scholarly journals the-need-of-patient-education-to-improve-medication-adherence-among-hypertensive-patients

2020 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
>Ching Siang Tan
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Improve Medication Adherence ◽  
Hypertensive Patients

Abstract 113: Pharmacists' Perspectives of an Intervention to Improve Medication Adherence after ACS Hospitalization A Qualitative Analysis

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Kelty B Fehling ◽  
Anne Lambert-Kerzner ◽  
Ryan Davis ◽  
Jennifer Weaver ◽  
Casey Barnett ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Patient Adherence ◽  
Clinical Care ◽  
Qualitative Inquiry ◽  
Educational Process ◽  
Assessment Tools ◽  
Personal Contact ◽  
Improve Medication Adherence ◽  
Coronary Syndrome

Background: Despite the success of pharmacist-led interventions to improve medication adherence, pharmacists’ perspectives of these interventions are unknown. Our objective was to understand the pharmacists’ perspectives of a successful multifaceted intervention to improve medication adherence after acute coronary syndrome (ACS) hospitalization. Methods: We ascertained pharmacist perspectives’ through qualitative inquiry that included an open-ended survey, semi-structured interviews, and a focus group with the four pharmacists who participated in the intervention. Transcripts of surveys and interviews were analyzed using a content analysis approach. The intervention components included: 1) patient education; 2) assessment tools for potential medication adherence barriers; 3) collaborative care; and 4) automated medication refill reminders and educational messages. Pharmacists’ perspectives on each of these components were evaluated. Results: The pharmacists felt the intervention could be sustained in routine clinical care and identified key themes that facilitated intervention success. Pharmacists believed educating patients about their cardiovascular medications filled a gap in usual care. In addition, assessment tools that identified medication discrepancies and gaps in knowledge were helpful in tailoring patient education, while face-to-face conversations were more helpful in identifying mental and cognitive deficits that were barriers to adherence. Pharmacists also noted that the intervention led to the development of bi-directional relationships with patients through increased in-person and tele-health communication. As a result, poor adherence related to medication side effects was more readily addressed. Potential areas for improvement identified by the pharmacists included 1) emphasizing in-person visits to build relationships (begin the educational process while the patient is hospitalized and schedule both the follow-up clinic appointment and pharmacy visit at the same time); 2) utilizing the patient centered medical home concept to improve access to providers; 3) allowing sites to determine provider type to support the personal contact (i.e. pharmacist, nurse practitioner, registered nurse); and 4) employing interactive voice response (IVR) technology to facilitate communication. Conclusions: Pharmacists’ perspectives of a medication adherence intervention gave insights into reasons for the intervention success and suggestions for improvements and dissemination. We found that in-person meetings between pharmacists and patients led to bi-directional conversations and relationships with providers, which positively influenced patient adherence behavior. Future interventions designed to improve medication adherence should incorporate these pharmacist-identified factors.

Adherence through education: A call to clinicians to educate all patients on medication use

2012 ◽  
Vol 2 (4) ◽  
pp. 83-85 ◽  
Author(s):  
Kristen Allison
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Medication Use ◽  
Medication Nonadherence ◽  
Improve Medication Adherence ◽  
Therapeutic Outcomes

Medication nonadherence contributes to lack of achievement of desired therapeutic outcomes. This article reviews the evidence supporting patient education as a one of the tools to promote medication adherence. Patient education and provision of tools to help patients overcome adherence barriers are effective ways to improve medication adherence.

scholarly journals Effects of medication knowledge on medication adherence among hypertensive patients at Matero level one hospital, Lusaka city, Zambia: a cross sectional study

2021 ◽  
Vol 10 (8) ◽  
pp. 893
Author(s):  
Martin Kampamba ◽  
Farhiyyah Abanur ◽  
Christabel Nang’andu Hikaambo ◽  
Steward Mudenda ◽  
Kennedy Saini ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Medication Adherence ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Medication Knowledge ◽  
Hypertensive Patients

