scholarly journals Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey (Preprint)

2018 ◽  
Author(s):  
Kathryn Volpicelli Leonard ◽  
Courtney Robertson ◽  
Amrita Bhowmick ◽  
Leslie Beth Herbert
Keyword(s):  
Treatment Satisfaction ◽  
Survey Design ◽  
Strong Relationship ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Factors Associated

BACKGROUND Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to improved adherence. However, how patients perceive effectiveness is poorly understood. OBJECTIVE The aim of this study was to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions. METHODS We conducted a descriptive study using a cross-sectional survey design. We administered a Web-based survey to participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Patients were recruited from established online communities of Health Union. Descriptive statistics, correlations, and comparison tests were used to examine outcomes. RESULTS Data were collected from 1820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (1644/1820, 90.33%), &gt;40 years old (1462/1820, 80.33%), and diagnosed &gt;5 years ago (1189/1820, 65.33%). Treatment satisfaction and perceived medication effectiveness were highly correlated (<i>r</i>=0.90, <i>P</i>&lt;.01). Overall, three temporal factors were positively correlated with satisfaction or perceived effectiveness: time on current medication (satisfaction <i>r<sub>s</sub></i>=0.22, <i>P</i>&lt;.01; effectiveness <i>r</i><sub>s</sub>=0.25, <i>P</i>&lt;.01), time since diagnosis (satisfaction <i>r</i><sub>s</sub>=0.07, <i>P</i>&lt;.01; effectiveness <i>r</i><sub>s</sub>=0.09, <i>P</i>&lt;.01), and time on treatment (effectiveness <i>r</i><sub>s</sub>=0.08, <i>P</i>&lt;.01). CONCLUSIONS Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between time and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients regarding treatment. Clinicians may be better prepared to elicit patient beliefs, which influence medication adherence, for people diagnosed with chronic health conditions.

scholarly journals Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey

10.2196/13029 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e13029
Author(s):  
Kathryn Volpicelli Leonard ◽  
Courtney Robertson ◽  
Amrita Bhowmick ◽  
Leslie Beth Herbert
Keyword(s):  
Treatment Satisfaction ◽  
Survey Design ◽  
Strong Relationship ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Factors Associated

Background Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to improved adherence. However, how patients perceive effectiveness is poorly understood. Objective The aim of this study was to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions. Methods We conducted a descriptive study using a cross-sectional survey design. We administered a Web-based survey to participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Patients were recruited from established online communities of Health Union. Descriptive statistics, correlations, and comparison tests were used to examine outcomes. Results Data were collected from 1820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (1644/1820, 90.33%), >40 years old (1462/1820, 80.33%), and diagnosed >5 years ago (1189/1820, 65.33%). Treatment satisfaction and perceived medication effectiveness were highly correlated (r=0.90, P<.01). Overall, three temporal factors were positively correlated with satisfaction or perceived effectiveness: time on current medication (satisfaction rs=0.22, P<.01; effectiveness rs=0.25, P<.01), time since diagnosis (satisfaction rs=0.07, P<.01; effectiveness rs=0.09, P<.01), and time on treatment (effectiveness rs=0.08, P<.01). Conclusions Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between time and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients regarding treatment. Clinicians may be better prepared to elicit patient beliefs, which influence medication adherence, for people diagnosed with chronic health conditions.

scholarly journals Physical multimorbidity patterns and depressive symptoms: a nationwide cross-sectional study in Japan

2020 ◽  
Vol 8 (1) ◽  
pp. e000234
Author(s):  
Takuya Aoki ◽  
Yosuke Yamamoto ◽  
Sayaka Shimizu ◽  
Shunichi Fukuhara
Keyword(s):  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Japanese Residents ◽  
Quota Sampling ◽  
Multimorbid Patients

