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Intervenções para adesão terapêutica medicamentosa de pacientes com epilepsia; Interventions to enhance medication adherence of patients with epilepsy

Settervall, Cristina Helena Costanti
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 31/07/2014 Português
Relevância na Pesquisa
68.477925%
Objetivo: O presente estudo objetivou comparar o efeito da intervenção de instrução complementar isolada e associada a recursos auxiliares, na adesão terapêutica medicamentosa de pacientes com epilepsia, além de verificar a correlação entre as medidas de adesão utilizadas - dosagem sérica de drogas antiepilépticas (DAEs), frequência de crises e autorrelato. Método: Realizou-se uma pesquisa clínica, experimental, incluindo 91 indivíduos com diagnóstico de epilepsia em acompanhamento ambulatorial que apresentavam alteração na adesão ao tratamento medicamentoso (Universal Trial Number- U1111-1142-3660). A alocação foi realizada de forma randomizada em Grupo Intervenção 1 (instrução complementar), Intervenção 2 (instrução complementar e lembrete da tomada da medicação por alarme de celular) e Intervenção 3 (instrução complementar e caixa organizadora de medicação). As mensurações da adesão foram realizadas imediatamente antes e quatro semanas após a implantação das intervenções. Resultados: A distribuição dos participantes quanto ao gênero foi similar. A idade média foi de 37,8 anos (dp= 12,1). A escolaridade foi, em média, de 9,8 anos (dp= 3,3). Cerca de metade dos pacientes era da raça negra...

Teste de Morisky-Green e brief medication questionnaire para avaliar adesão a medicamentos; The brief medication questionnaire and morisky-green test to evaluate medication adherence

Ben, Ângela Jornada; Neumann, Cristina Rolim; Mengue, Sotero Serrate
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
68.39473%
OBJETIVO: Analisar a confiabilidade e o desempenho da versão em português de instrumentos de avaliação da adesão ao tratamento anti-hipertensivo. MÉTODOS: Pacientes hipertensos atendidos de janeiro a setembro de 2010 em uma unidade de atenção primária em Porto Alegre, RS, foram selecionados aleatoriamente (n = 206). Na avaliação da adesão foram utilizadas versões em português do Teste de Morisky-Green (TMG) e do Brief Medication Questionnaire (BMQ). Foram analisados consistência interna, estabilidade temporal e desempenho com relação a três padrões-ouro: controle inadequado da pressão arterial (≥ 140/90 mmHg); taxa insuficiente de retirada de medicação na farmácia da Unidade Básica de Saúde (< 80%); e a combinação de ambos. RESULTADOS: Dos pacientes avaliados, 97 utilizavam medicamentos dispensados somente pela farmácia da Unidade Básica de Saúde. Os testes apresentaram boa consistência interna: BMQ α de Cronbach de 0,66 (IC95% 0,60;0,73) e o TMG 0,73 (IC95% 0,67;0,79). O desempenho do BMQ no domínio regime apresentou sensibilidade de 77%, especificidade de 58% e área sob a curva ROC de 0,70 (IC95% 0,55;0,86), e o TMG sensibilidade de 61%, especifi cidade de 36% e área sob a curva ROC de 0,46 (IC95% 0...

Qualidade de vida relacionada a função visual e adesão medicamentosa em idosos com retinopatia diabetica; Vision-related quality of life and medication adherence in elderly patients with diabetic retinopathy

Fernanda Freire Jannuzzi
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 21/07/2009 Português
Relevância na Pesquisa
68.59125%
A tendência para a não-adesão à terapêutica representa risco para a saúde e pode ter implicações na qualidade de vida. Entre os idosos portadores de Retinopatia Diabética, esta problemática repercute na evolução da doença e no prognóstico visual. O objetivo do estudo foi analisar a relação entre qualidade de vida relacionada à função visual (QVRFV) e adesão à terapêutica medicamentosa específica em idosos com retinopatia diabética. Foram entrevistados 100 idosos com diagnóstico de retinopatia diabética, em seguimento ambulatorial, em uso de antidiabéticos orais/insulina e anti-hipertensivos. Foram utilizados os seguintes instrumentos: Caracterização dos sujeitos; National Eye Institute Visual Function Questionnaire - NEI VFQ-25; Escala de Adesão Medicamentosa de Morisky; e Identificação da Adesão Medicamentosa. Os dados foram submetidos às análises: descritiva, de comparação e de relação conjunta. Os sujeitos encontravam-se entre 60 e 80 anos. A maioria (58%) referiu ter utilizado 80% ou mais da dose de medicamentos prescrita e ter seguido os cuidados necessários na tomada dos medicamentos, sendo classificados como "Aderentes". O restante dos idosos (42%) foi considerado "Não Aderente". A análise de regressão linear multivariada demonstrou que o item 4 da Escala de Morisky (interromper o uso da medicação por sentir-se pior) explica a variabilidade da proporção de adesão para os medicamentos antihipertensivos (12.8%) e antidiabéticos orais/insulina (13.5%). A proporção de adesão foi correlacionada positivamente com a renda mensal...

