Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts

The combined effect of dyslipidemia and high blood pressure largely contributes to the development and progression of cardiovascular diseases, and therefore the control of these risk factors should be a priority strategy both within primary and secondary prevention. A concept of a polypill, which provides effective control of both blood pressure and lipid proﬁle, is a promising strategy. It allows of controlling several factors of the cardiovascular continuum, and contributes to a higher patient adherence to treatment. Therefore, the wider implementation of a polypill strategy will improve patients’ prognosis and quality of life.

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Role of adherence in prevention of hypertension

Medical alphabet ◽

10.33667/2078-5631-2019-2-30(405)-28-32 ◽

2019 ◽

Vol 2 (30) ◽

pp. 28-32

Author(s):

Yu. N. Fedulaev ◽

N. D. Karseladze ◽

F. A. Evdokimov ◽

A. Yu. Chuprakova ◽

S. A. Sapozhnikov ◽

...

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Patient Adherence ◽

Health Centers ◽

Adherence To Treatment ◽

Multicenter Studies ◽

Prevention Of Hypertension ◽

Significant Disease

Arterial hypertension remains a socially significant disease. Multicenter studies indicate low patient adherence to treatment. This article discusses the factors that influence commitment. Using the potentials of health centers and prevention departments can increase patient commitment. The study on the regular use of antihypertensive therapy indicates an improvement in cognitive functions and the quality of life of patients against the background of achieving target blood pressure.

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Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

BMC Pediatrics ◽

10.1186/s12887-020-02477-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Przemyslaw Kardas ◽

Marek Dabrowa ◽

Konrad Witkowski

Keyword(s):

Professional Practice ◽

Patient Adherence ◽

Nationwide Survey ◽

Full Potential ◽

Strongly Correlated ◽

Adherence To Treatment ◽

Cross Sectional ◽

Convenience Sample ◽

Paediatric Patients ◽

High Prevalence

Abstract Background Due to high prevalence, non-adherence to prescribed treatment seriously undermines the effectiveness of evidence-based therapies in paediatric patients. In order to change this negative scenario, physicians need to be aware of adherence problem, as well as of possible solutions. Unfortunately, full potential of adherence-targeting interventions is still underused in Poland. Therefore, the aim of this study was to assess the knowledge, attitudes and behaviours toward non-adherence in Polish paediatricians. Methods An anonymous cross-sectional nationwide survey was conducted in the convenience sample of Polish doctors providing care to paediatric patients. The survey focused on the prevalence of non-adherence, its causes, and interventions employed. Primary studied parameter was perceived prevalence of non-adherence in paediatric patients. Reporting of this study adheres to STROBE guidelines. Results One thousand and thirty-three responses were eligible for analysis. Vast majority of respondents were female (85.9%), most of them worked in primary care (90.6%). The respondents represented all 16 Polish Voivodeships, with the biggest number coming from the Mazowieckie Voivodeship (n = 144, 13.9%). Survey participants believed that on average 28.9% of paediatric patients were non-adherent to medication. More than half of the respondents (n = 548, 53.0%) were convinced that their own patients were more adherent than average. Duration of the professional practice strongly correlated with a lower perceived prevalence of non-adherence. Professionals with more than 40 years of practice believed that the percentage of non-adherent patients was <=20% particularly often (OR = 3.82 (95% CI 2.11–6.93) versus those up to 10 years in practice). Out of all respondents, they were also most often convinced that their own patients were more adherent than the general population (P < 0.01). Consequently, they underestimated the need for training in this area. Conclusions Physicians taking care of Polish paediatric patients underestimated the prevalence of medication non-adherence and believed that this was a problem of other doctors. This optimistic bias was particularly pronounced in older doctors. These results identify important barriers toward improving patient adherence that are worth addressing in the pre- and post-graduate education of Polish physicians. They also put some light over the challenges that educational activities in this area may face.