ObjectiveThe associations of physical multimorbidity with depressive symptoms have been investigated in a number of studies. However, whether patterns of chronic physical conditions have comparatively different associations with depressive symptoms remains unclear. This study aimed to investigate the associations of physical multimorbidity patterns with depressive symptoms.DesignThis study was designed as a nationwide cross-sectional survey in Japan.SettingGeneral sample of the Japanese population.ParticipantsAdult Japanese residents were selected by a quota sampling method. Data were analysed from 1788 residents who reported one or more chronic health conditions.ResultsAmong four physical multimorbidity patterns: cardiovascular-renal-metabolic (CRM), skeletal-articular-digestive (SAD), respiratory-dermal (RDE) and malignant-digestive-urologic (MDU), multivariable logistic regression analyses revealed that the RDE pattern showed the strongest association with depressive symptoms (aOR=1.68, 95% CI: 1.21 to 2.31 for the pattern score highest quartile, compared with the lowest quartile), followed by SAD and MDU patterns (aOR=1.41, 95% CI: 1.01 to 1.98 for the SAD pattern score highest quartile; 1.41, 95% CI: 1.01 to 1.96 for the MDU pattern score highest quartile, compared with the lowest quartile). In contrast, the CRM pattern score was not significantly associated with depressive symptoms (aOR=1.31, 95% CI: 0.90 to 1.89 for the pattern score highest quartile, compared with the lowest quartile).ConclusionsPhysical multimorbidity patterns have different associations with depressive symptoms. Among these patterns, patients with the RDE pattern may be at a higher risk for developing depressive symptoms. This study reinforces the evidence that cluster pattern of chronic health conditions is a useful measure for clinical management of multimorbidity as it is differently associated with mental health status, which is one of the crucial outcomes for multimorbid patients.

scholarly journals Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People

2020 ◽  
Vol 17 (21) ◽  
pp. 8104
Author(s):  
Fiona Robards ◽  
Melissa Kang ◽  
Georgina Luscombe ◽  
Catherine Hawke ◽  
Lena Sanci ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Health Status ◽  
Young People ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Marginalised Groups ◽  
Self Reported Health Status

Background: The aim of this study was to measure young people’s health status and explore associations between health status and belonging to one or more socio-culturally marginalised group. Methods: part of the Access 3 project, this cross-sectional survey of young people aged 12–24 years living in New South Wales, Australia, oversampled young people from one or more of the following groups: Aboriginal and or Torres Strait Islander; living in rural and remote areas; homeless; refugee; and/or, sexuality and/or gender diverse. This paper reports on findings pertaining to health status, presence of chronic health conditions, psychological distress, and wellbeing measures. Results: 1416 participants completed the survey; 897 (63.3%) belonged to at least one marginalised group; 574 (40.5%) to one, 281 (19.8%) to two and 42 (3.0%) to three or four groups. Belonging to more marginalised groups was significantly associated with having more chronic health conditions (p = 0.001), a greater likelihood of high psychological distress (p = 0.001) and of illness or injury related absence from school or work (p < 0.05). Conclusions: increasing marginalisation is associated with decreasing health status. Using an intersectional lens can to be a useful way to understand disadvantage for young people belonging to multiple marginalised groups.

scholarly journals Prevalence and factors associated with behavioral disorders in children with chronic health conditions

2016 ◽  
Vol 50 (1) ◽  
pp. 1
Author(s):  
Budi Santoso Adji ◽  
Soetjiningsih Soetjiningsih ◽  
Trisna Windiani
Keyword(s):  
Behavioral Disorders ◽  
Chronic Health Condition ◽  
Chronic Health Conditions ◽  
Behavioral Disorder ◽  
Health Conditions ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Chronic Health ◽  
Factors Associated ◽  
Duration Of Illness

Background Patients suffering from chronic health conditions are compelled to strive to adjust in their communities. As a result, changes in their physical and psychosocial states are likely to occur. Several studies have described the prevalence of behavioral disorders in such patients. Pediatric Symptom Checklist (PSC) is a screening tool to detect behavioral disorders in children with chronic illness.Objective To determine the prevalence of and factors associated with behavioral disorders in children with chronic health conditions.Methods A cross sectional study was conducted on 4 to 14 year-old-children with chronic diseases in out-patient clinic, Sanglah Hospital from October to December 2008. PSC-17 was used to screen the presence of behavioral disorders. Bivariate analysis and logistic regression were used for analysis.Results One hundred and four children were included in this study. The prevalence of behavioral disorder based on PSC-17 score ≥ 15 was 37.5%. The study showed that duration of illness of more than 3 years had significant correlation with behavioral disorders, compared with the group of 3 month – 3 years duration of illness (OR 3.30, 95% CI 1.33 to 8.22, P = 0.010}.Conclusions Prevalence of behavioral disorders in children with chronic health condition is 37.5%. The duration of illness contributes to the manifestation of behavioral disorders in children with chronic health conditions. [Paediatr Indones. 2010;50:1-5].

