Assessment of medication adherence in chronic diseases

Majority of people with chronic diseases have poor adherence to their therapeutic regimen. It can result in various complications physialogically with undesirable metabolic conditions. The main objective of this study is to assess the level of satisfaction attained after medication in comorbidities (either having diabetes only or having hypertension only or having Hypertension and Diabetes) and also focussed on creating awareness in patients who do not follow the medication. A prospective cross sectional study was conducted at tertiary care hospital, Khammam, Telangana. 200 patients were approached and were interviewed with their consent. The purpose of the same was to collect the information on socio demographics, medication that is followed, and behavioural characteristics. A structured questionnaire MMAS-8 an eight itemed scale was involved to identify individuals, determine their levels, the reliability and validity of the medication followed. The scrutiny of this study found that there is a better medication adherence in individual’s diseases (Hypertension, Diabetes) whereas in hypertension and diabetes condition high and low adherence were reported because of their awareness, negligence and risk factors respectively. The study concludes that there is an increase in Medication adherence in individual diseases whereas in hypertension and diabetes there are equal ranges of both low and high adherence.

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Medication Adherence among Mentally Ill Patients with comorbid- Substance Use Disorder

KYAMC Journal ◽

10.3329/kyamcj.v6i2.33736 ◽

2017 ◽

Vol 6 (2) ◽

pp. 602-609

Author(s):

Nasim Jahan ◽

Mohammad Muntasir Maruf ◽

Md Faruk Hossain ◽

Md Waziul Alam Chowdhury ◽

Anwara Begum

Keyword(s):

Substance Use ◽

Medication Adherence ◽

Mentally Ill ◽

Substance Misuse ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Psychiatric Medication ◽

Cross Sectional ◽

Care Givers

Substance misuse is usually associated with poorer psychiatric medication adherence among mentally ill patients. Identifying proportion & predictors of medication adherence among patients with dual psychiatric and substance misuse problems is important because poor adherence is associated with relapse and re-hospitalization. This study was a descriptive cross sectional study conducted among the patients dually diagnosed with psychiatric and substance use disorders attending OPD in a tertiary care hospital of Dhaka city, during the period from May 2013 to November 2013. The main objective of the study was to explore the proportion of psychotropic medication adherence among the respondents who were on such medication for at least last 6 months (N=151). Respondents were selected purposefully. An informed consent was taken from the patients or care givers and data were collected using the questionnaire designed by the researcher based on Factors Influencing Neuroleptic Medication Taking Scale (FNIMTS). Diagnoses were done previously according to DSM-IV TR by psychiatrist appointed in inpatient and outpatient department. Questionnaire was filled up by the researcher by interviewing the patients and attending care givers as needed. Over half of the respondents (57.0%) admitted they had missed taking their medications on more than one occasion in the week prior to the interview. Thus this study found the proportion of medication adherence to be 43% among the respondents.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 602-609

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Cross sectional study on prevalence and medication adherence of hypertension and diabetes in a tertiary care hospital in Karimnagar, India

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20181191 ◽

2018 ◽

Vol 7 (4) ◽

pp. 807

Author(s):

S. Sre Akshaya Kalyani ◽

Srihitha Pendota ◽

Abhinay Sharma Katnapally ◽

Dharanija Porandla ◽

Sandeep Bheemreddy

Keyword(s):

Medication Adherence ◽

Health Care Professionals ◽

Past History ◽

Tertiary Care ◽

Previous History ◽

Individual Case ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Background: The study aimed to assess the prevalence of Hypertension (HTN), Diabetes mellitus(DM) and other diseases along with comorbid conditions, disease complications and also to assess medication adherence in a tertiary hospital in Karimnagar, Telangana, India.Methods: A Cross sectional study is performed by analysing a total of 500 patient’s individual case safety reports (ICSR). Prevalence of Hypertension and Diabetes along with most prescribed drugs are analysed. Medication adherence is analysed by using Morisky Medication adherence questionnaire scale (MMAS-4).Results: Patients with past history of DM, HTN and other diseases which was found to be 245 (49%) patients. Patients with highest disease prevalence were found to be with HTN (56.73%), DM (31.83%) followed by other diseases like asthma (8.57%), Cerebrovascular accident (4.89%) etc., Total of 66 Patients were ruled out with comorbid diseases. Patients with HTN+DM (47) were found to be highest followed by DM+HTN+CVA (4). MMAS-4 revealed 208 patients were using medication out of 245 patients with previous history. According to MMAS-4 most of the patients were with medium adherence (76). Prevalent drug used for HTN include Amlodipine and for DM Telmisartan+Hydrochlorthiazide.Conclusions: The study revealed that almost half of the admitted patients were with HTN and DM. The patients were counselled properly to adhere strictly to the prescription. Medication adherence to HTN and DM was found to be good in this study. Since the disease complications were also ruled out, the health care professionals are recommended to spread awareness on DM and HTN and disease management in order to control disease and improve health outcomes.

