Gambaran kesejahteraan psikologi terhadap kepatuhan manajemen diri pasien hemodialisa

Pendahuluan:Hemodialisis adalah kondisi yang kronis membutuhkan manajemen diri yang sangat relevan. Manajemen diri terkait kepatuhan yang buruk merupakan masalah yang luas pada pasien dengan hemodialisis dan menyebabkan konsekuensi berat untuk pasien, bahkan kematian.Tujuan dari penelitian ini adalah untuk mengetahui gambaran Psychologywell being pasien hemodialisis terhadapkepatuhan manajemen terapi pasien hemodialisis.Metode:yang digunakan dalam penelitian ini adalah deskriptif analitik dengan melihat bagaimana psychological well beingpasien serta kepatuhan managemen diri yang dilaksanakan pasien. Instrumen yang digunakan yaitu Psychological Well Being Questionare, Renal Adherence Attitudes Questionnaire (RAAQ) And Renal Adherence Behaviour Questionnaire (RABQ).Hasil:uji statistik menggunakanSpearman’s - Rhomeunjukkan nilai p = 0,014 pada taraf signifikansi α = 0,05, artinya psychology well being(kesejahteraan psikologi) mempunyai hubungan terhadap kepatuhan manajemen diri pasien HD. Sedangkan nilai correlation coefficient menunjukkan angka 0,734. Simpulan:Psychology well being(kesejahteraan psikologi) dan kepatuhan manajemen diri mempunyai keeratan hubungan sebesar 73,4%.

Effectiveness of mobile text reminder in improving adherence to medication, physical exercise, and quality of life in patients living with HIV: a systematic review

Background Mobile text reminder (SMS) system is considered a viable strategy for targeting/facilitating healthy behavioural change including adherence to prescribed physical exercises (PE) and medication (antiretroviral therapy-ART) which should improve the quality of life (Qol) in people living with HIV/AIDS(PLWHA). Thus, the literature was appraised for evidence of SMS effectiveness in improving ART and PE adherence behaviours and QoL in PLWHA. Methods Eight databases–AMED, CINAHL, Cochrane Library, EMBASE, EMCARE, Ovid MEDLINE, PsycINFO, and PubMed-were searched up to December 2020, using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol.This review included only randomised control trials (RCTs) investigating the effectiveness of SMS in improving QoL or PE or ART adherence behaviour or a combination of these variables in PLWHA >18 years. Two independent reviewers determined the eligibility of the studies. Data were extracted and the quality of the study was assessed with the Physiotherapy Evidence Database (PEDro) tool. The primary outcomes were ART and PE adherence behaviours while the secondary outcome was QoL. Result A pooled estimate of effect was not calculated due to the heterogeneity of methods and outcome measures. Therefore, a narrative synthesis of ten studies that met the inclusion criteria (n = 1621 participants at study completion) comprising males/females, aged ≥ 18 years, was done. There was a significant improvement in ART adherence behaviour except in three underpowered studies. Only the SMS interventions that were developed using the Starks 3-steps Adherence model was associated with positive outcome. The only study that evaluated QoL was underpowered and reported no significant change while there were no RCTs on PE. Conclusion Effects of SMS intervention trends towards a significant improvement in ART adherence behaviour in PLWHA. It is plausible that SMS reminders developed using the broader framework of the interpersonal health behaviour theory(ies) may have positive outcome. Nevertheless, the observed heterogeneity in the methods/outcome measures warrants a cautious interpretation of the findings. There is a lack/paucity of RCTs and therefore no evidence in support of the effectiveness of SMS intervention in improving PE adherence and QoL. Registration number NPLASY202060016.

Improvement in Medication Adherence Using TV Programmes as Reminders

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.

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.

Improvement in Medication Adherence Using TV Programmes as Reminders

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.

Effect of Reminder Tools on Drug Adherence among Patients on Anti-retroviral Drug in Specialist Hospital Yola, Adamawa State: A Randomized Field Trial

A Minimum Of 95% Drug Adherence Is Necessary To Achieve Immunological And Virological Success In Antiretroviral Therapy, And To Attain This Level; Patients Need To Be Assisted. The Study Therefore Aimed At Comparing The Effect Of Reminder Tools On Antiretroviral Drug Adherence Among People Living With Human Immunodeficiency Virus. The Study Was A Randomised Field Trial. Questionnaire And Adherence Assessment Forms Were Administered To Two Hundred, And Twenty-Five Patients, And Information Was Elicited On Socio-Demographic History, Antiretroviral Drug Usage, And Adherence Behaviour. Alarm Clocks And Counselling Were Given To One Group, Stickers, Reminder Cards, And Counselling To The Second Group, While Counselling Alone Was Given To The Third Group As Interventions. Three Months Later, Data Were Collected From The Same Patients In Order To Compare The Effect Reminder Tools Had On Antiretroviral Drug Adherence Among The Patients. Data Were Entered Into Epi Info Version 3.5.1 2008 Statistical Software And Analyzed. The Optimum Adherence Levels Were 78.7%, 80.0%, And 84.0% At Pre-Intervention Among Groups That Had Alarm Clock With Counselling, Sticker, Reminder Card With Counselling, And Those That Had Counselling Alone Respectively. The Drug Side Effect Was Negatively Associated With Adherence Level (P< 0.05), While Pill Count Was Not Associated With Adherence Level (P>0.05). At Post-Intervention, The Adherence Levels Increased By 18.5%, 6.8%, And 1.9%, Respectively, Among Groups That Had Alarm Clock With Counselling (P<0.05), Sticker, Reminder Card With Counselling (P>0.05), And Those That Had Counselling Alone (P>0.05). The Alarm Clock Was More Effective Than Stickers And Hand-Held Cards In Improving Adherence.

Mapping the use of Group-Based Trajectory Modelling in medication adherence research: A scoping review protocol

The use of group-based trajectory modelling (GBTM) within the medication adherence literature is rapidly growing. Researchers are adopting enhanced methods to analyse and visualise dynamic behaviours, such as medication adherence, within ‘real-world’ populations. Application of GBTM based on longitudinal adherence behaviour allows for the identification of adherence trajectories or groups. A group is conceptually thought of a collection of individuals who follow a similar pattern of adherence behaviour over a period of time. A common obstacle faced by researchers when implementing GBTM is deciding on the number of trajectory groups that may exist within a population. Decision-making can introduce subjectivity, as there is no ‘gold standard’ for model selection criteria. This study aims to examine the extent and nature of existing evidence on the application of GBTM for medication adherence assessment, providing an overview of the different GBTM techniques used in the literature. The methodological framework will consist of five stages: i) identify the research question(s); ii) identify relevant studies; iii) select studies; iv) chart the data and finally, v) collate, summarise and report the results. Original peer-reviewed articles, published in English, describing observational and interventional studies including both concepts and/or sub-concepts of GBTM and medication adherence or any other similar terms, will be included. The following databases will be queried: PubMed/MEDLINE; Embase (Ovid); SCOPUS; ISI Web of Science and PsychInfo. This scoping review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool to report results. This scoping review will collect and schematise different techniques in the application of GBTM for medication adherence assessment available in the literature to date, identifying research and knowledge gaps in this area. This review can represent an important tool for future research, providing methodological support to researchers carrying out a group-based trajectory analysis to assess medication adherence in a real-world context.