Social and early life adversity and chronic health conditions among Tunisian adults

2018 ◽  
Vol 10 (4) ◽  
pp. 949-958
Author(s):  
Sana El Mhamdi ◽  
Andrine Lemieux ◽  
Manel Ben Fredj ◽  
Ines Bouanene ◽  
Arwa Ben Salah ◽  
...  
Keyword(s):  
Early Life ◽  
Significant Risk ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Outcome Variable ◽  
Collective Violence ◽  
Cumulative Number ◽  
Cross Sectional ◽  
Mediation Effects ◽  
Chronic Health

Abstract Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions (CHCs). ELAs include multiple types of abuse such as the social abuse (peer, community, and collective violence). The purpose is to describe the relationship between childhood social abuse and chronic conditions in adulthood among a sample of adults in Tunisia and to investigate the role of obesity and tobacco use as mediators of this association. A cross-sectional study was conducted in Tunisia, from January to June 2016 using the Arabic Adverse Childhood Experiences International Questionnaire (ACE-IQ). Items of social abuse (peer violence, witnessing community violence, and exposure to collective violence) were analyzed. A total of 2,120 adults were enrolled. After adjustment for age, gender, and intrafamilial ELA, social adversities were associated significantly with the selected CHC. Experiencing more than two social ELA increase the risk of occurrence of hypertension and coronary diseases. After accounting for the indirect effect of body mass index, statistically significant partial mediation effects were observed for the cumulative number of social ELA as the exposure variable and chronic diseases as the outcome variable (p ≤ .001; % mediated = 44.5%). These findings support an association between many chronic health disorders and childhood social abuse, independently of intrafamilial ACEs.

Modifiable Risk Factors for Neurocognitive and Psychosocial Problems After Hodgkin Lymphoma

Blood ◽  
2021 ◽  
Author(s):  
AnnaLynn M Williams ◽  
Sedigheh Mirzaei Salehabadi ◽  
Mengqi Xing ◽  
Nicholas Steve Phillips ◽  
Matthew Ehrhardt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hodgkin Lymphoma ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional ◽  
Chronic Health ◽  
Modifiable Factors ◽  
Task Efficiency

Long-term survivors of childhood Hodgkin lymphoma (HL) experience high burden of chronic health morbidities. Correlates of neurocognitive and psychosocial morbidity have not been well established. 1,760 survivors of HL (mean[SD] age 37.5[6.0] years, time since diagnosis 23.6[4.7] years, 52.1% female) and 3,180 siblings (age 33.2[8.5] years, 54.5% female) completed cross-sectional surveys assessing neurocognitive function, emotional distress, quality of life, social attainment, smoking, and physical activity. Treatment exposures were abstracted from medical records. Chronic health conditions were graded according to NCI CTCAE v4.3 (1=mild, 2=moderate, 3=severe/disabling, 4=life-threatening). Multivariable analyses, adjusted for age, sex, and race, estimated relative risk (RR) of impairment in survivors vs. siblings and, among survivors, risk of impairment associated with demographic, clinical, treatment factors and grade 2+ chronic health conditions. Compared with siblings, survivors had significant higher risk (p's&lt;0.05) of neurocognitive impairment (e.g. memory 8.1% vs. 5.7%), anxiety (7.0%%vs. 5.4%),depression (9.1% vs. 7%), unemployment (9.6% vs. 4.4%), and impaired physical/mental quality of life (e.g. physical function 11.2% vs. 3.0%). Smoking was associated with higher risk of impairment in task efficiency (RR=1.56[1.02-2.39]), emotional regulation (RR=1.84[1.35-2.49]), anxiety (RR=2.43[1.51-3.93]), and depression (RR=2.73[1.85-4.04]). Meeting CDC exercise guidelines was associated with lower risk of impairment in task efficiency (RR=0.70[0.52-0.95]), organization (RR=0.60[0.45-0.80]), depression (RR=0.66[0.48-0.92]), and multiple quality of life domains. Cardiovascular and neurologic conditions were associated with impairment in nearly all domains. Survivors of HL are at elevated risk for neurocognitive and psychosocial impairment, and risk is associated with modifiable factors that provide targets for interventions to improve long-term functional outcomes.

