scholarly journals Assessment of the relationship between depression and treatment compliance in chronically-ill patients in Jeddah, Saudi Arabia

2021 ◽  
Vol 20 (1) ◽  
pp. 177-182
Author(s):  
Ameen Mosleh Almohammadi ◽  
Somayah Saeed Bawazeer ◽  
Joud Jamal Balkhair ◽  
Aroub Adel Rajab
Keyword(s):  
Medication Compliance ◽  
Treatment Compliance ◽  
Chronically Ill ◽  
Lifestyle Changes ◽  
Inverse Association ◽  
Mild Depression ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Chronically Ill Patients ◽  
The Relationship

Purpose: To find the relationship between depression, treatment adherence and lifestyle changes inchronically-ill patients residing in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted. A self-administered questionnaire was used tocollect data from patients of multi-healthcare centers located in Jeddah. The questionnaire aimed tocollect the information regarding patients’ levels of medication compliance, patients’ capacity to copewith the disease and adherence to medication, along with their depression level.Results: Of the overall sample size of 439 patients, 43.1 % were suffering from hypertension, 37.8 %were diabetic and 33.7 % had hyperlipidemia. Besides, total scores of Patient Health Questionnaire-9(PHQ-9) showed that approximately 5 % patients were severely depressed, 8 % had moderately severedepression, 27 % had moderate depression, and 60 % had mild depression. Compliance scale datarevealed that 38 % patients showed low compliance, 51 % showed partial compliance, and 11 %showed high compliance. Also, a significant inverse relationship between depression and compliancescales (rs = -0.221, p = 0.004) was observed.Conclusion: The results show an inverse association between depression and medication adherencein patients with chronic disease in Jeddah. Therefore, clinicians are advised to assess the level ofdepression in chronically-ill patients in order to improve their adherence to medicine.Keywords: Chronic illness, Depression, Medication adherence, Treatment compliance

Relationship between medication adherence and psychosocial adjustment in patients with type 2 diabetes: A cross-sectional study

2020 ◽  
Vol 40 (3) ◽  
pp. 116-122
Author(s):  
Duygu Kes ◽  
Feray Gökdoğan
Keyword(s):  
Type 2 Diabetes ◽  
Psychosocial Adjustment ◽  
Large City ◽  
Psychosocial Care ◽  
Self Report ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Adherence To Medication ◽  
The Relationship

Adherence to drug treatment is a multidimensional concept. It is affected by many factors, such as physiological, psychological, family, environmental and social conditions. However, relatively little is known about the relationship between adherence to medication and psychosocial adjustment. The aim was to explore the relationship between adherence to antidiabetic drugs and the psychosocial adjustment of patients with type 2 diabetes mellitus. This cross-sectional descriptive correlational study was conducted between March and June 2018. A convenience sample of participants was recruited from seven internal disease outpatient clinics at a public tertiary hospital, located in a large city that serves as a gateway to nearby rural and urban areas in the north-west region of Turkey. Data were collected using the Adherence to Refills and Medications Scale (ARMS-7), and the Psychosocial Adjustment to Illness Scale–Self Report (PAIS–SR). This study is reported in accordance with STROBE. Pearson’s correlation analysis found a significant weak positive correlation between all domains of the PAIS–SR and the total scores on the ARMS‐7. The participants’ scores on medication refill were found to be significantly and positively correlated with all of the PAIS–SR domain scores except the sexual relationships domain. Psychosocial care could play a crucial role in improving drug regimen adherence among patients with diabetes. Therefore, nurses should integrate psychosocial care into daily practice.

scholarly journals Binge Drinking and Obesity-Related Eating: The Moderating Roles of the Eating Broadcast Viewing Experience among Korean Adults

2021 ◽  
Vol 18 (15) ◽  
pp. 8066
Author(s):  
Jiye Kim ◽  
Saegyeol Choi ◽  
Hyekyeong Kim ◽  
Soontae An
Keyword(s):  
Binge Drinking ◽  
Online Survey ◽  
Eating Behaviors ◽  
Inverse Association ◽  
Cross Sectional ◽  
Korean Adults ◽  
External Eating ◽  
Drinking Frequency ◽  
The Relationship ◽  
Viewing Experience

