scholarly journals Improvement in Medication Adherence using TV Programme as Reminder

According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.

According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.


Author(s):  
Saibal Kumar Saha ◽  
Anindita Adhikary ◽  
Ajeya Jha ◽  
Vijay Kumar Mehta

According to WHO, only 50% of patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets, and on average Indians spend 3 hours, 44 minutes watching television. A TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programmes as a form of reminder in improving medication adherence. With the help of a structured questionnaire, the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programmes as a form of reminder, the odds of missing the medication consciously reduces by 45.9%. At a personal level, the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used, and if the total population is considered, 15.6% fewer people would not be missing the medication at all when the reminder is used.


Author(s):  
Elke Loots ◽  
Eva Goossens ◽  
Toke Vanwesemael ◽  
Manuel Morrens ◽  
Bart Van Rompaey ◽  
...  

Adherence to prescribed medication regimes improves outcomes for patients with severe mental illness such as schizophrenia or bipolar disorders. The aim of this systematic review and meta-analysis was to compare the effectiveness among interventions to improve medication adherence in patients with schizophrenia or bipolar disorders. Literature published in the last decade was searched for interventions studies to improve adherence in patients with schizophrenia or a bipolar disorder. Interventions were categorised on the basis of type, and the context and effectiveness of the interventions were described. Two review authors independently extracted and assessed data, following criteria outlined by the Cochrane Handbook for Systematic Reviews of Interventions. The GRADEPro (McMaster University, 2020, Ontario, Canada) was used for assessing the quality of the evidence. Twenty-three publications met the selection criteria. Different types of interventions aiming to improve adherence were tested: educational, behavioural, family-based, technological, or a combination of previous types. Meta-analysis could be performed for 10 interventions. When considered separately by subgroups on the basis of intervention type, no significant differences were found in adherence among interventions (p = 0.29; I2 = 19.9%). This review concluded that successful interventions used a combination of behavioural and educational approaches that seem easy to implement in daily practice.


2020 ◽  
Vol 19 (8) ◽  
pp. 1785-1792
Author(s):  
Shuyin Xu ◽  
Bangshan Liu ◽  
Yan Zhang

Purpose: To review the effectiveness and underlying mechanism of different types of psychotherapy to improve medication adherence (MA).Methods: In this review, the status and possible factors influencing medication adherence in patients with depression patients based on  information obtained from various literature.Results: Although the focus of psychologists' analysis of the causes and solutions of mental illness is different, several of these therapies can improve patient compliance with their medications. An effective psychotherapy can change patients’ attitudes towards disease and help them reduce the disease recurrence rate.Conclusion: Psychotherapy has an irreplaceable role in dealing with the major depressive disorder. This review aimed to provide effective instructions for improving medication adherence and reducing disease relapse and recurrence in the future. Keywords: Depression, Medication adherence, Psychotherapy


Author(s):  
Luis Cláudio de Jesus-Silva ◽  
Antônio Luiz Marques ◽  
André Luiz Nunes Zogahib

This article aims to examine the variable compensation program for performance implanted in the Brazilian Judiciary. For this purpose, a survey was conducted with the servers of the Court of Justice of the State of Roraima - Amazon - Brazil. The strategy consisted of field research with quantitative approach, with descriptive and explanatory research and conducting survey using a structured questionnaire, available through the INTERNET. The population surveyed, 37.79% is the sample. The results indicate the effectiveness of the program as a tool of motivation and performance improvement and also the need for some adjustments and improvements, especially on the perception of equity of the program and the distribution of rewards.


2016 ◽  
Vol 33 (S1) ◽  
pp. s258-s259
Author(s):  
M.J. Martins ◽  
A.T. Pereira ◽  
C.B. Carvalho ◽  
P. Castilho ◽  
A.C. Lopes ◽  
...  

IntroductionAlthough being highly consensual that antipsychotic adherence is an important outcome predictor in psychosis, existing reviews have found mean rates of adherence around 40–60%. Several aspects, such as patient-related, medication-related, environmental-related variables have been described as important predictors.AimsThis study aim is to develop, administer and present preliminary psychometric properties of a new scale for antipsychotic medication adherence that includes different types of predictors (clinical, psychosocial, and practical among others).MethodsThe “AMAS” was developed by a multidisciplinary team and was based on recent research on factors influencing antipsychotic adherence. The scale evolved from multiple drafts and experts were contacted in order to improve the final version. Over 50 patients with a diagnosis of a psychotic-spectrum disorder taking antipsychotic medication will be assessed with the “AMAS” and the Medication Adherence Rating Scale. Additionally, each patient's psychiatrist will fill in a form with demographic and clinical variables (such as type of symptoms, previous adherence problems, current adherence, insight and other relevant variables).ResultsThis is an ongoing study and the sample is still being collected (scheduled finish date: February/2016). Our statistical analysis’ plan includes: reliability analysis (Chronbach's alpha, alpha if item deleted, inter item correlations and covariances and item-total correlations); validity (convergent validity); factorial analysis.ConclusionsIt is hypothesized that the “AMAS” will be a practical, reliable and valid unidimentional instrument with clinical utility assessing adherence to antipsychotics. The “AMAS” can be also useful in assessing intervention targets (e.g. psychoterapeutical, psychoeducational) to enhance adherence.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2002 ◽  
Vol 159 (10) ◽  
pp. 1653-1664 ◽  
Author(s):  
Annette Zygmunt ◽  
Mark Olfson ◽  
Carol A. Boyer ◽  
David Mechanic

Drugs & Aging ◽  
2016 ◽  
Vol 33 (9) ◽  
pp. 629-637 ◽  
Author(s):  
Alessandra Marengoni ◽  
Alessandro Monaco ◽  
Elisio Costa ◽  
Antonio Cherubini ◽  
Alexandra Prados-Torres ◽  
...  

1950 ◽  
Vol 17 (2) ◽  
pp. 145-153 ◽  
Author(s):  
J. O. Hinze ◽  
H. Milborn

Abstract Liquid, supplied through a stationary tube to the inner part of a rotating cup widening toward a brim, flows viscously in a thin layer toward this brim and is then flung off, all by centrifugal action. The flow within this layer and the disintegration phenomena occurring beyond the brim have been studied, experimentally as well as theoretically. A formula has been derived for the thickness and for the radial velocity of the liquid layer within the cup, which proved to agree reasonably well with experimental results. Three essentially different types of disintegration may take place around and beyond the edge of the cup designated, respectively, by: (a) the state of direct drop formation; (b) the state of ligament formation; and (c) the state of film formation. Which one of these is realized depends upon working conditions. Transition from state (a) into (b), or of state (b) into state (c) is promoted by an increased quantity of supply, an increased angular speed, a decreased diameter of the cup, an increased density, an increased viscosity, and a decreased surface tension of the liquid. The experimental results have been expressed in relationships between relevant dimensionless groups. For the state of ligament formation a semiempirical relationship has been derived between the number of ligaments and dimensionless groups determining the working conditions of the cup. Results of drop-size measurements made for the state of ligament formation as well as for the state of film formation show that atomization by mere rotation of the cup is much more uniform than commonly achieved with pressure atomizers.


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