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A study to evaluate risk factors and factors associated with non-adherence to the prescribed treatment among essential hypertensive patients attending tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203933 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3623

Author(s):

Venkat Sunil Bommishetty ◽

Suresh Keshav Kumbhar

Keyword(s):

Risk Factors ◽

Medication Adherence ◽

Life Style ◽

Tertiary Care ◽

Positive Family History ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Hypertensive Patients ◽

Factors Associated

Background: Prevalence of hypertension is on rising trend with rise in life style and behavioral changes. It is also a major risk factor for most of the dreadful conditions like coronary artery disease, stroke, etc. Medication adherence would help in reducing the chance of occurrence of such complications. Thus objectives of study are 1) to evaluate the risk factors of hypertension among the diagnosed essential hypertensive patients; and 2) to assess the magnitude and the factors associated with non-adherence to the prescribed treatment.Methods: A hospital based cross-sectional study among 71 participants was conducted, using a pre-structured questionnaire and physical examination to assess risk factors of hypertension and CULIG’s 16 questionnaire medication adherence scale to assess the non-adherence. Data analysed with proportions and Chi square test.Results: Out of 71 participants, 60 (84.5%) were found to be non-adherent to their anti-hypertensive medication and factors like being male (p=0.0055), alcohol consumption (p=0.0485) and paid medication (p=0.0091) were found to be significantly affecting the medication non-adherence. Positive family history, sedentary life style, preference of extra salt and smoking/tobacco products usage were the most common risk factors of essential hypertension observed along with others.Conclusions: The participants who experienced the complications/ill effects of hypertension were more adherent as compared to others. Factors which are responsible for non -adherence need to be addressed and appropriate interventions required to improve adherence by educating the people about its importance in prevention of complications.

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Level of Medication Adherence and its Associated Factors among Patients Receiving Antiretroviral Therapy at a Tertiary Care Hospital in South India

Journal of Caring Sciences ◽

10.34172/jcs.2020.014 ◽

2020 ◽

Vol 9 (2) ◽

pp. 93-97

Author(s):

Varadharaj Sakthivel ◽

Vembu Krishnasamy ◽

Vadivelan Mehalingam

Keyword(s):

Medication Adherence ◽

Antiretroviral Therapy ◽

Associated Factors ◽

Health Workers ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Drug Adherence ◽

Cross Sectional ◽

High Adherence

Introduction: Anti-retro viral drugs are the corner stone of management of human immunodeficiency virus (HIV) infection. Anti-retro viral drugs have been consistently proven to reduce mortality due to HIV. The aim of this study was to identify the level of drug adherence and related challenges for adherence. Methods: A cross- sectional study was conducted in the antiretroviral therapy (ART) clinic of a tertiary care teaching hospital. Patients who were above 18 years of age, on ART for at least six months and underwent counselling before starting ART were included in the study (n = 143). Demographic variables and clinical profile were noted and level of drug adherence and associated factors were assessed using Morisky Green Levine test and check list respectively. Data was analysed in SPSS version 22. Results: Most of the study subjects (89.5%) had high level of medication adherence and 10.5% had medium level adherence. Factors contributing to high adherence level were confidentiality and trust among health workers, concerned about their own health, understanding about the prescribed drugs, idea about disease progression, effectiveness and knowledge of anti-retro viral drugs. Conclusion: Drug adherence was found to be high among HIV- infected patients in this study and various reasons contributed for the high adherence among the study subjects.

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Job satisfaction among doctors of a tertiary care hospital of eastern India

Nepal Journal of Epidemiology ◽

10.3126/nje.v6i3.14762 ◽

2016 ◽

Vol 6 (3) ◽

pp. 595-602 ◽

Cited By ~ 4

Author(s):

Sharmistha Bhattacherjee ◽

Kuntala Ray ◽

Jayanta Kumar Roy ◽

Abhijit Mukherjee ◽

Hironmoy Roy ◽

...

