Patients’ beliefs about medicines and adherence to medication in ischemic heart disease

Dias, António; Pereira, Carlos; Monteiro, Maria João; Santos, Célia

doi:10.1016/s0212-6567(14)70074-5

Cited by 20 publications

(19 citation statements)

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“…In other words, treatment plans are not imposed on patients; rather, they are designed, implemented, and evaluated via patients’ active involvement and patient–professional interactions. In this viewpoint, adherence is determined by different factors and is considered to be the responsibility of patients (who act), healthcare professionals (who facilitate action), and social context (in which the action is performed) [ 8 , 31 , 32 ]. Currently, adherence is considered as the extent to which patients’ behaviors comply with healthcare professionals’ recommendations and instructions.…”

Section: Resultsmentioning

confidence: 99%

Development and Psychometric Evaluation of Coronary Artery Disease Treatment Adherence Scale

et al. 2019

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Introduction Poor treatment adherence reduces treatment effectiveness and increases healthcare costs. The promotion of treatment adherence necessitates valid and reliable tools to assess the effectiveness of adherence promotion strategies. This study was undertaken to develop and evaluate the psychometric properties of the Coronary Artery Disease Treatment Adherence Scale. Methods This methodological study was conducted in two phases. In the first phase, a literature review was done and a 62-item scale was developed. In the second phase, different methods were used to assess the psychometric properties of the scale, namely its face validity, content validity, construct validity, internal consistency, and test–retest stability. Results During face and content validity assessments, the number of items was reduced from 62 to 53. Moreover, in construct validity assessment via exploratory factor analysis, 18 items were deleted because their factor loading values were less than 0.3. The remaining 35 items were loaded on four factors, namely medication adherence, dietary adherence, exercise adherence, and healthy lifestyle adherence. The Cronbach’s alpha values of the scale before and after factor analysis were 0.850 and 0.862, respectively. Its test–retest intraclass correlation coefficient was also 0.85. Conclusions The Coronary Artery Disease Treatment Adherence Scale is a valid and reliable tool and can be used in different healthcare settings for the assessment of treatment adherence among patients’ with coronary artery disease. Trial Registration Tehran University of Medical Sciences, identifier, 35456. Electronic supplementary material The online version of this article (10.1007/s40119-019-0135-4) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Development and Psychometric Evaluation of Coronary Artery Disease Treatment Adherence Scale

et al. 2019

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“…(7) Our study showed association between gender and adherence as similar to previous studies. (8,9,10) Alcohol consumption, smoking, busy schedules, less concerns regarding disease and treatment influences medication taking behavior within men. This was in controversy with the findings of prior studies where female patients showed less adherence.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Medication Adherence Barriers in COPD Patients in A Secondary Care Teaching Hospital

Philip¹,

Mohanan²,

Shine³

et al. 2020

J. Drug Delivery Ther.

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Background: COPD is characterised by persistent airway obstruction in which better clinical outcome can be attained by appropriate management of disease. Adherence to COPD medication is poorly understood due to chronic nature of the disease. It is crucial to identify the barriers of non-adherence to build up and execute policies and interventions to upgrade medication adherence. Objective: To identify the predisposing barriers of medication adherence and to find the association between medication adherence and variables. Methods: A descriptive analytical study was conducted and data was collected from COPD outpatients. The Morisky Medication Adherence Scale was used to measure adherence and self-assessed questionnaire was employed to identify the predictors of poor adherence. Chi square test was carried out to find the relationship between medication adherence and variables such as age, gender, literacy, socioeconomic class, polypharmacy, delivery device and climate. Results: A total of 403 patients were involved in the study where 68% reported lower adherence. The most common adherence barriers found were forgetfulness (88%), intentional stoppage of medicines when symptoms improve (83%) and negligence towards medication (82%).A significant association was found between gender, literacy, socioeconomic class, polypharmacy, delivery device and climate. Conclusion: Adherence to medication regimen in COPD patients is poor, even though it is a preventable and a treatable disease. Well-structured education, training, counseling is required to overcome medication adherence particularly among illiterate and low socioeconomic class patients. The combined interventions should be used such as video clips demonstrations of inhaler technique should be given. Keywords: COPD, Morisky medication adherence scale, Chi square test.

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“…[11] This study aimed to identify and establish the most appropriate counselling aid that could contribute to adherence in IHD patients. As a part of studying the effects of counselling aids on adherence in IHD subjects, the adherence questionnaire was prepared, validated, recorded and was scored.…”

Section: Data Interpretation and Discussionmentioning

confidence: 99%

Effect of Counselling Aids on Adherence in Ihd Patients

Shah¹

2017

WJPPS

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Patients’ beliefs about medicines and adherence to medication in ischemic heart disease

Abstract: The results are consistent with previous studies in which individuals with lower beliefs in specific concerns reported higher rates of adherence to medication.

Cited by 20 publications

References 0 publications

Development and Psychometric Evaluation of Coronary Artery Disease Treatment Adherence Scale

Development and Psychometric Evaluation of Coronary Artery Disease Treatment Adherence Scale

Assessment of Medication Adherence Barriers in COPD Patients in A Secondary Care Teaching Hospital

Effect of Counselling Aids on Adherence in Ihd Patients

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