Recently, there has been a notable rise in binge drinking and in the popularity of eating broadcasts via TV and online platforms, especially in Korea. This study analyzed the moderating effect of the eating broadcast viewing experience on the relationship between binge drinking and obesity-related eating behaviors. Cross-sectional self-reported online survey data were collected from 1125 Korean adults. Moderation models for restrained, emotional, and external eating behaviors were tested using moderation analyses with Hayes’s PROCESS version 3.5 compatible with SPSS. As a result, the eating broadcast viewing experience moderated the relationship between binge drinking frequency and external eating (Fchange = 2.686, p = 0.045). More frequent binge drinking was associated with a higher level of external eating in participants who only watched online eating broadcasts, especially among women. Participants in their twenties showed the same above association; additionally, those who only watched TV eating broadcasts showed an inverse association, indicating that more frequent binge drinking was associated with a lower level of external eating. Consequently, an eating broadcast viewing experience was one of the environmental factors associated with binge drinking that influences obesity-related eating behaviors.

Behavioral engagement with mHealth for improved well-being among chronically ill patients: the role of human-related and app-related factors (Preprint)

2021 ◽  
Author(s):  
Freek Van Baelen ◽  
Melissa De Regge ◽  
Bart Larivière ◽  
Katrien Verleye ◽  
Sam Schelfout ◽  
...  
Keyword(s):  
Chronic Condition ◽  
Chronically Ill ◽  
Well Being ◽  
Behavioral Engagement ◽  
Related Factors ◽  
Design Factor ◽  
Mobile Health Applications ◽  
Chronically Ill Patients ◽  
The Relationship ◽  
Mhealth Apps

BACKGROUND Last decade has shown a considerable increase in the amount of mobile health applications (mHealth apps) in everyday life. These mHealth apps have the potential to significantly improve well-being for chronically ill patients. However, behavioral engagement with mHealth apps remains low. OBJECTIVE The aim of this study is to provide insight into the behavioral engagement of adults with chronic conditions with mHealth apps by investigating (1) how it is affected by human-related factors (here, physician motivation) and app-related factors (here, app integration) and (2) how it affects their well-being. Supplementary, this study considers the moderating effect of preference for traditional visits to the physician (habit) and experience in app use (app experience) by the patients. METHODS A scenario based experiment among patients with a chronic condition (n= 521) was carried out. A Bayesian SEM model with mediation and moderation analysis was conducted in MPlus. RESULTS Both physician motivation for mHealth app use and mHealth app integration have a positive effect on the behavioral engagement of chronically ill patients towards mHealth apps. Higher behavioral engagement positively influences the hedonic and eudaimonic well-being of chronically ill patients. App experience positively moderates the relationship between app integration and behavioral engagement. A patients’ habit with receiving traditional care does not moderate the relationship between physician motivation and behavioral engagement. CONCLUSIONS The human and design factor play a key role in behavioral engagement and well-being among patients with a chronic condition. During and after the development of a mHealth app, app integration and physician motivation should be a point of attention.

Abstract TMP99: Farmalarm: App for Mobile Devices Improves Risk Factor Control After Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Marc Ribo ◽  
Estefania montiel ◽  
Estela Sanjuan ◽  
Mireia Sanchis ◽  
Marta Rubiera ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Medical Staff ◽  
Healthy Lifestyle ◽  
Medication Compliance ◽  
Treatment Compliance ◽  
Lifestyle Changes ◽  
Stroke Patients ◽  
Risk Factor Control ◽  
Stroke Awareness

