Evaluación de la efectividad del farmacéutico en la mejora de la adherencia terapéutica de pacientes con diabetes mellitus tipo 2: revisión sistemática y meta-análisis

Camarasa, Gracia Solera; Albero, Juan Solera; Marcos, Loreto Tárraga; Marcos, Fátima Madrona; Casas, Aránzazu Gálvez; López, Pedro Juan Tárraga

doi:10.24038/mgyf.2018.029

Cited by 3 publications

(2 citation statements)

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“…4 Specifically, the medication adherence is defined as 'the process by which patients take their medications as prescribed, composed of initiation, implementation and discontinuation'. 5 Medication adherence is a multifactorial phenomenon determined by the action of five inter-related domains with several factors: 6 patient characteristics, such as age, employment or economic status, culture, educational level, geographic area and race; [7][8][9][10][11][12][13] social and family environment; 14 characteristics of the disease; therapeutic regimen and health system conditions, including the characteristics of the health professional. 15 16 Cardiovascular disease (CVD) is the main cause of premature death in most European populations, including in Spain.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Medication adherence is a multifactorial phenomenon determined by the action of five inter-related domains with several factors:6 patient characteristics , such as age, employment or economic status, culture, educational level, geographic area and race;7–13 social and family environment; 14 characteristics of the disease; therapeutic regimen and health system conditions , including the characteristics of the health professional 15 16…”

Section: Introductionmentioning

confidence: 99%

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Design and validation of a new questionnaire with a gender perspective to measure medication adherence for secondary prevention of ischaemic heart disease: study protocol

Lopez-Pineda,

Cordero,

Nouni-García

et al. 2024

BMJ Open

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Introduction and objectivesOnly about 50% of chronic patients in high-income countries adhere to their treatment. There are methods to measure medication adherence but none of them can be considered optimal. This study will aim to design and validate a questionnaire to measure medication adherence in patients with ischaemic heart disease using a direct method as a gold-standard adherence measure and taking into account the gender perspective. Moreover, the profile of low adherence in these patients will be determined.Methods and analysisFirst study phase consists on the questionnaire design following the next steps: identification of the dimensions, definition of the target population, questionnaire items and order, response coding, questionnaire instructions, content validity by experts and understandability. In the second phase, a cross-sectional study will be performed to end the questionnaire development and validate it. Four hundred and forty patients (50% female) with acute coronary syndrome receiving treatment within the previous 12 months will be included. Patient will answer the initial questionnaire and adherence to aspirin and statin will be measured using a direct method (drug concentration analysis in blood) and other questionnaires. From the set of preselected questionnaire items, those most closely associated with the gold standard measure will be selected using multivariate statistics.Ethics and disseminationAll participants gave their written informed consent before participating in the study. The study protocol follows the recommendations of the Declaration of Helsinki and was approved by the ethics committees of the three participating centres. The results of this study will be displayed at national and international conferences and in peer-reviewed scientific journals.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Design and validation of a new questionnaire with a gender perspective to measure medication adherence for secondary prevention of ischaemic heart disease: study protocol

Lopez-Pineda,

Cordero,

Nouni-García

et al. 2024

BMJ Open

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Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Carbonell-Soliva,

Nouni-García,

López-Pineda

et al. 2024

BMC Prim. Care

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Background Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulties associated with therapeutic adherence. Methods An interpretive phenomenological study was carried out using focus groups and one semi-structured interview. The MAXQDA qualitative data analysis program was used for inductive interpretation of the group discourses and interview. Data were coded, and these were grouped by categories and then consolidated under the main themes identified. Results Two in-person focus groups and one remote semi-structured interview were performed. Twelve participants (6 men and 6 women) from the Hospital de San Juan de Alicante participated, two of them being family companions . The main themes identified were aspects related to the individual, heart disease, drug treatment, and the perception of the health care system. Conclusions Adhering to recommendations on healthy behaviors and taking prescribed medications for cardiovascular disease was important for most participants. However, they sometimes found polypharmacy difficult to manage, especially when they did not perceive the symptoms of their disease. Participants related the concept of fear to therapeutic adherence, believing that the latter increased with the former. The relationship with health professionals was described as optimal, but, nevertheless, the coordination of the health care system was seen as limited.

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Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Carbonell-Soliva

Nouni-García

López-Pineda

et al. 2023

Preprint

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Background: Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulties associated with therapeutic adherence. Methods. An interpretive phenomenological study was carried out using focus groups and one semi-structured interview. The MAXQDA qualitative data analysis program was used for inductive interpretation of the group discourses and interview. Data were coded, and these were grouped by categories and then consolidated under the main themes identified. Results. Two in-person focus groups and one remote semi-structured interview were performed. Twelve participants (6 men and 6 women) from the Hospital de San Juan de Alicante participated. The main themes identified were aspects related to the individual, heart disease, drug treatment, and the perception of the health care system. Conclusions. Adhering to recommendations on healthy behaviors and taking prescribed medications for cardiovascular disease was important for most participants. However, they sometimes found polypharmacy difficult to manage, especially when they did not perceive the symptoms of their disease. Participants related the concept of fear to therapeutic adherence, believing that the latter increased with the former. The relationship with health professionals was described as optimal, but, nevertheless, the coordination of the health care system was seen as limited.

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Evaluación de la efectividad del farmacéutico en la mejora de la adherencia terapéutica de pacientes con diabetes mellitus tipo 2: revisión sistemática y meta-análisis

Cited by 3 publications

References 0 publications

Design and validation of a new questionnaire with a gender perspective to measure medication adherence for secondary prevention of ischaemic heart disease: study protocol

Design and validation of a new questionnaire with a gender perspective to measure medication adherence for secondary prevention of ischaemic heart disease: study protocol

Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

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