scholarly journals Impact of Email refill reminders on medication adherence among patients with Chronic Diseases in a retail Community Pharmacy

2015 ◽  
Vol 18 (3) ◽  
pp. A259-A260 ◽  
Author(s):  
M.S. Taitel ◽  
Y. Mu ◽  
Y. Lou ◽  
A. Cannon
Author(s):  
Jyh-Jeng Wu ◽  
Yueh-Mei Chen ◽  
Paul C. Talley ◽  
Kuang-Ming Kuo

Effectively improving the medication adherence of patients is crucial. Past studies focused on treatment-related factors, but little attention has been paid to factors concerning human beliefs such as trust or self-efficacy. The purpose of this study is to explore the following aspects of patients with chronic diseases: (1) The relationship between emotional support, informational support, self-efficacy, and trust; (2) the relationship between self-efficacy, trust, and medication adherence; and, (3) whether chronic patients’ participation in different types of online communities brings about significant statistical differences in the relationships between the abovementioned variables. A questionnaire survey was conducted in this study, with 452 valid questionnaires collected from chronic patients previously participating in online community activities. Partial Least Squares-Structural Equation Modeling analysis showed that emotional support and informational support positively predict self-efficacy and trust, respectively, and consequently, self-efficacy and trust positively predict medication adherence. In addition, three relationships including the influence of emotional support on trust, the influence of trust on medication adherence, and the influence of self-efficacy on medication adherence, the types of online communities result in significant statistical differences. Based on the findings, this research suggests healthcare professionals can enhance patients’ self-efficacy in self-care by providing necessary health information via face-to-face or online communities, and assuring patients of demonstrable support. As such, patients’ levels of trust in healthcare professionals can be established, which in turn improves their medication adherence.


2014 ◽  
Vol 23 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Ellen S. Koster ◽  
Daphne Philbert ◽  
Nina A. Winters ◽  
Marcel L. Bouvy

2016 ◽  
Vol 19 (6) ◽  
pp. 454-461 ◽  
Author(s):  
Osayi E. Akinbosoye ◽  
Michael S. Taitel ◽  
James Grana ◽  
Jerrold Hill ◽  
Rolin L Wade

2021 ◽  
Vol 104 (3) ◽  
pp. 482-488

Objective: To compare drug adherence with or without pharmaceutical pictograms in the elderly with chronic diseases. Materials and Methods: The present study was a randomized controlled trial conducted between April 2019 and June 2019 at a primary health care center in Hat Yai, Songkhla, Thailand. The elderly patients with chronic diseases were randomly allocated to the experimental group (n=25) and the control group (n=25). The experimental group received pictogram labels, text labels, and verbal information on the consumption of medications from the pharmacist. The control group received text labels and verbal information from the pharmacist. Both groups received follow-up home visits two weeks later. Results: The present study results showed that medication adherence using pill counts in the experimental group was significantly higher than in the control group. The median medication adherence scores from pill counts was (interquartile range, IQR) 100 (100, 100) versus 95.56 (90.25, 100), respectively, p=0.011. The medication adherence with the medication taking behavior measure for Thai patients (MTB-Thai) significantly increased in the experimental group (100.0%) compared with the control group (45.8%) (p=0.0002). Conclusion: The present study showed that medication adherence is greatly improved when the medication instruction is supplemented with pictograms. Therefore, medication should include pictograms on labels to better convey medical instructions to elderly patients with chronic diseases. Keywords: Pharmaceutical pictograms, Medication adherence, Chronic disease, Elderly patients


QJM ◽  
2019 ◽  
Vol 112 (7) ◽  
pp. 505-512 ◽  
Author(s):  
C Jüngst ◽  
S Gräber ◽  
S Simons ◽  
H Wedemeyer ◽  
F Lammert

Abstract Background Poor adherence to medication leads to worsening of the disease, increased mortality and substantial rise in health care costs. Aim It was our aim to evaluate drug adherence and influencing factors in a cohort of non-selected adult pharmacy customers with various chronic diseases and following long-term treatment. Design and Methods We conducted an 8 week anonymized survey in 152 German pharmacies using the Morisky Medication Adherence Scale to measure medication adherence and a questionnaire comprising questions on multiple factors with potential impact on adherence. Depression was assessed applying the Patient Health Questionnaire-9. Results In total, 1192 patients were included showing an overall adherence rate of 59.1%. A positive association to drug adherence was found in univariate analysis for non-smoking status, retirement, less disease related complaints, positive belief in drug effects, comprehensive knowledge about the disease and high quality of care by the physician and pharmacist. Multivariate regression analysis revealed that no or minimal depression (odds ratio (OR) 2.3, 95% confidence interval (CI) 1.7–3.0), higher patient age (>63 years) (OR 2.2, CI 1.7–2.8), high perceived importance of the medication (OR 2.0, CI 1.5–2.6), good tolerability of the medication (OR 2.0, CI 1.2–3.5) and drug effect as expected or better (OR 1.6, CI 1.1–2.3) were positively correlated with adherence. Conclusions Suboptimal adherence to medication is common in pharmacy customers with chronic diseases. The determined factors influencing adherence may help to identify patients at risk for nonadherence and support the need of improvement in physicians’ communication with patients to achieve adequate adherence rates.


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