Correction: Patients’ Knowledge about Prescribed Antipsychotics and Medication Adherence in Schizophrenia: A Cross-Sectional Survey

2017 ◽  
Vol 50 (06) ◽  
pp. e1-e1
Author(s):  
Nobuhiro Nagai ◽  
Hideaki Tani ◽  
Takefumi Suzuki ◽  
Saeko Ikai ◽  
Philip Gerretsen ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals A multinational cross-sectional survey of the management of patient medication adherence by European healthcare professionals

BMJ Open ◽  
2016 ◽  
Vol 6 (2) ◽  
pp. e009610 ◽  
Author(s):  
Wendy Clyne ◽  
Comfort Mshelia ◽  
Sarah McLachlan ◽  
Peter Jones ◽  
Sabina de Geest ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Medication ◽  
European Healthcare

scholarly journals Hypertension knowledge, heart healthy lifestyle practices and medication adherence among adults with hypertension

2018 ◽  
Vol 6 (1) ◽  
pp. 108 ◽  
Author(s):  
Hawa Ozien Abu ◽  
Hanan Aboumatar ◽  
Kathryn Carson ◽  
Robert Goldberg ◽  
Lisa Cooper
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Salt Intake ◽  
Healthy Lifestyle ◽  
Pressure Control ◽  
Dietary Salt ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lifestyle Practices ◽  
Hypertension Knowledge

Objective: To assess patients’ knowledge about hypertension and its association with heart healthy lifestyle practices and medication adherence.Methods: We conducted a cross sectional survey of 385 adults with hypertension treated at 2 primary care clinics in Baltimore, Maryland, USA. We used an 11-item measure to assess hypertension knowledge and obtained self-reports on dietary changes, engagement in aerobic exercise and medication adherence. Results: Approximately 85% of patients properly identified high blood pressure, but more than two-thirds were unaware that hypertension lasts a lifetime once diagnosed; one-third were unaware that hypertension could lead to renal disease. Patients with low hypertension knowledge were less likely to reduce their salt intake (OR=0.44 [95% CI: 0.24-0.72]) and eat less to lose weight (OR=0.48 [95% CI: 0.26-0.87]) than patients with high hypertension knowledge.Conclusion: In general, patients were knowledgeable about hypertension, but most were unaware that hypertension is a lifelong condition and could lead to kidney disease. High knowledge of hypertension was associated with healthy lifestyle practices including eating less to lose weight and dietary salt reduction.Practice Implications: Intensifying education strategies to improve patients’ knowledge of hypertension may enhance their engagement in heart healthy lifestyle practices for optimal blood pressure control.

Patient-oncologist cost communication, financial distress, and medication adherence.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 2-2
Author(s):  
Christine M Bestvina ◽  
Leah L. Zullig ◽  
Christel Rushing ◽  
Fumiko Ladd Chino ◽  
Greg Samsa ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Financial Distress ◽  
Private Insurance ◽  
Multivariable Analysis ◽  
Female Gender ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality Cancer Care ◽  
Anti Cancer

2 Background: Little is known about the association between patient-oncologist discussion of cancer treatment out-of-pocket (OOP) cost and medication adherence, a critical component of quality cancer care. Methods: We conducted a cross-sectional survey of insured adults receiving anti-cancer therapy. Patients were asked if they had discussed OOP cost with their oncologist. Medication non-adherence was defined as skipping doses to make prescriptions last longer, taking less medication than prescribed to make prescriptions last longer, or not filling prescriptions due to cost. Multivariable analysis assessed the association between cost discussions with an oncologist and non-adherence. Results: Among 300 respondents (84% response), 77% (n=230) were white and 53% (n=158) were men. 17% (n=52) reported “high” or “overwhelming” financial distress. 19% (n=56) had talked to their oncologist about cost. 27% (n=81) reported medication non-adherence. 14% (n=43) skipped medication doses to make the prescription last longer; 7% (n=3) of these had skipped chemotherapy. 11% (n=34) took less medication than prescribed to make the prescription last longer; 15% (n=5) of these took less chemotherapy. 22% (n=67) did not fill a prescription because of cost; 15% (n=10) of these did not fill a chemotherapy prescription. In adjusted analyses, cost discussion (OR 2.56, 95% CI 1.15-5.68; p=0.02), financial distress (OR 1.57, 95% CI 1.33-1.85, P<0.001) and female gender (OR 2.02, 95% CI 1.005-4.07, p=0.048) were associated with increased odds of non-adherence. Private insurance was associated with lower odds of non-adherence (OR 0.30, 95% CI 0.14-0.60, p<0.001). Conclusions: Patients reported non-adherence to medications and chemotherapy in order to make prescriptions last longer or due to cost. While these data cannot determine temporality or the affect of cost discussion on medication non-adherence, patient-oncologist cost communication and financial distress were associated with non-adherence. Future research should examine the timing, content, and quality of cost-related discussions.

