Illness Representations, Treatment Beliefs, Medication Adherence, and 30-Day Hospital Readmission in Adults With Chronic Heart Failure

Turrise, Stephanie

doi:10.1097/jcn.0000000000000249

Cited by 21 publications

(23 citation statements)

References 43 publications

(32 reference statements)

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“…Timeline was found not to be statistically significant to medication adherence, although it's a presumption that when an illness is viewed as chronic then the patient might be more adherent to their medication because it is regarded as essential, these patients maybe could be lacking the knowledge about the nature of their illness thus not viewing it as chronic making them not to be serious with adherence to treatment. Likewise [23] did not find a relationship between timeline and hypertension medication adherence. Nonetheless [17,18,26,27] found a significant relationship between timeline and adherence.…”

Section: Independent Factors Associated With Adherencementioning

confidence: 82%

“…This finding could be as a result of these patients having comorbidities that they are likely not to have identified the symptoms listed as a result of their hypertension illness but rather as a result of their comorbid condition also it could be because of low knowledge about their hypertension illness and symptoms associated with their hypertension illness. Conversely [23,25] found a significant relationship between illness identity and medication adherence. Timeline was found not to be statistically significant to medication adherence, although it's a presumption that when an illness is viewed as chronic then the patient might be more adherent to their medication because it is regarded as essential, these patients maybe could be lacking the knowledge about the nature of their illness thus not viewing it as chronic making them not to be serious with adherence to treatment.…”

Section: Independent Factors Associated With Adherencementioning

confidence: 83%

“…Another possible explanation is that they felt that their taking medication was within their control but rather controlled by the prescriber. Similarly [23] found no significant relationship. These findings were contrary to those of [16,17,19,22,24,26,27] who found treatment control to be statistically significant to patient's medication adherence, that is, patients who has higher beliefs that treatment is effective to help manage their condition took their medication, because they expect or believe that their medication is useful in managing their condition.…”

Section: Independent Factors Associated With Adherencementioning

confidence: 86%

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Illness Perceptions and Adherence to Medication Regimen among Hypertensive Patients Attending a County Referral Hospital in Kenya

Oyiela¹,

Kemunto²

2021

J Hypertens Manag

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Background: Although various factors have been investigated across hypertensive patients to try to explain the factors that affect medication adherence, the role of illness representations among the Kenyan hypertensive population is still unclear. This study aimed at investigating the influence of illness representation on medication adherence among hypertensive patients attending a County Referral Hospital in Kenya.Methods: A Quantitative research design, utilizing a simple random sampling method was adapted. The Brief Illness Perception Questionnaire (BIPQ) was utilized. Bivariate analysis was conducted using Chi square test and the Mann Whitney U test while multivariate data analysis was conducted using Binary logistic regression analysis.Results: Data from 96 participants, 55% female and 58% being over the age of 65 years were analyzed. 33.3% of the respondents had a high adherence level. None of the socio-demographic variables were found to be statistically significant to medication adherence using Chi square test analysis. Stronger attitudes of personal control was significantly related to medication adherence p = 0.009 (OR = 0.271; CI = 0.102-0.0718), whereas weaker perceptions of emotional representation was found to be a predictor of adherence p = 0.004 (OR = 2.900; CI = 1.413-1.595). Conclusion:Health workers should formulate interventions to facilitate perceptions of personal control and reduce perceptions of emotional representations, in order to promote adherence as informed by the findings of this study.

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Section: Independent Factors Associated With Adherencementioning

confidence: 82%

Section: Independent Factors Associated With Adherencementioning

confidence: 83%

Section: Independent Factors Associated With Adherencementioning

confidence: 86%

See 1 more Smart Citation

Illness Perceptions and Adherence to Medication Regimen among Hypertensive Patients Attending a County Referral Hospital in Kenya

Oyiela¹,

Kemunto²

2021

J Hypertens Manag

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“…Therefore, how patients perceive, experience and cope with HF can affect adherence to self-care. Nurses are in the best position to assess patients' beliefs, correct their misconceptions and act as coordinators with other medical staff members to promote patients' self-care (Turrise, 2016).…”

Section: Introductionmentioning

confidence: 99%

Effects of illness representation‐focused patient education on illness representations and self‐care in patients with heart failure: A randomised clinical trial

