Ways Health Care Providers Can Promote Better Medication Adherence

Bussell, Jennifer K.; Cha, EunSeok; Grant, Yvonne E; Schwartz, David D.; Young, Lara A.

doi:10.2337/cd016-0029

Cited by 22 publications

(25 citation statements)

References 27 publications

(41 reference statements)

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“… 12 Patients’ cultural beliefs about medication-taking are also factors contributing intentional medication non-adherence. 42 Healthcare providers should be encouraged to recognize confusion and misconceptions about medications in patients from different cultures and to provide sensitive care to people from diverse ethnic backgrounds to achieve better medication adherence. 43…”

Section: Discussionmentioning

confidence: 99%

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<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

Shahin

Kennedy

Cockshaw

et al. 2020

PPA

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Purpose The study assessed the association between medication beliefs and adherence in Middle Eastern refugees and migrants in Australia, and also examined differences between the two groups regarding beliefs and adherence to medication. Patients and Methods A total of 319 Middle Eastern refugees and migrants with hypertension were approached via various social groups in Australia and asked to complete Arabic versions of the Beliefs about Medicine Questionnaire (BMQ) and the Medication Adherence Questionnaire. BMQ scores (necessity and concerns scales) were classified as “accepting”, “indifferent”, “ambivalent” or “skeptical”. Multiple mediation modelling was applied to examine the role of necessity and concerns scales as mediators between migration status and medication adherence. Results There were significant associations between medication adherence and medication beliefs scores (necessity and concerns scales) ( p =0.0001). Necessity and concern were mediators in the relationship between migration status and medication adherence. Significant differences were found between refugees and migrants for medication adherence and medication beliefs. Refugees were likely to have less necessity, and more concern beliefs than migrants, and were also less likely to adhere to medications. Almost 30% of refugees could be classified as skeptical and 40% as ambivalent. In contrast, 50% of migrants had accepting beliefs, and around 35% held ambivalent beliefs. Refugees and migrants with “accepting” beliefs reported the highest adherence to medication and those holding “skeptical” beliefs reported the lowest adherence. Conclusion Medication beliefs are potentially modifiable and are reasonable targets for clinical interventions designed to improve medication adherence. Understanding these beliefs and the likely differences between refugees and migrants is crucial to provide specific and targeted advice to each group independently in order to improve medication adherence and overall health.

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Section: Discussionmentioning

confidence: 99%

“…24 Moreover, patients are often reluctant to share intentions to not take medications and concerns with healthcare providers, and therefore providers need to create an encouraging, blame-free environment to allow patients to describe their medication-taking behaviour. 42 …”

Section: Discussionmentioning

confidence: 99%

<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

Shahin

Kennedy

Cockshaw

et al. 2020

PPA

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“…These beliefs are potentially formed from different personal characteristics, such as culture and religion [ 32 ]. It has been identified that patients’ cultural beliefs about medication-taking are factors contributing to intentional medication non-adherence [ 47 ]. Patients from different backgrounds may be reluctant to discuss medication beliefs, herbal therapies, home remedies, and religious practices with their healthcare providers.…”

Section: Discussionmentioning

confidence: 99%

The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

2020

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(1) Background: Medication adherence is a key determinant of patient health outcomes in chronic illnesses. However, adherence to long-term therapy remains poor. General beliefs about medicine are considered factors influencing medication adherence. It is essential to address the gap in the literature regarding understanding the impact of general beliefs about medicine on medication adherence to promote adherence in chronic illnesses. (2) Methods: PubMed, CINHAL, and EMBASE databases were searched. Studies were included if they examined medication beliefs using the Beliefs about Medicine Questionnaire in one of four chronic illnesses: hypertension, diabetes, chronic obstructive pulmonary disease, and/or asthma. (3) Results: From 1799 articles obtained by the search, only 11 met the inclusion criteria. Hypertension and diabetes represented 91% of included studies, while asthma represented 9%. Higher medication adherence was associated with negative general medication beliefs; 65% of the included studies found a negative association between harm beliefs and adherence, while 30% of studies found a negative association with overuse beliefs. (4) Conclusions: This review evaluated the impact of harm and overuse beliefs about medicines on medication adherence, highlighting the gap in literature regarding the impact of harm and overuse beliefs on adherence. Further research is needed to fully identify the association between general beliefs and medication adherence in people with different cultural backgrounds, and to explore these beliefs in patients diagnosed with chronic illnesses, particularly asthma and chronic obstructive pulmonary disease (COPD). Healthcare providers need to be aware of the impact of patients’ cultural backgrounds on general medication beliefs and adherence.