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O enfermeiro e a questão da adesão do paciente ao tratamento da hipertensão arterial sistêmica [Nurses and patient adherence to treatment for systemic arterial hypertension] [El enfermero y la cuestión de la adhesión del paciente al tratamiento de la hipertensión arterial sistémica]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2019.37193 ◽

2019 ◽

Vol 27 ◽

pp. e37193

Author(s):

Anna Luisa de Oliveira Salles ◽

Carlos Eduardo Peres Sampaio ◽

Leonardo Dos Santos Pereira ◽

Nickson Scarpine Malheiros ◽

Renan Araújo Gonçalves

Keyword(s):

Arterial Hypertension ◽

Rio De Janeiro ◽

Patient Adherence ◽

Family Health ◽

Adherence To Treatment ◽

Structured Interviews ◽

Systemic Arterial Hypertension ◽

Health Strategy ◽

El Sistema ◽

Family Health Strategy

Objetivo: identificar os recursos utilizados pelo enfermeiro da estratégia saúde da família (ESF) para estimular a adesão do paciente ao tratamento da Hipertensão Arterial Sistêmica. Método: abordagem qualitativa. O projeto foi aprovado por Comitê de Ética em Pesquisa. A coleta de dados ocorreu no período de abril a agosto de 2017, por meio de entrevista semiestruturada com 10 enfermeiros atuantes em unidades de ESF localizadas no Estado do Rio de Janeiro. Os depoimentos dos sujeitos foram submetidos à análise de conteúdo de Bardin. Resultados: os enfermeiros realizam consultas de enfermagem garantindo a adesão dos participantes em atividades educativas de grupo, como palestras e orientações de enfermagem. Conclusão: o sistema utilizado na adesão ao tratamento é similar entre as unidades de ESF mantendo um padrão preconizado pela literatura.ABSTRACTObjective: to identify the resources used by Family Health Strategy (FHS) nurses to encourage patient adherence to treatment for Systemic Arterial Hypertension. Method: qualitative approach. The project was approved by the research ethics committee. Data were collected between April and August 2017, through semi-structured interviews of 10 nurses working in FHS units in Rio de Janeiro state. The transcriptions underwent Bardin content analysis. Results: the nurses held nursing appointments thus fostering participants’ adherence in group educational activities, such as talks and nursing guidance sessions. Conclusion: the treatment adherence system used is similar among FHS units, maintaining a pattern recommended by the literature.RESUMENObjetivo: identificar los recursos utilizados por el enfermero de la estrategia de salud familiar (ESF) para estimular la adhesión del paciente al tratamiento de la hipertensión. Método: enfoque cualitativo. El proyecto fue aprobado por el Comité de Ética en Investigación. La recolección de datos ocurrió en el período entre abril y agosto de 2017, por medio de entrevista semiestructurada junto a 10 enfermeros que trabajan en unidades de ESF ubicadas en el estado de Río de Janeiro. Las declaraciones fueron sometidas al análisis de contenido de Bardin. Resultados: los enfermeros realizan consultas de enfermería garantizando la adhesión de los participantes en actividades educativas de grupo, como charlas y orientaciones de enfermería. Conclusión: el sistema utilizado en la adhesión al tratamiento es similar entre las unidades de ESF manteniendo un patrón preconizado por la literatura.

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Psychometrics of the Computer-Based Relationships With Health Care Provider Scale in Older Adults

Journal of Nursing Measurement ◽

10.1891/1061-3749.19.1.3 ◽

2011 ◽

Vol 19 (1) ◽

pp. 3-16 ◽

Cited By ~ 1

Author(s):