Chang

Wang

Hsu

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To examine the effect of an illness representation‐focused patient education intervention on illness representations and self‐care behaviours in patients with heart failure 3 months after discharge from the hospital. Background Few intervention studies have examined the effect of illness representation‐focused interventions on illness representations and self‐care in patients with heart failure. Design A randomised clinical trial based on the Consolidated Standard of Reporting Trials—CONSORT 2010—guidelines was employed. The Clinical Trial Registry number is TCTR20190903002. Methods One hundred and seven participants were randomly assigned to 2 groups, and 62 participants (n = 30 in the intervention group and n = 32 in the usual care group) completed the baseline and one‐ and three‐month postdischarge follow‐up assessments. The instruments included the Survey of Illness Beliefs in Heart Failure and the Self‐care of Heart Failure Index. The intervention group received illness representation‐focused patient education while hospitalised and telephone follow‐ups after discharge. Data were analysed with linear mixed‐effects model analysis. Results The 107 participants had a mean age of 62.17 years and a mean left ventricular ejection of 53.03%. At baseline, the two groups tended to have accurate illness beliefs but insufficient self‐care confidence and self‐care maintenance. The analysis showed no significant differences between groups in the illness representation total scores, dimension scores or self‐care maintenance scores but did show a significant difference in the self‐care confidence scores (F = 3.42, p < .05) over the three months. Conclusion The study did not show an effect of the intervention on illness representations or self‐care maintenance behaviours. However, the intervention did maintain participants' self‐care confidence three months after discharge. Relevance to clinical practice It is necessary to conduct long‐term follow‐ups of patients' illness representations, discuss the implementation of self‐care behaviours with patients, enhance patients' self‐care confidence, and involve family members or caregivers in self‐care practices when needed.

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“…Prior studies have separately conducted and evaluated interventions that are pharmacist-led, [9,10] nurse practitioner-led, [11] jointly led by pharmacists and nurses, [12] aimed at improving communication between providers during care transition, [13][14][15] or have identified potential patient or administrative risk factors for medication-related readmissions. [16,17] However, no studies have conducted a comprehensive review of the different types of interventions, including an evaluation of the types of providers initiating interventions, the components employed by each intervention, and the overall effectiveness of the intervention. The purpose of this paper is to identify the different interventions aimed at reducing medication-related unplanned readmissions and to identify the characteristics associated with successful reductions in readmissions.…”

Section: Introductionmentioning

confidence: 99%

Interventions to address medication-related causes of hospital readmissions: A scoping review

Carroll

Joseph

Puro

2019

JHA

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Unplanned readmissions pose a tremendous burden on patients, providers, and payers. A significant proportion of readmissions are medication-related. Despite the availability of literature regarding hospital-level strategies to reduce readmissions, little has been written about strategies aimed at medication-related readmissions. We sought to identify successful readmission reduction strategies by performing a scoping literature review of research published between 2000 and 2017. We identified 21 studies that met our inclusion criteria. From these studies, we identified 7 components frequently employed as a part of interventions to reduce medication-related readmissions: discharge planning, discharge education, post-discharge telephone calls, the use of a professional coordinator with clinical training to administer the intervention, patient education efforts, provider training efforts, and medication reconciliation. Thirty-eight percent of all the interventions identified were associated with a statistically significant reduction in readmissions. Of the 7 common intervention components we identified, none were consistently associated with intervention success in the full sample. However, interventions implemented by inpatient hospitals, in particular academic medical centers, had a higher success rate than interventions implemented by other providers. We examined a subsample of larger studies and found that discharge planning and medication reconciliation components were included in most of the successful interventions. Future research should look beyond simply identifying components included in an intervention and should instead seek to identify contextual factors that enable or inhibit the success of these components. Research examining discharge planning and medication reconciliation efforts will be particularly important.

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Illness Representations, Treatment Beliefs, Medication Adherence, and 30-Day Hospital Readmission in Adults With Chronic Heart Failure

Cited by 21 publications

References 43 publications

Illness Perceptions and Adherence to Medication Regimen among Hypertensive Patients Attending a County Referral Hospital in Kenya

Illness Perceptions and Adherence to Medication Regimen among Hypertensive Patients Attending a County Referral Hospital in Kenya

Effects of illness representation‐focused patient education on illness representations and self‐care in patients with heart failure: A randomised clinical trial

Interventions to address medication-related causes of hospital readmissions: A scoping review

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