Background: Medication adherence is the mainstay to good treatment outcomes. Failure to adhere to medication in hypertensive patients may lead to considerable deterioration of the disease resulting in increased costs of healthcare and mortality. Knowledge about the name of the drug, indications and side effects may enhance medication adherence. Therefore, the aim of this study was to assess effects of medication knowledge on medication adherence among hypertensive patients.Methods: This was a cross-sectional study that involved 120 hypertensive patients. A structured questionnaire was used to collect data on demographic characteristics. Adherence was assessed using the 8-item Morisky medication adherence scale while patient’s medication knowledge was assessed using a 7-item scale. Multiple logistic regression was used to assess factors associated with medication adherence.Results: The mean age of participants was 59 years (SD±14.9) and 10 (8.3%), 42 (35%) and 68 (56.7%) had adequate, average and poor medication knowledge respectively. The prevalence of adherence in this study was 37.5%. In multivariable logistic regression analysis, uncontrolled blood pressure (BP) (AOR: 0.38, CI: 0.16-0.90) was associated with lower likelihood of adhering to medication.Conclusions: The adherence level to treatment was low and medication knowledge of hypertensive patients was generally poor. Uncontrolled BP was associated with non-adherence. Patients with uncontrolled hypertension should be given health education and counselling regarding their condition to improve medication adherence. 

scholarly journals MobiHealth: a System to Improve Medication Adherence in Hypertensive Patients

2018 ◽  
Vol 141 ◽  
pp. 366-373 ◽  
Author(s):  
Vandermi Silva ◽  
Vinicius S. Souza ◽  
Robson G. da Cruz ◽  
Nasser Jazdi ◽  
Vicente F. de Lucena
Keyword(s):  
Medication Adherence ◽  
Improve Medication Adherence ◽  
Hypertensive Patients

scholarly journals Communication Strategies to Improve Medication Adherence: A Systematic Review of Literature

2021 ◽  
Vol 9 ◽  
pp. 1-42
Author(s):  
Kristin G. Maki ◽  
Katy A. Harris ◽  
◽  
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Health Outcomes ◽  
Quantitative Research ◽  
Communication Strategies ◽  
Cost Effective ◽  
Review Of Literature ◽  
Improve Medication Adherence ◽  
Final Sample ◽  
Cost Effective Method

Less than optimal medication adherence is a persisting issue among many patient groups, resulting in poorer health outcomes along with increased strain on financial and time resources. However, communication strategies employed by clinicians may offer a simple, cost-effective method for improving medication adherence and health outcomes. We conducted a review of literature that rendered search results from seven databases, resulting in 1,513 abstracts. A final sample of 44 studies was included to compare the effectiveness of communication-based adherence strategies among various health conditions. After reviewing the full text of included studies, we organized communication strategies into four categories: patient reminders, collaborative communication, patient education, and counseling strategies. Although all of the strategies indicated some level of success, studies examining patient education components showed the most promise both in generalizability and results. This review’s results indicate that a need remains for quantitative research examining the effectiveness of these strategies to increase medical adherence.

scholarly journals Hubungan Letak Geografis dengan Kepatuhan Pengobatan pada Pasien Hipertensi di Kabupaten Pekalongan

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Benny Arief Sulistyanto ◽  
Mukti Lestari Madyoratri
Keyword(s):  
Medication Adherence ◽  
Health Workers ◽  
Geographical Location ◽  
Health Care Facilities ◽  
P Value ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

