Knowledge and practice on drug compliance among hypertensive patients in field practice area of a tertiary health care institute in Haryana

Background: Hypertension contributed 1.6 million deaths and 33.9 million disability-adjusted life years lost in 2015. It has been documented that decrease in systolic BP by 10 mm Hg leads to 22% reduction in CHD and 41% reduction in stroke, which can be achieved by better drug compliance. Knowledge of patients regarding hypertension and its associated complications and drug compliance in hypertension is the key to achieve compliance to medication and control of blood pressure. Aim of study was to find out the proportion of drug compliance among hypertensive patients and to identify various factors associated with non-compliance to drugs.Methods: Descriptive, cross-sectional study was done in out-patient departments of Community Health Centre Dighal and Civil Hospital Beri. 400 follow up patients of hypertension who were 30 years and above taking treatment of hypertension from last 1 year, attending OPD. Medication adherence was assessed using Morisky medication adherence scale (MMAS-8).Results: 72.5% study subjects showed low level of adherence. Low adherence was maximum in the age group of 51-60 years (77.6%) and most common reason for non-compliance to drugs was observed to be forgetfulness (59.3%). Patients unaware of the complications were having low adherence to medication as compared to counterpart and this association was observed to be statistically significant (p value≤0.05).Conclusions: The result of this study is of value to health care providers to prevent treatment failure due to noncompliance and prevent premature deaths.

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Determinants of HIV Treatment Adherence in Ethnically Diverse and Economically Disadvantaged Patients in a Tertiary Hospital, Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.02.art031 ◽

2021 ◽

Vol 9 (2) ◽

pp. 358-367

Author(s):

Ijaodola Aremu Olugbenga

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Economically Disadvantaged ◽

Ethnically Diverse ◽

Hiv Treatment ◽

Care Providers ◽

Adherence To Medication ◽

Medication Schedule ◽

Hiv Aids

Antiretroviral Therapy (ART) Has Decreased The Mortality And Morbidity Of HIV/AIDS, And High Adherence To ART (>95%) Is Necessary For A Good Therapeutic Outcome. Non-Adherence Can Lead To Drug-Resistant HIV Caused By Failure To Achieve Maximal Viral Suppression. Little Is Known About Adherence To ART And Its Determinants Among Ethnically Diverse And Economically Disadvantaged Patients. The Purpose Of The Study Was To Identify The Level Of Adherence And Describe Factors That Influence ART Adherence Among Ethnically Diverse And Economically Disadvantaged Patients. This Is With A View To Providing Information That Could Help Health Care Providers Understand Patient Motivations For Discontinuing Their Antiretroviral Treatment And Helping Patients Collaboratively Develop Treatment Regimens That Facilitate Adherence And Optimize The Outcomes Of HIV/AIDS Therapy. A Cross-Sectional Descriptive Survey Was Used. Data Were Collected Among 400 HIV-Infected Patients On ARV Who Received Pretreatment And Ongoing Adherence Counseling And Education Since 2010 Using A Self-Administered Questionnaire. The Data Were Analyzed Using Statistical Package For Social Sciences (SPSS). Findings Showed That The Self-Reported Adherence To The Specific Timing For Taking The Medications (Medication Schedule) Was Significantly Low (8.3%). The Major Factors For Non-Adherence To Medication Reported In This Study Were Being Busy At Work Or School, Forgetfulness, Fasting And Travelling Away From Home. Also, Employment Status Was Associated With Poor Adherence, Which May Be Corroborated By The Major Reason For Non-Adherence (Busy At Work Or School). This Study Is One Of The First Steps In The Exploration Of The Relationship Of Factors Responsible And Medication Adherence Among HIV Patients. This Study Used Three Different Measures Of Medication Adherence. These Are Patients’ Knowledge Of The Benefits Of Taking The Drugs, Adherence To A Medication Schedule, And The Number Of Prescribed Doses Of Medications Missed. Health Care Providers Must Identify Possible Barriers To Adherence At The Earliest And Provide Appropriate Solutions. These Factors Should Be Considered When Designing And Implementing Adherence Interventions.