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“…These beliefs also, are potentially influenced by various personal characteristics that may derive from culture and religion (Al-Ruthia et al, 2017). Patients' cultural beliefs about medication-taking are also factors contributing intentional medication non-adherence (Bussell, Cha, Grant, Schwartz, & Young, 2017). Health care providers should be encouraged to recognize confusion and misconceptions about medications in patients from different cultures and to provide sensitive care to people from diverse ethnic backgrounds to achieve better medication adherence (Shahin, Kennedy, & Stupans, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…These countries experience severe disruptions of their health systems resulting in a high degree of uncertainty regarding the safety of seeking healthcare services (Shahin et al, 2020). Moreover, patients are often reluctant to share intentions to not take medications and concerns with health care providers, and therefore providers need to create an encouraging, blame-free environment to allow patients to describe their medication-taking behaviour (Bussell et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Role of Medication Beliefs on Medication Adherence in Hypertensive Middle Eastern Refugees and Migrants in Australia

Shahin

Kennedy

Cockshaw

et al. 2020

Preprint

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BackgroundAdherence to medication is essential in some patients for achieving treatment control in hypertension. Medication beliefs is one of the personal modifiable factors that has been recognised to influence medication adherence in different populations. However, there is no published research to confirm the relationship between medication beliefs and medication adherence in Middle Eastern refugees and migrants in Australia. These two different groups may develop different beliefs about their medications that lead to different medication taking behaviours. Understanding the possible differences in beliefs may have a significant impact on enhancing medication adherence in these groups.Design320 Middle Eastern refugees and migrants with hypertension were approached via various social groups in Australia and asked to complete Arabic versions of the Beliefs about Medicine Questionnaire (BMQ) and the Medication Adherence Questionnaire. BMQ scores (necessity and concerns scales) were classified as "accepting", "indifferent", "ambivalent" or "skeptical". Multiple mediation modelling was applied to examine the role of necessity and concerns scales as mediators between migration status and medication adherence.ResultsThere were significant associations between medication adherence and medication beliefs scores (necessity and concerns scales) (p = 0.0001). Necessity, and concern were mediators in the relationship between migration status and medication adherence. Significant differences were found between refugees and migrants for medication adherence and medication beliefs. Refugees were likely to have less necessity, and more concern beliefs than migrants. They were also less likely to adhere to medications. Almost 30% of refugees could be classified as skeptical and 40% as ambivalent. In contrast, 50% of migrants had accepting beliefs, and around 35% held ambivalent beliefs. Refugees and migrants with “accepting” beliefs reported the highest adherence to medication and those holding “skeptical” beliefs reported the lowest adherence.ConclusionMedication beliefs are potentially modifiable and are reasonable targets for clinical interventions designed to improve medication adherence. Understanding these beliefs and the likely differences between refugees and migrants is crucial to provide specific and targeted advice to each group independently in order to improve medication adherence and overall health.

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Ways Health Care Providers Can Promote Better Medication Adherence

Cited by 22 publications

References 27 publications

<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

<p>The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia</p>

The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

Role of Medication Beliefs on Medication Adherence in Hypertensive Middle Eastern Refugees and Migrants in Australia

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