Cross-cultural adaptation to Brazil of Medication Adherence Rating Scale for psychiatric patients

Moreira,Icaro Carvalho; Bandeira,Marina; Pollo,Tatiana Cury; Oliveira,Marcos Santos de
Fonte: Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro Publicador: Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 Português
Relevância na Pesquisa
67.79347%
Objective The purpose of this research was to make a cross-cultural adaptation of the Medication Adherence Rating Scale (MARS) for psychiatric patients to the Brazilian context. Methods The procedure consisted of four phases: translation of the original scale, back-translation, review by an Expert Committee and Pre-test study with a patients’ sample. Results The Expert Committee corrected the items’ translation when necessary and modified the scale administration format and its instructions from self-report to face-to-face interview form in order to ensure easy understanding by the target population. During Pre-test, the instructions and most of the items were properly understood by patients, with the exception of three of them which had to be changed in order to ensure better understanding. The Pre-test sample was composed by 30 psychiatric patients, with severe and persistent disorders mainly single (46.7%), female (60.0%), with a mean age of 43.8 years old and an average of five years of education. Conclusion The Brazilian version of MARS scale is now adapted to the Brazilian Portuguese language and culture and is easily understood by the psychiatric target population. It is necessary to do further research to evaluate the scale psychometric qualities of validity and reliability in order to use it in Brazil.

Improving Post-Discharge Medication Adherence in Patients with CVD: A Pilot Randomized Trial

Oliveira-Filho,Alfredo D.; Morisky,Donald E.; Costa,Francisco A.; Pacheco,Sara T.; Neves,Sabrina F.; Lyra-Jr,Divaldo P.
Fonte: Sociedade Brasileira de Cardiologia - SBC Publicador: Sociedade Brasileira de Cardiologia - SBC
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 Português
Relevância na Pesquisa
68.432227%
Background: Effective interventions to improve medication adherence are usually complex and expensive. Objective: To assess the impact of a low-cost intervention designed to improve medication adherence and clinical outcomes in post-discharge patients with CVD. Method: A pilot RCT was conducted at a teaching hospital. Intervention was based on the four-item Morisky Medication Adherence Scale (MMAS-4). The primary outcome measure was medication adherence assessed using the eight-item MMAS at baseline, at 1 month post hospital discharge and re-assessed 1 year after hospital discharge. Other outcomes included readmission and mortality rates. Results: 61 patients were randomized to intervention (n = 30) and control (n = 31) groups. The mean age of the patients was 61 years (SD 12.73), 52.5% were males, and 57.4% were married or living with a partner. Mean number of prescribed medications per patient was 4.5 (SD 3.3). Medication adherence was correlated to intervention (p = 0.04) and after 1 month, 48.4% of patients in the control group and 83.3% in the intervention group were considered adherent. However, this difference decreased after 1 year, when adherence was 34.8% and 60.9%, respectively. Readmission and mortality rates were related to low adherence in both groups. Conclusion: The intervention based on a validated patient self-report instrument for assessing adherence is a potentially effective method to improve adherent behavior and can be successfully used as a tool to guide adherence counseling in the clinical visit. However...

Quality of life of coronary artery disease patients after the implementation of planning strategies for medication adherence

Lourenço,Laura Bacelar de Araujo; Rodrigues,Roberta Cunha Matheus; São-João,Thaís Moreira; Gallani,Maria Cecilia; Cornélio,Marilia Estevam
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 Português
Relevância na Pesquisa
68.206406%
OBJECTIVE: to compare the general and specific health-related quality of life (HRQoL) between the Intervention (IG) and Control (CG) groups of coronary artery disease patients after the implementation of Action Planning and Coping Planning strategies for medication adherence and to verify the relationship between adherence and HRQoL. METHOD: this was a controlled and randomized study. RESULTS: the sample (n=115) was randomized into two groups, IG (n=59) and CG (n=56). Measures of medication adherence and general and specific HRQoL were obtained in the baseline and after two months of monitoring. CONCLUSION: the findings showed that the combination of intervention strategies - Action Planning and Coping Planning for medication adherence did not affect the HRQoL of coronary artery disease patients in outpatient monitoring.

The Relationship Between Spiritualilty, Knowledge and Tuberculosis (TB) Medication Adherence Among African Americans And Haitians.

McDade, Regina Y
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
68.488525%
Tuberculosis (TB) is an infectious disease and nonadherence to medication can lead to new cases, multi-drug resistant TB, or potential death. Additionally, healthcare professionals and individuals with TB’s knowledge of the disease and medication adherence are crucial for successful completion of medication therapy. Patient education is one of the most important aspects of care provided in healthcare settings (CDC, 1994). TB tends to disproportionally affect minority and economically disadvantaged patient populations. The purpose of this mixed method study was to explore the relationship between spirituality, knowledge, and TB medication adherence among African Americans and Haitians. The primary research question was: What is the relationship between spirituality, knowledge and TB medication adherence among African Americans and Haitians? Quantitative data were gathered from 33 questionnaires and analyzed by two ANOVAs and four chi square analyses. The null hypothesis was not rejected; there was not a statistically significant relationship between spirituality and TB medication adherence (p =.208) among the study’s African Americans and Haitians. Qualitative data concerning participants’ knowledge of TB, gathered from 16 individual interviews further informed this analysis. Secondary research questions examined the role of spirituality...