Assessment of cancer-related fatigue among Jordanian patients: a cross-sectional survey

2020 ◽  
Vol 29 (2) ◽  
pp. 111-117
Author(s):  
Osama Mohammad Abu-Taha ◽  
Mohammad Ibrahim Al Qadire ◽  
Mahmoud Maharmeh ◽  
Mansour Saleh Alyami
Keyword(s):  
Lung Cancer ◽  
Survey Design ◽  
Healthcare Providers ◽  
Pharmacological Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Fatigue Score ◽  
Factors Associated ◽  
Cancer Related Fatigue ◽  
Several Variables

Background: Cancer-related fatigue (CRF) is considered to be one of the most common symptoms reported by cancer patients. However, little information is available regarding the variables associated with CRF among Jordanian patients. Aims: To assess the prevalence of CRF and explore its predictors among Jordanian patients. Methods: A cross-sectional survey design was used. Findings: Of the 240 patients surveyed, 210 (87.5%) had fatigue at the time of the survey. The total mean fatigue score was 6.2 (SD=1.7) out of a maximum possible score of 10. The results also showed that being unemployed, with longer hospitalisation, low haemoglobin, and having lung cancer seem to predict higher levels of CRF. Conclusion: Several variables and factors associated with CRF were identified. In response to these results, healthcare providers should pay more attention to CRF, which needs to be assessed on a regular basis and to be managed with the available pharmacological and non-pharmacological interventions.

scholarly journals Self-Regulatory Policy of Accounting and Auditing Profession and Its Effect on Audit Expectation Gap in Nigeria

2015 ◽  
Vol 5 (2) ◽  
pp. 98 ◽  
Author(s):  
Paul N. Onulaka
Keyword(s):  
Audit Quality ◽  
Survey Design ◽  
Self Regulation ◽  
Strong Relationship ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Expectations Gap ◽  
Expectation Gap ◽  
Risk Management Process ◽  
Regulatory Bodies

From the very beginning, auditing is pretty much a self-regulated profession and has some ethical rules of thumb to follow in practice. But the plethora of corporate failures and scandals in recent past where auditors’ instrumental role is evident in many instances raise question about the validity and suitability of “self-regulation” in auditing, especially in Nigeria and some other parts of the world where auditors need to perform auditing in ever complex risk management process. However, to restore the public confidences within and outside the auditing profession and to raise the overall audit quality, many countries are establishing some super regulatory bodies to set accounting and auditing standards and regulate the activities of auditors with a view to reducing audit expectation gap. The reason for this paradigm shift is because events over the last decades has shown that an inverse relationship appears to be existing between efforts being made to reduce audit expectations gap by accounting and auditing profession and the actual number of audit failures.  This study adopted a cross sectional survey design. This was designed to investigate whether there is a relationship between the self-regulation of accounting and auditing profession in Nigeria and audit expectation gap.  Pearson Product Moment Correlation Coefficient was used for data analysis.  The finding shows a strong relationship between self-regulation and audit expectation gap and the deficient standard gap is not only associated with selfregulation but other legal pronouncements which the respondents considered obsolete and need to be revamped.

scholarly journals Factors associated with adherence to self-isolation and lockdown measures in the UK; a cross-sectional survey

2020 ◽  
Author(s):  
Louise E. Smith ◽  
Richard Amlôt ◽  
Helen Lambert ◽  
Isabel Oliver ◽  
Charlotte Robin ◽  
...  
Keyword(s):  
High Temperature ◽  
Contact Tracing ◽  
List Type ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Severity ◽  
Factors Associated ◽  
Preventative Measures ◽  
The Uk