Elizabeth H. Anderson ◽

Patricia J. Neafsey ◽

Sheri Peabody

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Provider ◽

Care Provider ◽

Patient Adherence ◽

Internal Consistency Reliability ◽

Scientific Data ◽

Patient Health ◽

Computer Based

The type and quality of the provider–patient health care relationship impacts patient adherence. The study purpose was to convert the 5-item paper and pencil Relationships With Health Care Provider Scale (RHCPS) to a reliable and valid computer-based scale for use with older adults. Outpatient adults (N = 121) older than 59 years were recruited. The RHCPS underwent several iterations documenting internal consistency reliability, content and factorial validity, and scale usability in a computer tablet format. A total of 5 expert judges rated all 5 items as valid, which resulted in a scale content validity index of 1. Cronbach’s standardized alpha was .81. Principal components analysis extracted 1 factor (eigenvalue > 1; confirmed by scree plot) as anticipated. Computer-based RHCPS has the potential to reveal valuable clinical and scientific data on patient–provider relationships among older adults.

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Tuberculosis epidemic situation in the Khabarovsk Krai: status and trends

Public health of the Far East Peer-reviewed scientific and practical journal ◽

10.33454/1728-1261-2021-1-17-24 ◽

2021 ◽

Vol 87 (1) ◽

pp. 17-24

Author(s):

K.P. Topalov ◽

◽

O.L. Karpenko ◽

E.G. Kovalyova ◽

◽

...

Keyword(s):

Population Density ◽

Federal District ◽

Khabarovsk Krai ◽

Its Regions ◽

Status And Trends ◽

The Russian Federation ◽

Far Eastern ◽

Statistical Indicators ◽

Tuberculosis Care

The article presents an overview of the data of statistical observation of the Khabarovsk Krai, the Russian Federation and the Far Eastern Federal District (Okrug) on tuberculosis; their significance for assessing the epidemic situation and the quality of anti-tuberculosis care in these territories in 2002–2019 is studied. The dynamics of statistical indicators for 18 years is given using the methodology for calculating rank values. The dependence of the incidence of tuberculosis on the population density in the constituent entities of the country, the Far Eastern Federal District and its regions has been determined

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Optimizing patient adherence to stroke rehabilitation: A mixed method telerehabilitation trial (Preprint)

10.2196/preprints.32134 ◽

2021 ◽

Author(s):

Isabelle Gaboury ◽

Michel Tousignant ◽

Hélène Corriveau ◽

Matthew Menear ◽

Guylaine Le Dorze ◽

...

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Stroke Rehabilitation ◽

Patient Adherence ◽

Interprofessional Collaboration ◽

Interdisciplinary Collaboration ◽

Control Group ◽

Shared Decision ◽

The Impact

BACKGROUND Strong evidence supports beginning stroke rehabilitation as soon as the patient’s medical status has stabilized and continuing following discharge from acute care. However, adherence to rehabilitation treatments over the rehabilitation phase has been shown to be suboptimal. OBJECTIVE Objective: The aim of this study is to assess the impact of a telerehabilitation platform on stroke patients’ adherence to a rehabilitation plan and on their level of reintegration to normal social activities, in comparison with usual care. The primary outcome is patient adherence to stroke rehabilitation (up to 12 weeks), which is hypothesized to influence reintegration to normal living. Secondary outcomes for patients include functional recovery and independence, depression, adverse events related to telerehabilitation, use of services (up to 6 months), perception of interprofessional shared decision making, and quality of services received. Interprofessional collaboration as well as quality of interprofessional shared decision making will be measured on clinicians. METHODS In this interrupted time series with a convergent qualitative component, rehabilitation teams will be trained to develop rehabilitation treatment plans that engage the patient and family, while taking advantage of a telerehabilitation platform to deliver the treatment. The intervention will entail 220 patients to receive stroke telerehabilitation with an interdisciplinary group of clinicians (telerehabilitation) versus face-to-face, standard of care (n = 110 patients). RESULTS Results: Our Research Ethics Board has approved the study in June 2020. Data collection for the control group is underway, with another year planned before we begin the intervention phase. CONCLUSIONS This study will contribute to minimize both knowledge and practice gaps, while producing robust, in-depth data on the factors related to the effectiveness of telerehabilitation in a stroke rehabilitation continuum. Findings will inform best practices guidelines regarding telecare services and the provision of telerehabilitation, including recommendations regarding effective interdisciplinary collaboration regarding stroke rehabilitation. CLINICALTRIAL ClinicalTrials.gov NCT04440215

