scholarly journals Análise da associação entre adesão terapêutica e letramento em saúde em hipertensos

2021 ◽  
Vol 11 ◽  
Author(s):  
Aline Castelo Girão ◽  
Thereza Maria Magalhães Moreira ◽  
Juliana Rodrigues Da Silva ◽  
Emiliana Bezerra Gomes ◽  
Gilliane Ferreira Da Silva ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

Objetivo: Analisar a associação entre adesão ao tratamento e letramento funcional em saúde em hipertensos. Métodos: Estudo transversal, descritivo, realizado na atenção primária em saúde, com 242 hipertensos. Na coleta de dados, foram utilizados o Questionário de adesão ao tratamento da hipertensão arterial e o Morisky Medication Adherence Scale ambos sobre adesão terapêutica e o Short Assessment of Health Literacy for Portuguese-Speaking Adults sobre letramento em saúde. Para a análise descritiva e inferencial, foi usado o software IBM SPSS®, com significância estatística de 5%. Resultados: Os níveis de adesão dos questionários foram diferentes e o letramento em saúde inadequado, sem associação significativa. Conclusão: O letramento funcional em saúde demonstrou alguma influência na adesão, mesmo sem associação significativa, devendo ser considerada na promoção da adesão e na redução de riscos a hipertensos na atenção primária à saúde.

scholarly journals Az egészségműveltség és a terápiahűség felmérése magasvérnyomás-betegséggel élők körében

2021 ◽  
Vol 62 (1) ◽  
pp. 17-26
Author(s):  
Bernadett Varga ◽  
Tímea Stromajer-Rácz ◽  
Ágnesi Bornemisza ◽  
Marianna Lukács-Horváth ◽  
Melinda Csima
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

Bevezetés: A hipertónia előfordulásának magas gyakorisága a fejlett és fejlődő országokban egyaránt jelentős népegészségügyi problémának számít. Megelőzésében számottevő szerepe van azoknak az ismereteknek, készségeknek, melyek az egészségműveltség részeként az egészségtudatos magatartáson keresztül fejtik ki hatásukat. Vizsgálatunk célja felmérni a 45 évnél idősebb, magasvérnyomás-betegséggel élők egészségműveltségét, terápiahűségét, valamint egészségmagatartását. Módszertan: Keresztmetszeti, kvantitatív, leíró vizsgálatunkat kérdőíves lekérdezés keretében 2019. február-június között folytattuk le. A kutatásba 45 évnél idősebb, Kaposváron élő, hipertóniával diagnosztizált betegeket vontunk be egyszerű, nem véletlenszerű mintavétel alkalmazásával (n=143). Kutatási eszközünk saját szerkesztésű kérdések (szociodemográfiai ismérvek, egészségmagatartásra vonatkozó kérdések) mellett a nemzetközi szakirodalomban alkalmazott, standardizált kérdéseket (Health Literacy EU Q16, Morisky Medication Adherence Scale (8-item) (MMAS)) is tartalmazott. A minta jellemzését leíró statisztikával, a változók közötti kapcsolatok vizsgálatát matematikai statisztikai próbákkal (χ²-próba, lineáris regresszió, ANOVA, független T-próba) végeztük el. Vizsgálataink során a szignifikanciaszintet p<0,05 határoztuk meg. Eredmények: Az egészségműveltség fokára legerőteljesebben a legmagasabb iskolai végzettség (p=0,005) hat, mely az egészségműveltség mindhárom dimenziójában („Egészségügyi rendszerrel kapcsolatos kompetencia”, „Prevenció”, „Egészségfejlesztés”) megtartotta differenciáló hatását. Nagymértékű különbségek mutathatók ki továbbá az alacsony és a magas terápiahűséget mutató válaszadók egészségműveltsége között (alacsony terápiahűség átlagpontszám: 37,52; magas terápiahűség átlagpontszám: 42,82; p=0,040). Az egészségmagatartás és az egészségműveltség közötti kapcsolat vizsgálata során elsősorban az „Egészségügyi rendszerrel kapcsolatos kompetencia” al-index és a rizikómagatartás (dohányzás, alkoholfogyasztás, fizikai inaktivitás) között találtunk összefüggést: a rizikómagatartás jellemzően alacsonyabb szintű egészségműveltséggel jár együtt (p<0,05). Következtetések: A hipertóniás betegek körében végzett vizsgálatunk ráirányította a figyelmet az egészségműveltség és a terápiahűség közötti kapcsolatra: a magasabb szintű egészségműveltség jellemzően magasabb fokú terápiahűséggel jár együtt. A prevenciós céllal végzett egészségfejlesztő beavatkozások tervezése és végrehajtása során ezért figyelembe kell venni a kognitív képességek közötti különbséget, főként az alacsony egészségügyi ismeretekkel rendelkező betegek esetén, melynek eredményeként egészségműveltségük fejlődik, és egészségtudatosabb magatartás alakul ki náluk.