Keyword(s):

Job Satisfaction ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Care Hospital ◽

Eastern India ◽

Cross Sectional ◽

Level Of Satisfaction

Background: Job satisfaction expresses the extent of congruence between an individual’s expectation of the job and the reward that the job provides. Job satisfaction among doctors is an issue that is of utmost importance because of factors like patient relationships and time pressures associated with managed care. The current study was done to determine the level of job satisfaction in doctors posted in a tertiary care hospital of eastern India and to find out the factors associated with it.Materials and Methods: A descriptive cross sectional study was conducted among 255 doctors posted in a tertiary care hospital of eastern India. Data were collected using a self-reported questionnaire consisting of 49 items addressing the seven domains of job satisfaction, where higher values indicated higher level of satisfaction. The average scores of items were computed to construct factor scores for each individual. Two stage cluster analysis was performed to get the proportion of satisfied doctors and binary logistic regression was used for comparison of predictors of job satisfaction.Results: The proportion of job satisfaction was found to be 59.6% and the most important factor was found to be working space. On adjustment, the odds of being satisfied were found to be higher in the older age groups, among males, doctors posted in preclinical or paraclinical departments and those staying in present setting for 5 years or more.Conclusion: More than half of the doctors were found to be satisfied with their job which can help the policy makers to make necessary strategies to increase the level of satisfaction of the employees.

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Assessment of medication adherence and risk factors for hypothyroidism in South Indian Tertiary care hospital: a cross–sectional study

Journal of Diabetes Metabolic Disorders & Control ◽

10.15406/jdmdc.2019.06.00184 ◽

2019 ◽

Vol 6 (3) ◽

pp. 60-79

Author(s):

Ravindrababu Pingili ◽

Keerthi Annavarapu ◽

Hema Lalitha Borra ◽

Rupa Swathi Chakka ◽

Venkatesh Chennuboina ◽

...

Keyword(s):

Risk Factors ◽

Medication Adherence ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

South Indian

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Drug Utilization Study on Hypertensive Patients and Assessment of Medication Adherence to Jnc-8 Guidelines in North Indian Tertiary Care Hospital: A Cross-Sectional Study

Advanced Research in Gastroenterology & Hepatology ◽

10.19080/argh.2018.09.555751 ◽

2018 ◽

Vol 9 (1) ◽

Author(s):

Amit Sharma

Keyword(s):

Medication Adherence ◽

Drug Utilization ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Drug Utilization Study ◽

Cross Sectional ◽

Hypertensive Patients

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Factors Associated with Adherence to Medication among Chronic Obstructive Pulmonary Disease Patients in Tertiary Care Hospital of Nepal: A Cross-Sectional Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i2030737 ◽

2020 ◽

pp. 136-144

Author(s):

Sristi Neupane ◽

Parbati Thapa ◽

Anil Giri ◽

Sumitra Shrestha ◽

Nirmal Raj Marasine

Keyword(s):

Medication Adherence ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Chronic Obstructive ◽

Care Hospital ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Central Nepal ◽

Copd Patients

Objective: Patients with chronic obstructive pulmonary disease (COPD) are known to have poor medication adherence in Nepal. Various factors affect the medication adherence of COPD patients. Therefore, we aimed to evaluate the medication adherence and its associated factors among the COPD patients in tertiary care hospitals in central Nepal. Methods: A hospital-based cross-sectional study was carried out among 164 patients aged ≥18 years, diagnosed with and under medication(s) of COPD for at least 6 months from September 2017 to March 2018, in a tertiary care hospital in central Nepal, using a purposive sampling technique. Morisky Green Levine Adherence (MGLA) score was employed to determine the rate of medication adherence. The differences between the two groups (adherent and non-adherent) were tested using independent t-test, and Chi-square tests, p<0.05 was considered statistically significant. Results: Patients were mostly ≥60 years (87.1%) and female (56.7%). The majority of the patients were found adherent to the prescribed treatment (108; 65.9%). The major reason for non-adherence was seem to be stopping medicine when feeling better (41.08%) and most of the patients had discontinued the medication due to experience of symptomatic relief (42.9%).Medication adherence was statistically significant with age group at p=0.040, educational status p=0.020, no. of daily drugs p= 0.029, and health behavior of the patients (p= 0.025). Conclusion: Our study suggested that two-third of COPD patients were adherent to their medication, and age, education, number of drugs, and health behaviors of the patients were the most influencing factors for medication adherence.

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