Risk factor control and treatment compliance in the following months after stroke are often poor. We aim to validate a digital platform for smartphones designed to raise awareness in patients about the need to perform healthy lifestyle changes, improve communication with medical staff and increase treatment compliance Methods: Farmalarm is an app for smartphones designed to increase stroke awareness by: medication visual alerts and compliance control, chat communication with medical staff, sharing didactic video files, exercise monitoring... Stroke patients discharged home were screened for participation and divided in two groups: to follow the FARMALARM program during 3-4 weeks or standard of care follow-up. We determined risk factor control goals at 90 days in all patients Results: During 16 months, from the 457 patients discharged home, 126 (27.6%) were included in the study: Farmalarm n=74; age 57±12, Control n=52, age 59±10. There were no significant differences in baseline characteristics between groups. Patients in Farmalarm group followed the program for 23±6 days after discharge. In Farmalarm group, mean number alarms due to medication intake failure dropped from 68.5% in the first week to 44.6% in the third week (p=0.03). At 90 days, achievement of risk factor control was higher in the FARMALARM group (table). The rate of patients with 4/4 risk factors under control was higher in the FARMALARM group (45.3% Vs 22.5%; p=0.02) (graph) and less patients dropped all medications at 3 months in the Farmalarm group (1.5% Vs 8.16%:p=0.05). A regression model adjusted for age and gender showed that the only variable independently associated with all risk factors under control at 90 days was the use of Farmalarm (OR: 4.7; 95% CI:1.1-6.9;p=0.03). Conclusion: In stroke patients discharged home the use of mobile applications to monitor medication compliance and increase stroke awareness is feasible and seems to improve the control of vascular risk factors.

scholarly journals The Relationship between Knowledge and Medication Compliance Behavior among Patients with Tuberculosis

2020 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Jufri Hidayat ◽  
Mei-Chen Lee ◽  
Ming-Der Lee ◽  
Chen-Hsiu Chen
Keyword(s):  
Significant Relationship ◽  
Medication Compliance ◽  
Total Sample ◽  
Categorical Variables ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Compliance Behavior ◽  
Cross Sectional Design ◽  
The Relationship

Tuberculosis (TB) remains the highest priority among infectious diseases in the world today with increasing morbidity and mortality every year. Adherence to treatment plays an important role in the success of therapy among TB patients. This study aims to explore the relationship between demographic characteristics, knowledge, and medication compliance behavior among patients with tuberculosis in Indonesia. This study was descriptive correlational and cross-sectional design with the total sample was 150 tuberculosis confirmed in Medan Pulmonary Hospital, Indonesia. In this study found that there is a significant relationship between ethnicity and medication adherence (continues variable) with p = 0.01. Meanwhile when medication compliance behavior was treated as categorical variables, a significant relationship was found between medication compliance behavior and medical history (p = 0.03), smoking (p = 0.005), and alcohol (p = 0.03) among tuberculosis patients in Indonesia. In the multivariate analysis, multiple linear regression was performed which surprisingly shows that education was significantly associated with knowledge of TB (p = 0,02), and ethnicity (0.04).

scholarly journals RELATIONSHIP BETWEEN ADVERSE EVENTS PREVALENCE, PATIENT SAFETY CULTURE AND PATIENT SAFETY PERCEPTION IN A SINGLE SAMPLE OF PATIENTS: A CROSS-SECTIONAL STUDY

2021 ◽  
Author(s):  
Monica Susana Chirinos ◽  
Carola Orrego ◽  
Cesar Montoya ◽  
Rosa Sunol
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Medical Records ◽  
Patient Safety Culture ◽  
Single Sample ◽  
Inverse Association ◽  
Cross Sectional ◽  
Safety Perception ◽  
The Relationship

Background: Fostering the understanding of the relationship between the prevalence of adverse events (AEP), the patient safety culture of healthcare professionals (PSC) and patient safety perception (PSP) could be an important step to operationalizing patient safety through an integration of different perspectives. Objective: To assess the relationship between AE Prevalence, Patient Safety Culture and Patient Safety Perception. Method: Cross-sectional, ex post facto comparative study on a single sample of patients. The prevalence and severity of adverse events were measured through a review of medical records (using the Modular Review Form (MRF2). Healthcare professional patient safety culture was determined using the Hospital Survey on Patient Safety Culture (HSOPSC) and patient perception of safety through the Hospital Care Safety Perceptions Questionnaire (HCSPQ). Correlation tests were used to compare the three dimensions. Population: 556 medical records and patients were studied for the prevalence and patient safety perception study, and 397 of the healthcare providers involved in the care of these patients were surveyed for the patient safety culture study, at 2 public and 2 private hospitals. Results: An inverse association was observed between AE prevalence and its severity and Patient Safety Culture Index (rho=-0.8) and Patient Safety Perception Index (rho=-0.6). No association was identified between Patient Safety Culture and Patient Safety Perception (rho=0.0001). No statistical differences were identified by hospital type. Conclusions: The joint analysis of AEP, PSC and PSP, in the same sample, offers an interesting and useful perspective on the associations between the variables studied; no correlation pattern was observed between the variables.