AbstractObjectivesTo investigate factors associated with adherence to self-isolation and lockdown measures due to COVID-19 in the UK.DesignOnline cross-sectional survey.SettingData were collected between 6th and 7th May 2020.Participants2240 participants living in the UK aged 18 years or over. Participants were recruited from YouGov’s online research panel.Main outcome measuresHaving gone out in the last 24 hours in those who reported symptoms of COVID-19 in their household. Having gone out shopping for items other than groceries, toiletries or medicines (non-essentials), and total number of outings, in the last week in those who reported no symptoms of COVID-19 in their household.Results217 people (9.7%) reported that they or someone in their household had symptoms of COVID-19 (cough or high temperature / fever) in the last seven days. Of these people, 75.1% had left the home in the last 24 hours (defined as non-adherent). Factors associated with non-adherence were being male, less worried about COVID-19, and perceiving a smaller risk of catching COVID-19. Adherence was associated with having received help from someone outside your household. Results should be taken with caution as there was no evidence for associations when controlling for multiple analyses. Of people reporting no symptoms in the household, 24.5% had gone out shopping for non-essentials in the last week (defined as non-adherent). Factors associated with non-adherence and with a higher total number of outings in the last week included decreased perceived effectiveness of Government “lockdown” measures, decreased perceived severity of COVID-19, and decreased estimates of how many other people were following lockdown rules. Having received help was associated with better adherence.ConclusionsAdherence to self-isolation is poor. As we move into a new phase of contact tracing and self-isolation, it is essential that adherence is improved. Communications should aim to increase knowledge about actions to take when symptomatic or if you have been in contact with a possible COVID-19 case. They should also emphasise the risk of catching and spreading COVID-19 when out and about and the effectiveness of preventative measures. Using volunteer networks effectively to support people in isolation may promote adherence.WHAT IS ALREADY KNOWN ON THIS TOPICThe UK Government introduced “lockdown” measures, including physical or ‘social’ distancing, on 23rd March 2020 due to COVID-19.Government guidance states that people with symptoms of COVID-19 should not leave their home, also known as self-isolation.There is no research investigating adherence to self-isolation and lockdown measures, or factors associated with self-isolation or lockdown measures in the UK.WHAT THIS STUDY ADDSApproximately 10% of participants indicated that they had had symptoms of potential COVID-19 (cough and high temperature / fever) in the last week. Of these participants, 75% had left their home in the last 24 hours.Factors associated with non-adherence to self-isolation measures included being male, less worried about COVID-19, and perceiving a smaller risk of catching COVID-19. However, these results should be taken with caution as there was no longer evidence for associations when correcting for multiple analyses.25% of people who reported no symptoms in their household reported having gone out shopping for items other than groceries, toiletries or medicines in the last week; this was not allowed by Government guidelines in place at the time of data collection.Factors associated with non-adherence to lockdown measures, and increased number of outings in the last week, included decreased perceived effectiveness of Government “lockdown” measures, decreased perceived severity of COVID-19, and decreased estimates of how many other people were following lockdown rules.

scholarly journals Associations of self-reported atopic dermatitis with comorbid conditions in adults: a population-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jevgenija Smirnova ◽  
Scott Montgomery ◽  
Magnus Lindberg ◽  
Åke Svensson ◽  
Laura von Kobyletzki
Keyword(s):  
Atopic Dermatitis ◽  
Multinomial Logistic Regression ◽  
Population Sample ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Psychological Wellbeing ◽  
Adjusted Relative Risk ◽  
Cross Sectional ◽  
Chronic Health ◽  
Increased Risk

Abstract Background The objective of this study was to investigate the relationships between atopic dermatitis (AD) and other common chronic health conditions in adults. Methods A cross-sectional survey was sent to a randomly selected population sample of 78,004 adults in Sweden. The questionnaires included measures of self-reported physical and mental health. Binary and multinomial logistic regression were used to examine the associations of AD with common chronic health conditions and psychological wellbeing. Results AD was self-reported by 4,175 respondents, representing almost 14% of the study population of 34,313 adults. Our results showed positive associations between AD and chronic health disorders, including conditions of the oral cavity: chronic obstructive pulmonary disease (adjusted odds ratio [aOR] = 1.58, 95% confidence interval [CI]: 1.30 to 1.92), asthma (aOR = 2.13, 95% CI: 1.91 to 2.38), mild recurrent gastrointestinal symptoms (adjusted relative risk ratio [aRRR] = 1.78, 95% CI: 1.64 to 1.92), high blood pressure (aOR = 1.16, 95% CI: 1.06 to 1.26), obesity (aOR = 1.34, 95% CI: 1.23 to 1.47), mild joint pain (aRRR = 1.47, 95% CI: 1.35 to 1.61), mild headache or migraine (aRRR = 1.50, 95% CI: 1.38 to 1.64), caries (aOR = 1.25, 95% CI: 1.04 to 1.49), bleeding gums (aOR = 1.69, 95% CI: 1.38 to 2.08), periodontitis (aOR = 1.42, 95% CI: 1.13 to 1.77), sensitive teeth (aOR = 1.57, 95% CI: 1.35 to 1.82), and dry mouth (aOR = 1.52, 95% CI: 1.33 to 1.74). Adjustment for asthma and depression attenuated the magnitude of the associations between AD and the study outcomes. AD was also associated with poorer general psychological wellbeing. Conclusions Adults reporting AD may be at increased risk of chronic disorders and decreased psychological wellbeing. Physicians should recognize that individuals with severe AD and those with comorbid asthma or depression may be especially vulnerable.

Sign in / Sign up

Export Citation Format

Share Document