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Evaluation of medication adherence and its predictors among Ethiopians in Washington, DC.

10.21203/rs.2.18836/v1 ◽

2019 ◽

Author(s):

Raniya Ali Al-Matari ◽

Mary Maneno ◽

La' Marcus Wingate ◽

Bisrat Hailemeskel ◽

Monika Daftary ◽

...

Keyword(s):

Medication Adherence ◽

Health Care Providers ◽

Medical Condition ◽

Spiritual Healing ◽

Activity Level ◽

P Value ◽

Care Providers ◽

Foreign Born ◽

Cross Sectional ◽

Adherence To Medication

Abstract BackgroundNon-adherence to medication can lead to poor health outcomes. Studies report the rates of medication adherence for US born persons, but little is known about estimates among foreign-born persons; in particular those of Ethiopian descent residing in the US. This study addresses this issue by examining medication adherence and associated factors among Ethiopians. MethodsA cross-sectional study was conducted to estimate the level of medication adherence and to assess its predictors among urban adult Ethiopians who were administered a translated and validated Amharic-version of the Simplified Medication Adherence Questionnaire (SMAQ). The participant had to be 1) Ethiopian 2) understand Amharic language, 3) ages 18 to 85 years, and 4) taking medications continuously to manage a medical condition. Descriptive statistics were used to describe study variables. Logistic regression analysis was used to evaluate predictors of medication adherence. All analysis was conducted using Statistical Package for Social Sciences (SPSS) for windows version 19 at an alpha level of 0.05. ResultsA total of 163 Ethiopians with chronic diseases were recruited. Their mean age was 56.6 years and the majority were female 54% and born in Ethiopia (95.7%). The overall adherence level in this population was 34.4%. Participants who were less likely to adhere to medications included those who had difficulty in communicating in English (p-value=0. 019). Self-reported high activity level, healthy diet, belief in holy water and spiritual healing, and higher education levels were also found to be statistically significant predictors of medication adherence adjusting for all other variables. ConclusionDifficulty in communicating in English was significantly related to poor medication adherence to in Ethiopian adults and indicates that health care providers should develop patient educational materials in Amharic to better serve these patients. Factors significantly related to medication adherence seem to cluster in self-care (healthy eating, not in relying on some cultural practices for healing as a replacement for medications and being active) in addition to attaining college or above education. Consideration of these factors in developing treatment plans and interventions for this diverse population may yield better outcomes. Key words: Medication adherence, Ethiopian, Simplified Medication Adherence Questionnaire

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The Effect of the E-Patuh Application on HIV/Aids Patients’ Adherence in Consuming Antiretroviral

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v7i1.809 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Alfian Alfian ◽

Kusman Ibrahim ◽

Imas Rafiyah

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Antiretroviral Treatment ◽

Intervention Group ◽

Self Report ◽

Care Providers ◽

Aids Patients ◽

Antiretroviral Adherence ◽

Hiv Aids

Medication adherence is behavior that refers to client obeys in following a medication, and makes lifestyle changes in accordance of recommendations from health care providers. Antiretroviral adherence is paramount for HIV/AIDS patients. The effects were often a problem in antiretroviral treatment and toxicity and often be the reason for replacing or stopping antiretroviral treatment. This study aimed to determine the “E-Patuh” Applications effect on antiretroviral adherence in patients Of HIV/AIDS In West Java. The research design was a quasi-experimental with nonequivalent control group design. The location of this research was in RSUD Kota Bandung and in RSUD Kota Banjar. The respondents was selected without randomization and used purposive sampling technique. Respondents in this study were 30 respondents. Data were obtained using self-report questionnaires. The intervention group was monitored a 30-day android-based E-Patuh application and monitored on an E-Patuh website and then measured adherence value with self-report. Data were analyzed using SPSS 22 with chi-square test. The results showed a significant difference between adherence value before and after application of E-Patuh in the intervention group with (p <0.05) with obtained p value = 0,006. The results of this study prove a positive effect on the using of E-Patuh applications against ARV medication adherence in the intervention group with the support system of the E-Patuh application. The used of E-Patuh is helpful in improving ARV adherence in HIV/AIDS patients. The features contained in E-Patuh were directly reminiscent of the timing of taking medication for PWLH. E-Patuh should be consideration for PLHIV and health care providers in hospitals to improve ARV adherence to reduce mortality rates in people living with HIV.

