scholarly journals Traditional and complementary medicine (TCM) usage and its association with Patient Assessment of Chronic Illness Care (PACIC) among individuals with metabolic syndrome in primary care

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Nor Farha Basri ◽  
Anis Safura Ramli ◽  
Mariam Mohamad ◽  
Khairatul Nainey Kamaruddin
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Chronic Disease ◽  
Primary Care Clinic ◽  
Conventional Care ◽  
Chronic Illness Care ◽  
Patient Assessment ◽  
Care Clinic ◽  
Factors Associated ◽  
Patients Experience

Abstract Background Traditional and Complementary Medicine (TCM) is widely used particularly among patients with chronic diseases in primary care. However, evidence is lacking regarding TCM use among patients with Metabolic Syndrome (MetS) and its association with patients’ experience on chronic disease conventional care that they receive. Therefore, this study aims to determine the prevalence and pattern of TCM use, compare the patients’ experience of chronic disease care using the Patient Assessment of Chronic Illness Care - Malay version (PACIC-M) questionnaire between TCM users and non-users and determine the factors associated with TCM use among patients with MetS in primary care. Methodology A cross-sectional study was conducted at a university primary care clinic. Patients aged 18 to 80 years old with MetS were recruited. Socio-demographic characteristic, clinical characteristics and information on TCM use and its pattern were recorded in a proforma. Patient’s experience of chronic disease conventional care was measured using PACIC-M questionnaire. The comparison of PACIC-M mean score between TCM users and non-users was measured using independent t-test. The factors associated with TCM use were determined by simple logistic regression (SLogR), followed by multiple logistic regression (MLogR). Results Out of 394 participants, 381 (96.7%) were included in the final analysis. Of the 381 participants, 255 (66.9%) were TCM users (95% CI 62.7, 71.7). Only 36.9% of users disclosed about TCM use to their health care providers (HCP). The overall mean PACIC-M score was 2.91 (SD ± 0.04). TCM users had significantly higher mean PACIC-M score compared to non-users (2.98 ± 0.74 vs 2.75 ± 0.72, p = 0.01). The independent factors associated with TCM use were being female (Adj. OR 2.50, 95% CI 1.55, 4.06), having high education level (Adj. OR 2.16, 95% CI 1.37, 3.41) and having high overall PACIC-M mean score (Adj. OR 1.49, 95% CI 1.10, 2.03). Conclusion TCM use was highly prevalent in this primary care clinic. However, the disclosure rate of TCM use to HCP was low. Females, those with high education and high PACIC-M mean score were more likely to use TCM. Further research should explore the reasons for their TCM use, despite having good experience in conventional chronic disease care.

scholarly journals Prevalence of Metabolic Syndrome among Hypertensive Patients Attending a Primary Care Clinic in Kuwait

2003 ◽  
Vol 13 (1) ◽  
pp. 39-42 ◽  
Author(s):  
E.I. Sorkhou ◽  
B. Al-Qallaf ◽  
H.A. Al-Namash ◽  
A. Ben-Nakhi ◽  
M.M. Al-Batish ◽  
...  
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Hypertensive Patients

Primary Care Clinic???Based Chronic Disease Care

2001 ◽  
Vol 9 (12) ◽  
pp. 691-698 ◽  
Author(s):  
Patrick J. O??Connor ◽  
JoAnn M. Sperl-Hillen ◽  
Nicolaas P. Pronk ◽  
Terry Murray
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Chronic Disease Care

scholarly journals Gender disparity in the prescription of secondary prevention medications in a Malaysian primary care clinic

2021 ◽  
Vol 16 (2) ◽  
pp. 37-44
Author(s):  
Noorhida Baharudin ◽  
Ahmad Muslim Ahmad Roslan ◽  
Mohamed Syarif Mohamed Yassin ◽  
Anis Safura Ramli ◽  
Aiza Nur Izdihar Zainal Abidin ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Prevention ◽  
Ace Inhibitors ◽  
Beta Blockers ◽  
Primary Care Clinic ◽  
Gender Disparity ◽  
Care Clinic ◽  
Factors Associated ◽  
Receptor Blockers ◽  
Artery Disease