scholarly journals Relação entre adesão à medicação e letramento funcional em saúde em pessoas idosas

2020 ◽  
Vol 9 (3) ◽  
pp. e48932327
Author(s):  
Nidia Farias Fernandes Martins ◽  
Daiane Porto Gautério Abreu ◽  
Juliana Piveta de Lima ◽  
Eliel de Oliveira Bandeira ◽  
Aline Neutzling Brum ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Short Test

Objetivou-se verificar se há relação entre adesão à medicação e letramento funcional em saúde em pessoas idosas atendidas na Estratégia Saúde da Família da zona oeste de um município no sul do Brasil. Estudo transversal, exploratório-descritivo, quantitativo, realizado em 17 equipes de saúde da família, com 350 pessoas idosas, aplicando-se uma versão em português da Morisky Medication Adherence Scale, que verificou o grau de adesão à medicação e uma versão traduzida do Short-Test of Functional Health Literacy in Adults, que verificou o grau de letramento funcional em saúde. Foi realizada análise estatística descritiva e inferencial. Verificou-se que 224 (64%) participantes foram considerados não aderentes à medicação, e 206 (58,9%) tiveram letramento inadequado, não havendo associação significativa entre essas variáveis. Os participantes relataram outras dificuldades no tratamento medicamentoso, entre elas, o esquecimento teve relação significativa com a adesão. A não compreensão de informações em saúde não influenciou a adesão ao tratamento medicamentoso dos participantes. Os profissionais devem atentar para outras dificuldades que podem surgir, principalmente o esquecimento, elencando estratégias voltadas à minimização do mesmo, como o acompanhamento e monitorização do tratamento medicamentoso.

scholarly journals The 8-item Morisky medication adherence scale: validation of a Portuguese version in HIV patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Aguiar ◽  
C Piñeiro ◽  
R Serrão ◽  
R Duarte
Keyword(s):  
Medication Adherence ◽  
Psychometric Properties ◽  
Reliability Analysis ◽  
Cronbach’S Alpha ◽  
Portuguese Version ◽  
Cronbach's Alpha ◽  
Adherence To Medication ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
The Mean

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to &lt; 6 (low), 6 to &lt; 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.

scholarly journals Validation of the French Translated Version of the Osteoporosis Specific Morisky Medication Adherence Scale (OS-MMAS) in France

2013 ◽  
Vol 16 (7) ◽  
pp. A568 ◽  
Author(s):  
M. Feudjo Tepie ◽  
C. Kempf ◽  
A. Letierce ◽  
I. Ferreira ◽  
L. Kalouche-Khalil ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

scholarly journals Determinants of Medication Adherence to Antihypertensive Medications among a Chinese Population Using Morisky Medication Adherence Scale

PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e62775 ◽  
Author(s):  
Gabrielle K. Y. Lee ◽  
Harry H. X. Wang ◽  
Kirin Q. L. Liu ◽  
Yu Cheung ◽  
Donald E. Morisky ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Chinese Population ◽  
Antihypertensive Medications ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

scholarly journals ASSESSMENT & EVALUATION ON THE KNOWLEDGE, ATTITUDE & PRACTICE TOWARDS MEDICATION THERAPY MANAGEMENT AMONG COMMUNITY OF DAVANGERE CITY

2017 ◽  
Vol 10 (4) ◽  
pp. 380
Author(s):  
Gloria K Sam ◽  
Jobin Thomas ◽  
Riya Alexander ◽  
Sheen Ann Varughese
Keyword(s):  
Medication Adherence ◽  
Lifestyle Modification ◽  
Medication Therapy Management ◽  
Patient Counseling ◽  
Therapy Management ◽  
Medication Therapy ◽  
Attitude And Practice ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Knowledge Attitude And Practice

Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.

Morisky Medication Adherence Scale-8

2008 ◽  
Author(s):  
Donald Morisky ◽  
Alfonso Ang ◽  
Marie Krousel-Wood ◽  
Harry J. Ward
Keyword(s):  
Medication Adherence ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

scholarly journals PRM29 Translation and Validation Study of Morisky Medication Adherence Scale (MMAS): The Urdu Version

2011 ◽  
Vol 14 (7) ◽  
pp. A426
Author(s):  
F. Saleem ◽  
M.A. Hassali ◽  
A.A. Shafie ◽  
H.K. Al-Qazaz ◽  
M. Atif ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Validation Study ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Translation And Validation
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