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Level of physical activity and its correlates among health care workers in Ethiopia, 2019

10.21203/rs.2.19544/v1 ◽

2019 ◽

Author(s):

Tigist Demssew Adane ◽

Birhan Gebresillassie Gebregiorgis ◽

Elda Mekonnen Nigussie ◽

Abate Dargie Wubetu

Keyword(s):

Physical Activity ◽

Health Care ◽

Health Care Providers ◽

Health Care Workers ◽

Health Professionals ◽

Associated Factors ◽

P Value ◽

Care Providers ◽

Care Workers ◽

Study Participants

Abstract Background These days, engaging at sufficient regular physical activity strongly recommended for good health and physical functioning. Physical activity can increase the self-confidence of the health professionals and they would become fit for daily activities with patients. Knowing the level of physical activity can help health care professionals to plan for physical activity programs. This study aimed to measure the level of physical activity and associated factors among adult health professionals at Tirunesh Beijing general hospital.Objective The aim of this study was to assess the level of physical activity and associated factors among health care workers in Ethiopia, 2019.Methods Institution based cross-sectional study conducted level of physical activity and associated factors among health care workers in Ethiopia, 2019. Two hundred nighty seven adult health professionals were participated, which was a 97.4% response rate. The global physical activity questionnaire used to measure the level of physical activity. Descriptive statistics and binary logistic regression analyses was done to affirm the variables characteristics. A predictor variable with a p-value of less than 0.2 exported to multivariate analysis. During multivariate analysis, statistical significance declared at a p-value of < 0.05.Results In general, the majority of the study participants, 89.2% (95% CI: 85.9-92.6) were achieved recommended levels of physical activity. Regarding the intensity of the physical activity, the overall mean time score was 518.4 mints per week or 2352.6 MET/week. For moderate-intensity physical activity, 83.5% of the study participants were physically active, (≥150 minutes/week). In the case of vigorous activity, about 32.7% of the study participants were physically active and engaged in vigorous physical activity (≥75 minutes /week). The study participants, who had self-motivation for physical activity, had a BMI of less than 25 kg/m2 and aged < 40 years were physically active.Conclusions Health care providers’ habit of physical activity improved as compared with the previous studies. However, the current level of physical activity of health professionals is not adequate. Health care providers’ age, body mass index and self-motivation attribute to physical activity. The level of physical activity can increase by enhancing staff motivation towards physical activity.

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Improving Medication Adherence: The Role of the Health Care Delivery System and Health Care Providers

Journal of Managed Care Pharmacy ◽

10.18553/jmcp.2007.13.9.807 ◽

2007 ◽

Vol 13 (9) ◽

pp. 807-809 ◽

Cited By ~ 2

Author(s):

Jingdong Chao

Keyword(s):

Health Care ◽

Medication Adherence ◽

Delivery System ◽

Health Care Providers ◽

Health Care Delivery ◽

Care Delivery ◽

Health Care Delivery System ◽

Care Providers

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Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease

Journal of Behavioral Medicine ◽

10.1007/s10865-016-9745-7 ◽

2016 ◽

Vol 39 (6) ◽

pp. 1104-1114 ◽

Cited By ~ 3

Author(s):

Ebele M. Umeukeje ◽

Joseph R. Merighi ◽

Teri Browne ◽

Marcus Wild ◽

Hafez Alsmaan ◽

...