Abstract WP237: Facilitators and Barriers to Medication Adherence Among Stroke Survivors in India

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shani SD ◽  
Vr Kutty ◽  
Rp Varma ◽  
Jissa VT ◽  
Sylaja PN
Keyword(s):  
Medication Adherence ◽  
Life Style ◽  
Structured Interview ◽  
Stroke Survivors ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Daily Routines ◽  
Post Stroke ◽  
Facilitators And Barriers

Background: Medication nonadherence is a major problem and is an important mediator between the treatment and the outcome. Strict compliance with medication and life style modification are integral to secondary stroke prevention. Methods: Cross sectional survey among 240 stroke survivors within a post-stroke period of three months to one year was conducted. Interview based self-reported medication adherence was defined as consumption at least more than 80% of their medication, based on their last prescription. Medication adherence was calculated for five categories of medication; antiplatelets, antihypertensives, antidiabetics, statin and anticoagulants. Overall adherence was defined as adherence to all the categories of medications prescribed. Structured interview using pretested interview schedule was done to collect sociodemographic data, health care seeking behaviour, life style, facilitators and barriers to medication adherence. Results: Stroke survivors [n=240; mean age 58.64 ±10.96 years); 25.4% females; post-stroke period of 6.65±3.36 months] were interviewed. Patients with diabetes, hypertension and dyslipidaemia constituted 64.2%, 88.8% and 96.7% and optimal control was achieved in 26%, 36.2% and 72.9% respectively. Overall medication adherence was 43.8% (n=240). Adherence to antiplatelet was 62.24% (n=196). Medication adherence was 34.4% (n=134), 52.6% (n=190) and 56.7% (n=224) for antidiabetics, antihypertensives and statins respectively and was associated with risk factor control (Diabetes: Odds Ratio(OR)=4.85;95% Confidence Interval(CI) 2.12-11.08, Hypertension: OR=3.42; 95% CI 1.83-6.4, Dyslipidaemia: OR=3.88;95% CI 1.96-7.69). Having daily routines (OR=2.82;95% CI 1.52-5.25), perceived need of medication (OR= 2.33;95% CI 1.04-5.2) and perceived poor state of health (OR= 3.09; 95% CI 1.44-6.62) as facilitators. Memory problem (OR 0.32; 95% CI 0.51-0.66), experiencing side effects (OR 0.24; 95% CI 0.11-0.53) and belonging to below poverty line (OR 0.46; 95% CI 0.24-0.91) were barriers to medication adherence. Conclusion: Establishing daily routines, periodic reminders, and financial supports to buy medicines and patient education can enhance medication adherence to prevent future strokes.

Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey

2018 ◽  
Vol 25 (12) ◽  
pp. 1242-1251 ◽  
Author(s):  
Kornelia Kotseva ◽  
David Wood ◽  
Dirk De Bacquer
Keyword(s):  
Risk Factor ◽  
Medication Adherence ◽  
Cardiac Rehabilitation ◽  
Previous History ◽  
Rehabilitation Programme ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cardiac Rehabilitation Programme ◽  
Preventive Cardiology ◽  
Coronary Patients