Abstrak. Kepatuhan pengobatan hipertensi dapat dipengaruhi oleh faktor sosial-demogafik. Perbedaan fasilitas penunjuang kesehatan pada daerah dataran rendah dan dataran tinggi mengakibatkan tidak meratanya informasi dan pengobatan terkait hipertensi. Penelitian ini bertujuan untuk mengidentifikasi hubungan letak geografis dengan tingkat kepatuhan pengobatan hipertensi di Kabupaten Pekalongan. Penelitian ini merupakan studi deskirptif dengan pendekatan cross-sectional. Kuesioner The 8-item Morisky Medication Adherence Scale (MMAS-8) versi Bahasa Indonesia digunakan untuk mengukur kepatuhan pengobatan hipertensi pada 65 responden di daerah dataran tinggi dan dataran rendah. Hasil penelitian ini menemukan bahwa letak geografis mempunyai korelasi terhadap kepatuhan pengobatan hipertensi (p-value < 0,01). Petugas kesehatan hendaknya menggunakan berbagai metode untuk meningkatkan kepatuhan pengobatan khususnya yang berlokasi di dataran rendah. Namun demikian, peningkatkan kualitas dan kuantitas fasilitas kesehatan di dataran tinggi tidak boleh diabaikan Kata kunci: kepatuhan pengobatan, hipertensi, MMAS-8, letak geografis Relationship between Geographical Location and Medication Adherence in Hypertensive Patients in Pekalongan DistrictAbstract. Medication adherence among hypertensive patients can be influenced by socio-demographic factors. The differences in health care facilities in the lowlands and highlands create a gap of information and treatment related to hypertension treatments. The purpose of this study is to identify the relationship between geographical location and medication adherence in Pekalongan Regency. A descriptive study with a cross-sectional approach was used. The Indonesian version of the Morisky Medication Adherence Scale (MMAS-8) questionnaire was used to measure the adherence of medication treatment among 65 respondents in the highlands and lowlands. The results of this study revealed that geographical location was highly correlated with medication adherence (p-value <0.01). Health workers should use various methods to improve medication adherence, especially those located in the lowlands. Although, improving the quality and quantity of health facilities in the highlands should not be ignored Keywords: medication adherence, hypertension, MMAS-8, geographical location

scholarly journals iMedA: improving medication adherence through adaptive digital interventions in patients with hypertension: Protocol for an Interrupted time-series study (Preprint)

2020 ◽  
Author(s):  
Kobra Etminani ◽  
Carina Göransson ◽  
Alexander Galozy ◽  
Margaretha Norell Pejner ◽  
Sławomir Nowaczyk
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Care Management ◽  
Self Care ◽  
Interrupted Time Series ◽  
Mobile App ◽  
Improve Medication Adherence ◽  
Hypertensive Patients ◽  
Digital Interventions ◽  
Digital Intervention

BACKGROUND There is a strong need to improve medication adherence (MA) for hypertensive patients in order to reduce long-term hospitalization costs. We believe this can be achieved through an AI agent that helps the patient in understanding key individual adherence risk factors and designing an appropriate intervention plan. The incidence of hypertension in Sweden is estimated at approximately 27%. Among American adults diagnosed with hypertension only 54% had their condition under control; another 32% had prehypertension-level blood pressure. The direct and indirect healthcare costs due to uncontrolled hypertension in the US alone are estimated at 49 billion dollars each year. It is a major risk factor for coronary heart disease and stroke as well as heart failure. MA is a key factor for good clinical outcomes in hypertensive patients. OBJECTIVE The overall aim of this study is to design, develop, test, and evaluate an adaptive digital intervention called iMedA, delivered via a mobile app to improve MA and self-care management, and in longer-term blood pressure control, for persons with hypertension. METHODS The study design is considered to be an interrupted time series (ITS). We will collect data on a daily basis, 14 days before, during 6 months of delivering digital interventions through the mobile app, and after that. The effect will be analyzed using segmented regression analysis. The participants will be recruited in Region Halland, Sweden. The design of the digital interventions follows the Just-In-Time Adaptive Intervention (JITAI) framework. The primary (distal) outcome is MA, and the secondary outcome is blood pressure. The design of the digital intervention is developed based on a need assessment process including a systematic review, focus group interviews, and a pilot study, before going for the longitudinal ITS study. RESULTS The focus groups of persons with hypertension have been conducted to perform the need assessment. The design and development of digital interventions is under progress and is planned to be ready in September 2020. Then the 2-week pilot study for usability evaluation will get started, and then the ITS study will follow it, which we plan to start in October 2020. CONCLUSIONS We hypothesize that iMedA will improve medication adherence and self-care management. This study could illustrate how self-care management tools can be an additional (digital) treatment support to a clinical one without increasing burden on healthcare staff. CLINICALTRIAL ClinicalTrials.gov NCT04413500; https://clinicaltrials.gov/ct2/show/NCT04413500medication adherence; hypertension; digital intervention; mHealth; Artificial Intelligence

