefs about the presence of factors that may facilitate or impede behavior performance. Therefore, interventions aimed at changing/strengthening it can be directed at one or more of its determinants and, once changes occur in these factors, should produce transformations in behavioral intentions.…”

Section: Introductionmentioning

confidence: 99%

Construção e validação de recursos audiovisuais para motivar pessoas com hipertensão ao uso de anti-hipertensivos

Almeida

Sousa²,

Gouveia

et al. 2021

Esc. Anna Nery

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Resumo Objetivo Construir e validar comunicação audiovisual e mensagens persuasivas para motivar o uso de anti-hipertensivos. Método Estudo metodológico baseado nas crenças de pessoas com hipertensão arterial sistêmica em relação ao tratamento medicamentoso, tendo o suporte da Teoria do Comportamento Planejado. Adotaram-se os princípios de Fleming e da Persuasão para desenvolvimento da comunicação audiovisual e mensagens. 13 juízes especialistas realizaram a validação de conteúdo, analisada pelo Índice de Validade de Conteúdo. Resultados A comunicação audiovisual apresenta 3 minutos e 58 segundos de duração e 71 telas. Foram consideradas válidas 29 mensagens persuasivas ilustradas, sendo 15 positivas e 14 negativas. Conclusão e implicações para a prática A comunicação audiovisual e as mensagens persuasivas foram consideradas válidas, adequadas e com capacidade de persuasão para motivar o uso de anti-hipertensivos orais. Pesquisa de intervenção faz-se necessária para testar o efeito dos recursos audiovisuais com intenção de realizar o comportamento.

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Determinants of medication adherence among chronic patients from an urban area: a cross-sectional study

Cited by 15 publications

References 22 publications

Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

Psychosocial Determinants of the Intention to Take Oral Antihypertensive Drugs: A Cross-sectional Study

Construção e validação de recursos audiovisuais para motivar pessoas com hipertensão ao uso de anti-hipertensivos

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