The 8-item Morisky Medication Adherence Scale: Validation of a Brazilian–Portuguese version in hypertensive adults

Oliveira-Filho, Alfredo Dias de; Morisky, Donald E.; Neves, Sabrina Joany Felizardo; Costa, Francisco Assis Lima; Lyra, Divaldo Pereira de

doi:10.1016/j.sapharm.2013.10.006

Cited by 121 publications

(88 citation statements)

References 30 publications

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“…[12][13][14] Adherence was measured using the Portuguese translation of the (8-item Morisky Medication Adherence Scale, MMAS-8), which has been validated. 15,16 The MMAS-8 was originally developed to assess treatment adherence in patients with systemic arterial hypertension, but Wang et al 17 and Mayet 18 have validated it for assessing treatment adherence in patients taking warfarin. To date, there are no published studies conducted in Brazil using the MMAS-8 to assess adherence to oral anticoagulation treatment.…”

Section: Methodsmentioning

confidence: 99%

Nível de informação e adesão à terapia de anticoagulação oral com varfarina em pacientes acompanhados em ambulatório de atenção primária à saúde

2018

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Background: Oral anticoagulation therapy with warfarin is widely used around the world and its safety and efficacy are well-established. Nevertheless, anticoagulants are among the drug classes most associated with fatal medication errors in primary health care. Objective: To investigate patient knowledge, the level of information provided, and medication adherence in patients treated with warfarin at a primary health care service. Method: A cross-sectional study of a prospective cohort of 60 patients on warfarin treatment in the town of Ijuí, Rio Grande do Sul, Brazil. A questionnaire was administered to test patients' knowledge about their prescriptions and the level of information provided by the health team. The 8-item Morisky Medication Adherence Scale (MMAS-8) and International Normalized Ratio (INR) were used to verify adherence to treatment. Results: The results were expressed in absolute and relative values and prevalence ratios were calculated, with respective 95% confidence intervals. It was found that 83.3% of the participants had been given insufficient information by the health team, 50% did not know how to use the medication correctly, 86.7% were not adherent to the treatment according to MMAS-8 and 63.3% were outside of the correct INR range. Conclusion: In this study, we observed a need to improve the quality of information provided to users and to develop strategies to improve adherence to treatment, to ensure the safety of patients treated with warfarin in primary health care services.

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Section: Methodsmentioning

confidence: 99%

Nível de informação e adesão à terapia de anticoagulação oral com varfarina em pacientes acompanhados em ambulatório de atenção primária à saúde

2018

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“…In this case, the administration of the drugs at home could not be assessed. A method of assessing adherence to treatment is self-reporting, which involves administering the treatment monitoring agenda, self-administered and auto-reported Questionnaire (MAQ) [6]. The questionnaire's first seven elements have yes/no answers, while the last element has 5 answers (Likert scale).…”

Section: Measurement Of Adherencementioning

confidence: 99%

Therapeutic adherence in patients with systemic lupus erythematosus: a cross-sectional study

Mazur-Nicorici

Sadovici-Bobeica

Garabajiu

et al. 2018

Romanian Journal of Internal Medicine

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“…A adesão terapêutica foi determinada por meio da aplicação da Escala de Adesão Terapêutica de oito itens de Morisky (MMAS-8), adaptada para o português e validada em estudo anterior (13,14). Foram considerados aderentes os pacientes cujo escore final foi igual ou maior que seis (15).…”

Section: Métodounclassified

Identificação De Pacientes Com Hipertensão Resistente E Pseudorresistente Em Uma Unidade De Saúde Da Família

Silva¹,

Amorim²,

Filho³

et al. 2017

Infarma

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Resistant Hypertension manifests when blood pressure (BP) remains above the recommended levels, despite regular use of three classes of antihypertensive drugs, including diuretics. This study aimed to identify resistant hypertension and pseudo-resistant hypertension in patients enrolled in a Family Health Unit. It was a cross-sectional study in hypertensive patients using antihypertensive medications seen at Basic Health Unit (BHU), located in the city of Maceio, through interviews with a structured questionnaire during home visits, as well as searching information from patients medical records at BHU. Patients were monitored for three consecutive weeks. The adherence was determined by applying the Morisky Adherence Scale Therapeutics eight items (MMAS-8). The antihypertensive drug therapy was evaluated according to the Brazilian Guidelines on Hypertension. Fifty 50 patients were investigated, with mean age of 66.4 years (SD = 13.5). Most hypertensive patients studied were female (74%). Among the patients, 39 were classified as pseudo-resistant hypertension (78%), and 28 patients used antihypertensive regimens are considered inappropriate and 11 were non-adherent to treatment. In this study, 8% of hypertensive patients were diagnosed with resistant hypertension. Regarding SBP and DBP, gender, smoking habits and physical activity were not influencing factors. On the other hand, the proper prescription was correlated with the control of SBP, but not with the DBP control. The degree of adherence influenced both SBP and DBP. It was also observed the influence of subtype of hypertension on the SBP and DBP.Key Words: medication adherence; hypertension; inappropriate prescribing RESUMO A Hipertensão Resistente (HAR) se manifesta quando os valores de pressão arterial (PA) permanecem acima da meta, apesar do uso regular de três classes de fármacos anti-hipertensivos, incluindo um diurético. Este estudo teve como objetivo identificar a HAR e a hipertensão pseudo-resistente em pacientes atendidos em uma Unidade de Saúde da Família. Foi realizado um estudo transversal com pacientes hipertensos em uso de medicamentos anti-hipertensivos atendidos em uma Unidade Básica de Saúde localizada no município de Maceió, por meio de entrevistas, com aplicação de questionário estruturado durante visitas domiciliares. Os valores de PA dos pacientes foram monitorados durante três semanas consecutivas. A adesão terapêutica foi determinada por meio da aplicação da Escala de Adesão Terapêutica de oito itens de Morisky (MMAS-8). Foram investigados 50 pacientes, com média de idade de 66,4 anos (DP = 13,5), sendo que a maioria dos pacientes era do sexo feminino (74%). Entre os pacientes estudados, 39 foram

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The 8-item Morisky Medication Adherence Scale: Validation of a Brazilian–Portuguese version in hypertensive adults

Cited by 121 publications

References 30 publications

Nível de informação e adesão à terapia de anticoagulação oral com varfarina em pacientes acompanhados em ambulatório de atenção primária à saúde

Nível de informação e adesão à terapia de anticoagulação oral com varfarina em pacientes acompanhados em ambulatório de atenção primária à saúde

Therapeutic adherence in patients with systemic lupus erythematosus: a cross-sectional study

Identificação De Pacientes Com Hipertensão Resistente E Pseudorresistente Em Uma Unidade De Saúde Da Família

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