scholarly journals Komunikasi Interpersonal Pengawas Minum Obat Berperspektif Gender dengan Kepatuhan Berobat Penderita Tuberkulosis di Tiga Puskesmas di Kabupaten Bogor

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Widiawati Walangadi ◽  
Dwi Sadono ◽  
Djoko Susanto
Keyword(s):  
Interpersonal Communication ◽  
Communication Skills ◽  
Significant Relationship ◽  
Treatment Compliance ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Patient Treatment ◽  
Cross Sectional ◽  
Gender Perspective ◽  
The Relationship

The problem of tuberculosis (TB) control is still very large in Indonesia. Pengawas minum obat (PMO) for each patient tuberculosis expected to ensure the regularity of the patients taking medicine. The objectives of the study are 1) to analyze interpersonal communication skills of PMO gender perspective with TB patient, and 2) to analyze relationship between interpersonal communication skills PMO gender perspective with TB patient treatment compliance. Explanatory research method with cross-sectional study design, with a total sample of 82 of the PMO at three Public Health Centers PMO Ciomas, Cileungsi, Cibinong. Data were collected using questionnaire and analyzed using chi-square. The results showed the relationship between the characteristics of the PMO with interpersonal communication skills PMO value of p > 0.01 so give no significant relationship, the relationship between gender perspectif with interpersonal communication skills PMO is p <0.01 means that there is significant correlation. The relationship between the PMO interpersonal communication skills with patient compliance level p <0.01 means that there is a significant relationship. Conclusion characteristics of the PMO are the largely nonexistent relationship with interpersonal communication skills of PMO, whereas the gender perspective is significally correlated to interpersonal communication skills of the PMO. The level of interpersonal communication skills are significantly correlated of TB treatment compliance.

scholarly journals The Correlations of Knowledge, Attitude and Practice with Compliance in Treatment of Pulmonary Tuberculosis Patients in Puskesmas Cakranegara

2021 ◽  
Vol 21 (1) ◽  
pp. 65
Author(s):  
Auliana Puji Lestari ◽  
Prima Belia Fathana ◽  
Wahyu Sulistya Affarah
Keyword(s):  
Pulmonary Tuberculosis ◽  
Medication Compliance ◽  
Population Sample ◽  
Treatment Compliance ◽  
Tuberculosis Patient ◽  
Primary Data ◽  
Cross Sectional ◽  
Correlation Test ◽  
Infected People ◽  
Attitudes And Practices

Patient compliance refers to the suitability of behavior against treatment recommendations include timing, dose and frequency of treatment. Compliance to tuberculosis treatment was actually very complex and dynamic with various factors that interacted each other, and therefore it will influence on patient’s behavior decision. Patient who has a good compliance will increase success to his recovery. This study was carried out to determine the correlation between tuberculosis patient behavior which consists of the domain of knowledge, attitudes and practices with compliance to taking anti-tuberculosis drugs at the Puskesmas Cakranegara commencing on July to November 2020. This research was an observational analytic study using a cross sectional method. Population sample was patients who diagnosed with pulmonary tuberculosis which undergoing category 1 treatment at Puskesmas Cakranegara. The data used in the study was primary data established from interviewing patients using a questionnaire on selected Pulmonary TB patients including respondents who eligible as the inclusion and exclusion criteria. The number of samples in this study were 30 infected-people. The data obtained were analyzed using the Spearman correlation test.  The correlation test of the study showed that there was no significant correlation between variable of knowledge and medication compliance (p = 0.079, r = 0.325).  However, the attitude variables had a significant correlation with medication compliance (p = 0.000, r = 0.715).  Similarly, the practices variable has a significant correlation to the medication compliance (p = 0.000, r = 0.656). This study found that there was no significant correlation between knowledge and compliance taking anti-tuberculosis drugs. However, it was found that there was a significant correlation between attitudes and practices with compliance to taking anti-tuberculosis drugs.

scholarly journals Differential associations between diet and prediabetes or diabetes in the KORA FF4 study