Keyword(s):

Health Care ◽

Medication Adherence ◽

Renal Disease ◽

Health Care Providers ◽

End Stage Renal Disease ◽

Care Providers ◽

Race And Gender ◽

And Gender ◽

Stage Renal Disease ◽

End Stage

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The Medication Adherence Model: A Guide for Assessing Medication Taking

Research and Theory for Nursing Practice ◽

10.1891/rtnp.16.3.179.53008 ◽

2002 ◽

Vol 16 (3) ◽

pp. 179-192 ◽

Cited By ~ 54

Author(s):

Mary Jayne Johnson

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Dynamic Process ◽

Care Providers ◽

Health Treatment ◽

Behavioral Component ◽

Perceived Need ◽

Core Concepts ◽

Regulatory Models

The Medication Adherence Model (MAM) was developed to describe the process of medication adherence and guide health care providers in assessing medication-taking in individuals with hypertension. The MAM was structured with the idea that two types of nonadherence contribute to inconsistent medication taking, the intentional decision to miss medications, and the unintentional interruptions that cause medications not to be taken. The three core concepts identified in the model are: (a) Purposeful Action, (b) Patterned Behavior, and (c) Feedback. Patients’ initiating and sustaining medication adherence are dependent on the deliberate decision to take medications based on perceived need, effectiveness, and safety (Purposeful Action). Then they establish medication-taking patterns through access, routines, and remembering (Patterned Behavior). Individuals use information, prompts, or events (Feedback) during the appraisal process to evaluate health treatment that, in return, influences individuals’ levels of Purposeful Action and Patterned Behavior (Johnson, 2002; Johnson, Williams, & Marshall, 1999). The MAM depicts the dynamic process of initiating and maintaining medication adherence from the hypertensive patient’s perspective. The model describes the key components of existing cognitive and self-regulatory models, and identifies an additional behavioral component. The succinct organization of the MAM may facilitate health care providers’ ability to evaluate and individualize interventions for promoting medication taking.

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Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

The Canadian Journal of Psychiatry ◽

10.1177/0706743717719079 ◽

2017 ◽

Vol 63 (1) ◽

pp. 30-36 ◽

Cited By ~ 10

Author(s):

Mark van der Maas ◽

Heather Stuart ◽

Scott B. Patten ◽

Emily K. Lentinello ◽

Sireesha J. Bobbili ◽

...

Keyword(s):

Health Care ◽

Mental Illness ◽

Substance Use ◽

Community Health ◽

Health Care Providers ◽

Health Centre ◽

Community Health Centre ◽

Care Providers ◽

Internal Reliability ◽

Substance Use Problems

Objective: Stigma has been identified as a complex and problematic issue. It acts as a major barrier to accessing care and can exacerbate the experience of a health condition, particularly for clients with mental illness and substance use issues. Scales designed to assess stigmatising attitudes towards those with mental illness and substance use problems among health care providers are necessary to evaluate programs designed to reduce that stigma. The goal of this study was to evaluate the internal reliability and external validity of the Opening Minds Survey for Health Care Providers (OMS-HC). Methods: The current study examined the use of the OMS-HC in assessing stigma held by Community Health Centre (CHC) staff towards clients with mental and/or substance use problems. Participants represented staff from 6 CHCs in the Greater Toronto Area ( n = 190). Results: The OMS-HC was found to have acceptable internal reliability for the 15-item version of the scale (α = 0.766) and mixed reliability for its subscales (α = 0.792-0.673). Confirmatory factor analysis showed good absolute (root mean square error of approximation = 0.013) and relative fit (Tucker-Lewis index = 0.996) for the current data. The OMS-HC was also shown to correlate with a series of scales commonly used in stigma research. Conclusions: After testing for internal validity and comparing the OMS-HC to other commonly used scales for assessing stigma and attitudes concerning recovery, the scale was found to be appropriate for the CHC setting and may be advantageous over the use of multiple scales.

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