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Correlation between quality of life and adherence to treatment in hemodialysis patients

Journal of Renal Injury Prevention ◽

10.15171/jrip.2019.05 ◽

2018 ◽

Vol 8 (1) ◽

pp. 22-27 ◽

Cited By ~ 1

Author(s):

Mahin Naderifar ◽

Mansoureh Zagheri Tafreshi ◽

Mahnaz Ilkhani ◽

Magid Reza Akbarizadeh ◽

Fereshteh Ghaljaei

Keyword(s):

Quality Of Life ◽

Healthcare Providers ◽

Life Quality ◽

Well Being ◽

Sample Volume ◽

Hemodialysis Patients ◽

Adherence To Treatment ◽

Medical Sciences ◽

The Mean

Introduction: Institutionalizing adherence to treatment in hemodialysis patients is one of the important nursing goals for improving quality of life in these patients. Adherence to treatment approach in these patients can play a pivotal role in improving the health level and feeling of well-being. Objectives: This study aimed at determining the quality of life in hemodialysis patients presenting to hemodialysis centers affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, on the basis of adherence to treatment. Patients and Methods: This is a correlational descriptive-analytic study. The study population consisted of hemodialysis patients in five hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, in 2017. The data were collected during 8 months from October 2016 to May 2017 in Tehran. A sample volume of 200 patients was determined in this study. Demographic information questionnaire, KDQOL-SF, and ESRD-AQ were applied in data collection. Availability sampling method was used to select the samples on the basis of inclusion criteria. The data were analyzed with SPSS version 18 using descriptive and inferential statistics. Results: Our findings showed that 50% of the patients were male. Most of the respondents of the study (23%) were 51-60 years old. The results indicated that the mean score of quality of life of patients was 50.42±22.81. The mean total score of adherence to treatment was 901.13±85.30. Also, the correlation coefficient in this study revealed a significant correlation between total score of quality of life and adherence to treatment (r=0.218, P<0.01). Conclusion: Considering the significant correlation between adherence to treatment and life quality of patients, healthcare providers can promote the life quality of these patients via focusing on planning programs for emphasizing the role of education and interventions that improve adherence to treatment in these patients.

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Communication with patients using negative wound pressure therapy and their adherence to treatment

Journal of Wound Care ◽

10.12968/jowc.2019.28.11.738 ◽

2019 ◽

Vol 28 (11) ◽

pp. 738-756

Author(s):

Christine J. Moffatt ◽

Susie Murray ◽

Aimee Aubeeluck ◽

Isabelle Quere

Keyword(s):

Health Professionals ◽

Patient Adherence ◽

Study Data ◽

Adherence To Treatment ◽

Structured Interviews ◽

Pressure Therapy ◽

Face To Face ◽

Patient Health ◽

Data Saturation ◽

Ongoing Support

Objective: The purpose of this study was to explore the challenges of communication between patients and health professionals, and patient adherence to treatment for hard-to-heal wounds when using negative wound pressure therapy (NPWT). Methods: Face-to-face, semi-structured interviews were conducted with patients undergoing NPWT. Specific features of the NPWT device were the priority for discussion although other factors central to communication and adherence were also explored. Results: A total of 24 patients took part in the study. Data saturation was achieved during the analysis. Patients required ongoing support to understand complex and often protracted treatment and this was particularly important when specialist technology was used. A distinction was highlighted between those who decided not to adhere with therapy and those who did so unintentionally. Participants faced difficulties in their communications with health professionals and in ensuring their needs were listened to and addressed. Conclusion: Further research is needed to achieve a better understanding of this distinction and to evaluate interventions which can sustain adherence behaviours. Further exploration of how to establish concordant patient/health professional communications is warranted.

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