scholarly journals PENGARUH PEMBERIAN EDUKASI DENGAN METODE FOCUS GROUP DISCUSSION TERHADAP KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI DI PUSKESMAS TAHUNA BARAT

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Jesica F. Kansil ◽  
Mario E. Katuuk ◽  
Maria J. Regar
Keyword(s):  
Medication Adherence ◽  
Group Discussion ◽  
Intervention Group ◽  
Control Group ◽  
Improve Medication Adherence ◽  
Chi Square ◽  
Control Group Design ◽  
Hypertensive Patients ◽  
Significance Level ◽  
Purposive Sampling

Abstract: Hypertension is one of the important factors as a trigger for Non Communicable Diseases such as Heart Disease, Stroke that were currently the number one cause of death in the world. Adherence in managing hypertension was very important because it can be affect the patient’s life in managing the disease. The effort that can be given to improve adherence was provided education. The Purpose: to know the effect of providing education with FGD Method towards medication adherence of hypertensive patients. This research method: is quasi experiment, with pretest-posttest with control group design. Samples: Sampling techniques in this research is purposive sampling of 34 respondents who have a criteria inclusion that consist of 17 respondents of intervention group and 17 respondents of control group. Data accumulation is using the questionnaire with 10 questions. The Results: by using Chi Square test at a significance level of 95 %, obtained a significant value p=0.028 or smaller than 0.05 (0.028< 0.05). Conclusions: that educational of FGD method is very effectively to improve medication adherence of hypertensive patients at Public Health Center of West Tahuna.Keywords : Education, FGD Method, Medication AdherenceAbstrak : Hipertensi merupakan salah satu faktor penting sebagai pemicu Penyakit Tidak Menular seperti Penyakit Jantung, Stroke dan lain-lain yang saat ini menjadi penyebab kematian nomor satu di dunia. Kepatuhan dalam memanajemen hipertensi sangat penting karena dapat mempengaruhi cara hidup pasien dalam mengelolah penyakitnya. Upaya yang bisa diberikan untuk meningkatkan kepatuhan yaitu dengan pemberian edukasi. Tujuan untuk mengetahui pengaruh pemberian edukasi dengan metode FGD terhadap kepatuhan minum obat penderita hipertensi. Metode penelitian ini adalah quasi eksperimen, dengan desain penelitian pretest-posttest with control group. Teknik sampling dalam penelitian ini adalah purposive sampling berjumlah 34 responden yang telah memenuhi kriteria inklusi yang terdiri dari kelompok intervensi 17 responden dan kelompok kontrol 17 responden. Pengumpulan data menggunakan kuesioner sebanyak 10 pertanyaan. Hasil penelitian dengan menggunakan uji Chi Square pada tingkat kemaknaan 95 % diperoleh nilai signifikan p = 0.028 atau lebih kecil dari 0.05 (0.028 < 0.05). Kesimpulan, hasil penelitian ini menunjukkan bahwa metode edukasi dengan FGD sangat efektif digunakan untuk meningkatkan kepatuhan minum obat penderita hipertensi di Puskesmas Tahuna Barat.Kata Kunci : Edukasi, Metode FGD, Kepatuhan Minum Obat

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