Aim The purpose of this study was to describe the proportions of patients referred to and attending cardiac rehabilitation programmes in Europe and to compare lifestyle and risk factor targets achieved according to participation in a cardiac rehabilitation programme. Methods The EUROASPIRE IV cross-sectional survey was undertaken in 78 centres from 24 European countries. Consecutive patients aged <80 years with acute coronary syndromes and/or revascularization procedures were interviewed at least six months after their event. Results A total of 7998 patients (24% females) were interviewed. Overall, 51% were advised to participate in a cardiac rehabilitation programme and 81% of them attended at least half of the sessions; being 41% of the study population. Older patients, women, those at low socio-economic status or enrolled with percutaneous coronary intervention and unstable angina, as well as those with a previous history of coronary disease, heart failure, hypertension or dysglycaemia were less likely to be advised to follow a cardiac rehabilitation programme. People smoking prior to the recruiting event were less likely to participate. The proportions of patients achieving lifestyle targets were higher in the cardiac rehabilitation programme group as compared to the non-cardiac rehabilitation programme group: stopping smoking (57% vs 47%, p < 0.0001), recommended physical activity levels (47% vs 38%, p < 0.0001) and body mass index<30 kg/m2 (65% vs 61%, p=0.0007). However, there were no differences in the blood pressure, lipids and glucose control. Patients who attended a cardiac rehabilitation programme had significantly lower anxiety and depression scores and better medication adherence. Conclusions Only half of all coronary patients were referred and a minority attended a cardiac rehabilitation programme. Those attending were more likely to achieve lifestyle targets, had lower depression and anxiety, and better medication adherence. There is still considerable potential to further reduce cardiovascular risk by increasing uptake and fully integrating secondary prevention and cardiac rehabilitation to provide a modern preventive cardiology programme.

Patients’ Knowledge about Prescribed Antipsychotics and Medication Adherence in Schizophrenia: A Cross-Sectional Survey

2017 ◽  
Vol 50 (06) ◽  
pp. 264-269 ◽  
Author(s):  
Nobuhiro Nagai ◽  
Hideaki Tani ◽  
Takefumi Suzuki ◽  
Saeko Ikai ◽  
Philip Gerretsen ◽  
...  
Keyword(s):  
Medication Adherence ◽  
International Classification Of Diseases ◽  
Therapeutic Effects ◽  
Study Medication ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Antipsychotic Medications ◽  
Classification Of Diseases ◽  
Multiple Choice Questionnaire

Abstract Introduction Data on the knowledge about antipsychotic medications prescribed in patients with schizophrenia are very limited. Moreover, it remains unclear how patients’ knowledge about prescribed antipsychotics affects medication adherence. Methods ighty-one Japanese outpatients with schizophrenia according to the International Classification of Diseases, 10th edition, were included. Patients’ knowledge of the primary antipsychotics prescribed to them in terms of therapeutic effects, type, and implicated neurotransmitters was assessed with a multiple-choice questionnaire developed for this study. Medication possession ratios (MPRs) were compared between patients who answered correctly and those who did not in each category. Results The percentages of subjects who answered correctly regarding antipsychotic effects, type, and implicated neurotransmitters were low at 30.9%, 30.9%, and 7.4%, respectively. No differences were found in MPRs between subjects who answered correctly and those who did not. Discussion Our preliminary results indicate that patients lack knowledge about their antipsychotic medications. More concerning, they suggest that knowledge about prescribed antipsychotics may not directly translate into actual medication adherence in patients with schizophrenia.

scholarly journals Effects of Patients’ Perceptions on Hypertension Treatment in the Cape Coast Metropolis, Ghana

2019 ◽  
pp. 1-12
Author(s):  
Julius Waamsasiko Adong
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Side Effects ◽  
Sampling Technique ◽  
Hypertension Treatment ◽  
Cape Coast ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Herbal Preparations ◽  
Adherence Scale

Background: The rising levels of hypertension related complications in Ghana are perceived to be associated with low anti-hypertensive medication adherence, which is attributable to patient wrong perceptions of hypertension. Aim: To explore the effects of patients’ perceptions on hypertension treatment in cape coast, Ghana. Study Design: Cross sectional survey. Place and Duration of Study: Cape Coast, Ghana. December 2013 to March 2014. Methodology: Eight out of 350 patients were selected from a baseline quantitative survey conducted at the Cape Coast Metropolis. The purposive sampling technique was used after baseline analysis with the Morisky Medication Adherence Scale, to select four adherents and four non-adherents to anti-hypertensive medication. In-depth interviews were conducted for the eight patients, data was processed using content analysis procedure based on three specific themes. Results: Perceived appearance of symptoms was misinterpreted as sign of rising blood pressure.  Combination of anti-hypertensive and herbal preparations was prevalent among non-adherents. Perceived side effects of anti-hypertensive particularly, sexual weakness was intense among non-adhering patients. Conclusion: Hypertensive patients in the Cape Coast Metropolis of Ghana, were at a higher risk of medication non-adherence and uncontrolled blood pressure. The findings underscore the need to change patient orientation about hypertension, by addressing misconceptions of symptoms and medication side effects, whiles discouraging the use of herbal preparations.

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