Integration of biological and psychological illness attributional belief in association with medication adherence behaviour: A path analysis

Author(s):  
Yi Nam Suen ◽  
Emily Tsz Wa Yeung ◽  
Sherry Kit Wa Chan ◽  
Christy Lai Ming Hui ◽  
Edwin Ho Ming Lee ◽  
...  
2014 ◽  
Vol 3 (1) ◽  
pp. 1-14
Author(s):  
Nurma Afiani

Hipertensi derajat II tidak terkontrol dapat beresiko menimbulkan krisis hipertensi dan penyakit kardiovaskular lain, serta menurunkan kualitas hidup penderita. Oleh karena itu, kontrol terhadap faktor-faktor yang mempengaruhi kualitas hidup penderita hipertensi derajat II diperlukan untuk mencegah terjadinya krisis hipertensi dan komplikasi kardiovaskular lain. Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang dapat mempengaruhi kualitas hidup penderita hipertensi derajat II dengan mengimplementasikan studi analitik observasional yang dilakukan pada pasien hipertensi rawat jalan di Poliklinik Umum Puskesmas Dinoyo Kota Malang selama bulan Mei sampai Juli 2014. Subjek dipilih sesuai dengan kriteria hipertensi derajat II dan yang telah mengisi blanko Informed Consent. Data tentang kepatuhan terapi dan kualitas hidup diperoleh dari hasil wawancara masing-masing pasien dengan menggunakan kuisioner MMAS (Morisky Medication Adherence Scale) dan SF-36 (Short Form-36). Faktor-faktor yang mempengaruhi kualitas hidup penderita hipertensi derajat II lainnya dikaji dan dianalisa dengan analisis jalur (Path Analysis). Berdasarkan hasil analisa jalur, ditemukan bahwa faktor-faktor yang berpengaruh langsung terhadap kualitas hidup berturut-turut adalah kepatuhan terapi (r=0.401; p=0.000), tingkat ekonomi (r=0.257; p=0.009) dan jenis antihipertensi (r=0.159; p=0.016). Kepatuhan terapi sendiri juga dipengaruhi oleh beberapa faktor yaitu tingkat ekonomi (r=0.239; p=0.004) dan tingkat pendidikan (r=0.237; p=0.000). Jadi, faktor ekonomi dan pendidikan merupakan faktor yang paling dominan dalam menentukan kepatuhan terapi yang kemudian berdampak kepada kualitas hidup.


According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.


2021 ◽  
Vol 12 (4) ◽  
pp. 6-16
Author(s):  
Nasreem Bibi ◽  
Bahta Wara ◽  
Hana Morrissey ◽  
Patrick Ball

2015 ◽  
Vol 7 ◽  
pp. e2015013 ◽  
Author(s):  
Jyotsna Kapoor ◽  
Narendra Agrawal ◽  
Rayaz Ahmad ◽  
Sanjeev Kumar Sharma ◽  
Anshul Gupta ◽  
...  

Adherence to imatinib(IM) is of utmost importance in patients with chronic myeloid leukemia(CML) to maximise treatment effectiveness. The main objective is to measure adherence to    IM & to evaluate individual patient characteristics, personal, treatment related &                    psychological factors influencing adherence behaviour. Hundred patients  receiving IM were analysed for adherence behaviour using 9 item Morisky Medication Adherence Scale              (9-MMAS) . Various factors were assessed for their impact on adherence behaviour.  These   factors were age, gender, duration of treatment, frequency & dosing of treatment, use  of        tobacco & alcohol, educational qualification,employment status,monthly  income, side effects, financial assistance in treatment, social support, knowledge about medicine & disease,         concomitant drug burden, polypharmacy, physician patient interaction, patient  educational    sessions & prevalence of depression. Seventy five percent of patients were found to be           adherent. On univariate analysis, prevalence of depression (p<0.000001), moderate severe     depression (p<0.000001), concomitant drug burden (p=0.036) & monthly income (p=0.015) were found to be significantly influencing adherence. The final multivariate model retained   prevalence of depression with OR= 10.367  (95% CI, 3.112- 34.538) as independent predictor of adherence to therapy. This study suggests that identification & treatment of depression among CML patients may further enhance adherence to IM therapy.Keywords: Chronic Myeloid Leukemia, Adherence, Imatinib, Nine Item Morisky Medication Adherence Scale, Patient Health Questionnaire -9.


2020 ◽  
Vol 3 ◽  
pp. 25
Author(s):  
Caroline A. Walsh ◽  
Sara Mucherino ◽  
Valentina Orlando ◽  
Kathleen E. Bennett ◽  
Enrica Menditto ◽  
...  

The use of group-based trajectory modelling (GBTM) within the medication adherence literature is rapidly growing. Researchers are adopting enhanced methods to analyse and visualise dynamic behaviours, such as medication adherence, within ‘real-world’ populations. Application of GBTM based on longitudinal adherence behaviour allows for the identification of adherence trajectories or groups.  A group is conceptually thought of a collection of individuals who follow a similar pattern of adherence behaviour over a period of time. A common obstacle faced by researchers when implementing GBTM is deciding on the number of trajectory groups that may exist within a population. Decision-making can introduce subjectivity, as there is no ‘gold standard’ for model selection criteria. This study aims to examine the extent and nature of existing evidence on the application of GBTM for medication adherence assessment, providing an overview of the different GBTM techniques used in the literature. The methodological framework will consist of five stages: i) identify the research question(s); ii) identify relevant studies; iii) select studies; iv) chart the data and finally, v) collate, summarise and report the results. Original peer-reviewed articles, published in English, describing observational and interventional studies including both concepts and/or sub-concepts of GBTM and medication adherence or any other similar terms, will be included. The following databases will be queried: PubMed/MEDLINE; Embase (Ovid); SCOPUS; ISI Web of Science and PsychInfo. This scoping review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool to report results. This scoping review will collect and schematise different techniques in the application of GBTM for medication adherence assessment available in the literature to date, identifying research and knowledge gaps in this area. This review can represent an important tool for future research, providing methodological support to researchers carrying out a group-based trajectory analysis to assess medication adherence in a real-world context.


According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.


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