Introduction: Cardiovascular disease is the leading cause of death worldwide. Despite the proven benefit of secondary prevention medications (SPMs), their utilisation remains suboptimal in many countries. This study aimed to assess the use of SPMs in a Malaysian primary care clinic and factors associated with it. Methods: A retrospective review of electronic medical records was conducted to assess the prescription of SPMs among patients with coronary artery disease who attended the clinic between 1st January 2018 and 31st December 2018. Prescriptions of SPMs were documented in numbers and percentages. Multiple logistic regressions were used to analyse factors associated with the prescription of SPMs. Results: Of the 662 patients included in the study, 99.1% were prescribed statins, 97% antiplatelets, 81.7% angiotensin-converting enzyme (ACE)-inhibitors or angiotensin Ⅱ receptor blockers (ARBs), and 78.7% beta-blockers. Male patients were more likely to be prescribed statins (OR = 8.584, 95% CI: 1.431 – 51.510) and antiplatelets (OR = 6.818, 95% CI: 2.294 – 20.257). Another significant factor for antiplatelets prescription was having diabetes (OR = 3.318, 95% CI: 1.148 – 9.590). Having hypertension was associated with ACE-inhibitors or ARBs prescription (OR = 4.008, 95% CI: 2.522 – 6.370). Conclusion: Although the majority of patients received SPMs, there were significant disparities for some SPMs prescriptions among female patients. As these medications are widely available in the Malaysian primary care setting, steps should be taken to ensure that these medications are prescribed equally for all eligible patients.

scholarly journals Relationship between Uric Acid and Metabolic Syndrome among Users of a Primary Care Clinic in Mexico

2018 ◽  
Vol 08 (01) ◽  
Author(s):  
Aguilar Andrade G ◽  
Alvarez Banuelos TM ◽  
Morales Romero J ◽  
Fonseca Reyes S ◽  
Margozzini Maira P ◽  
...  
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Uric Acid ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals Adaptation and Psychometric Validation of the EMPOWER-SUSTAIN Usability Questionnaire (E-SUQ) among Patients with Metabolic Syndrome in Primary Care

2021 ◽  
Vol 18 (17) ◽  
pp. 9405
Author(s):  
Nurul Hidayatullaila Sahar ◽  
Siti Fatimah Badlishah-Sham ◽  
Anis Safura Ramli
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Primary Care Clinic ◽  
Management Tool ◽  
Self Management ◽  
Content Validation ◽  
Validity Index ◽  
Care Clinic ◽  
Item Level ◽  
Two Factors

Self-management support is one of the most important components of the Chronic Care Model (CCM). The EMPOWER-SUSTAIN Global Cardiovascular Risks Self-Management Booklet© was developed for patients with Metabolic Syndrome (MetS), inspired by the CCM. Assessing usability of a self-management tool is important in chronic disease management. However, there was no available instrument to assess usability of a self-management booklet, as most instruments were developed to assess usability of mobile application. Therefore, this study aimed to adapt Skala Kebolehgunaan Aplikasi Mudah Alih (SKAMA) into the EMPOWER-SUSTAIN Usability Questionnaire (E-SUQ) and to determine its validity and reliability in assessing usability of a self-management booklet. A cross-sectional validation study was conducted among patients with MetS attending a university primary care clinic in Selangor, Malaysia. Content validation, adaptation and face validation of E-SUQ were performed according to recommended guidelines. It underwent two rounds of content validation as major revision was required for item 5. Subsequently, the revised E-SUQ was face-validated by 10 participants. Psychometric evaluation was conducted using principal component analysis with varimax rotation to determine the underlying structure of E-SUQ. Internal consistency reliability was assessed using Cronbach’s α coefficient and the test-retest reliability was assessed using intraclass correlation coefficient (ICC (2,k)). A total of 205 patients participated in the study. The item-level content-validity-index (I-CVI) for item 5 improved from 0.57 to 1.0 after the second round of content validation. The final S-CVI/Ave value for ESUQ was >0.90. The item-level face-validity-index (I-FVI) ranged between 0.9 and 1.0. Kaiser-Meyer-Olkin value of 0.871 and Bartlett’s test of sphericity p-value of <0.05 indicated good sample adequacy for factor analysis. Two factors with eigenvalues of >1 were extracted according to the Kaiser’s Criteria. The two extracted factors explained 60.6% of the cumulative percentage of variance. The elbow of the scree plot occurred between the second and third component, suggesting two factors to be retained. The two factors were consistent with “Positive” and “Negative” tone model. The overall Cronbach’s α coefficient was 0.77, indicating good internal reliability. The overall ICC was 0.85, indicating good reproducibility. The E-SUQ is shown to be valid, reliable and stable to measure the usability of a self-management booklet among patients with MetS in a university primary care clinic in Malaysia.

THE FREQUENCY OF DIAGNOSIS OF METABOLIC SYNDROME IN A PRIMARY CARE CLINIC.

2007 ◽  
Vol 55 (1) ◽  
pp. S264
Author(s):  
E. Volozhanina ◽  
S. Jayawardena ◽  
Z. Siddiqi ◽  
S. Niranjan
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Primary Care Clinic ◽  
Care Clinic
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