2018 ◽  
Vol 7 ◽  
Author(s):  
Taylor A. Breuninger ◽  
Anna Riedl ◽  
Nina Wawro ◽  
Wolfgang Rathmann ◽  
Konstantin Strauch ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Glucose Tolerance ◽  
Multinomial Logistic Regression ◽  
Lifestyle Changes ◽  
Oral Glucose ◽  
Processed Meat ◽  
Global Public Health ◽  
Cross Sectional ◽  
Heavy Alcohol ◽  
The Relationship

AbstractType 2 diabetes mellitus (T2DM) is a global public health epidemic. Diet and lifestyle changes have been demonstrated as effective measures in managing T2DM and preventing or delaying the progression from prediabetes to diabetes, yet the relationship between diet, prediabetes and diabetes is still not entirely clear. The present study aimed to further elucidate the relationship between diet, diabetes and especially prediabetes. A total of 1542 participants of the cross-sectional, population-based Cooperative Health Research in the Region of Augsburg (KORA) FF4 study (2013/2014) were included in this analysis. Dietary intake was derived using a method combining information from a FFQ and repeated 24-h food lists. Glucose tolerance status was assessed via oral glucose tolerance tests in all participants without a previous physician-confirmed diagnosis of T2DM, and was classified according to the 2003 American Diabetes Association criteria. Crude and fully adjusted multinomial logistic regression models were fitted to examine associations between diet and prediabetes, undetected diabetes mellitus (UDM) and prevalent T2DM. After adjusting for major covariates, fruit was significantly inversely and total meat, processed meat, sugar-sweetened beverages and moderate alcohol significantly associated with UDM and/or prevalent diabetes. Sex-specific analyses showed that in men, coffee was significantly inversely (OR 0·80; 95 % CI 0·67, 0·96) and heavy alcohol significantly (OR 1·84; 95 % CI 1·14, 2·95) associated with prediabetes. Our findings on diet and T2DM are consistent with current literature, while our results regarding coffee, heavy alcohol consumption and prediabetes highlight new possible targets for primary prevention of the derangement of glucose homeostasis.

scholarly journals Unravelling sexual care in chronically ill patients: the perspective of GP practice nurses; Health Service Research

2020 ◽  
Vol 37 (6) ◽  
pp. 766-771
Author(s):  
Pieter C Barnhoorn ◽  
Hannah R Zuurveen ◽  
Inge C Prins ◽  
Gaby F van Ek ◽  
Brenda L den Oudsten ◽  
...  
Keyword(s):  
General Practice ◽  
Sexual Health ◽  
Chronically Ill ◽  
Cross Sectional Study ◽  
Service Research ◽  
Chronic Patients ◽  
Cross Sectional Survey ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Chronically Ill Patients

Abstract Background Assessment of sexual health is important in chronically ill patients, as many experience sexual dysfunction (SD). The general practice nurse (GPN) can play a crucial part in addressing SD. Objective The aim of this cross-sectional study was to examine to which extent GPNs discuss SD with chronically ill patients and what barriers may refrained them from discussing SD. Furthermore, we examined which factors had an association with a higher frequency of discussing SD. Methods A cross-sectional survey using a 48-item questionnaire was send to 637 GPNs across the Netherlands. Results In total, 407 GPNs returned the questionnaire (response rate 63.9%) of which 337 completed the survey. Two hundred and twenty-one responding GPNs (65.6%) found it important to discuss SD. More than half of the GPNS (n = 179, 53.3%) never discussed SD during a first consultation, 60 GPNs (18%) never discussed SD during follow-up consultations. The three most important barriers for discussing SD were insufficient training (54.7%), ‘reasons related to language and ethnicity’ (47.5%) and ‘reasons related to culture and religion’ (45.8%). More than half of the GPNs thought that they had not enough knowledge to discuss SD (n = 176, 54.8%). A protocol on addressing SD would significantly increase discussing during SD. Conclusions This study indicates that GPNs do not discuss SD with chronically ill patients routinely. Insufficient knowledge, training and reasons related to cultural diversity were identified as most important reasons for this practice pattern. Implementation of training in combination with guidelines on SD in the general practice could improve on the discussing of sexual health with chronic patients.

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