A qualitative study of medication adherence amongst people with schizophrenia.

Clifford, Lucinda Jane
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013 Português
Relevância na Pesquisa
68.551733%
The introduction of antipsychotic medication revolutionised the treatment of schizophrenia and significantly improved outcomes for consumers. Nonetheless, non-adherence to antipsychotic medication regimens is common amongst consumers. Whilst ample research has attempted to quantify rates of adherence and identify influences on adherence and non-adherence, few qualitative studies have been undertaken in the area and the consumers’ voices have thereby been limited. The research presented in this thesis aimed to enhance understanding of medication adherence from the consumer perspective. Qualitative, semi-structured, one-to-one interviews were conducted with 25 outpatients with schizophrenia from metropolitan Adelaide. Interviews were audio-recorded, transcribed and analysed, guided by a grounded theory approach. Codes identified in open coding were grouped into categories, reflective of the different aspects of consumers’ medication taking experiences. It is argued that consumer-related factors, medication-related factors and service-related factors influence adherence behaviour. Whilst some of the codes that were identified as influences on adherence were consistent with previous research findings, such as insight, side effects...

Adherencia al tratamiento en pacientes con Anorexia Nerviosa; Medication adherence in patients with Anorexia Nervosa

Alegre Gallego, Noelia
Fonte: Universidade de Cantabria Publicador: Universidade de Cantabria
Tipo: Trabalho de Conclusão de Curso
Português
Relevância na Pesquisa
68.15392%
La adherencia al tratamiento continúa siendo un reto por alcanzar en casi todas las patologías, a pesar de los conocimientos que se tienen acerca del tema y la cantidad de estrategias que se conocen para abordar la misma. Si se extrapola éste problema a las patologías de tipo crónico, la adherencia al tratamiento disminuye y si se focaliza hacia los trastornos mentales, como es el caso de los trastornos de la conducta alimentaria, ésta se minimiza aún más. Dentro de los trastornos de la conducta alimentaria se encuentra la anorexia nerviosa, cuya prevalencia está incrementando. Situación que no parece que vaya a ser distinta en un futuro próximo. Todo ello favorece el análisis del tema y la necesidad de conocer qué tipo de intervenciones pueden llevar a cabo las enfermeras con el fin de incrementar la adherencia al tratamiento en personas diagnosticadas de este trastorno.; ABSTRACT: Medication adherence is still being a challenge to achieve in any kind of disease, despite all the knowledge that we have about the subject and all the strategies that we know to broach the subject. If this problem is extrapolated to chronic diseases, medication adherence decreases and if is focused to mental disorders, this one is even more minimize...

Efeito do planejamento de ação e de enfrentamento de obstáculos na adesão medicamentosa e qualidade de vida de pacientes coronariopatas = : Effect of the action and coping planning in medication adherence and quality of life of patients with coronary hearty disease; Effect of the action and coping planning in medication adherence and quality of life of patients with coronary hearty disease

Laura Bacelar de Araujo Lourenço
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 04/05/2012 Português
Relevância na Pesquisa
68.421313%
Este estudo teve como objetivos verificar o efeito das estratégias de Planejamento de Ação e de Enfrentamento de Obstáculos na adesão medicamentosa e qualidade de vida relacionada à saúde (QVRS) entre pacientes coronariopatas em seguimento ambulatorial; bem como avaliar a relação entre adesão medicamentosa e QVRS ao longo de dois meses de seguimento. Trata-se de estudo experimental com duas etapas de coletas de dados. A amostra foi composta por 115 pacientes randomizados nos grupos Intervenção (GI - n=59) e Controle (GC - n=56). Foram obtidas, no baseline (T0) e após dois meses (T2) de seguimento, medidas de adesão medicamentosa (proporção de adesão e avaliação global da adesão), dos fatores relacionados a não adesão (versão brasileira da Morisky Self-Reported Measure of Medication Adherence Scale) e de QVRS geral (versão brasileira - The Medical Study 36-item Short Form Health Survey - SF-36) e específica (versão brasileira - MacNew Heart Disease Health-related Quality of Life Questionnaire - MacNew). A intervenção foi aplicada ao GI em T0, com reforço presencial após um mês de seguimento (T1). Análises descritivas foram realizadas para caracterizar a amostra segundo as variáveis sociodemográficas...

Adapatação cultural e avaliação das propriedades de medida da "Self_Efficacy for Appropriate Medication Adherence Scale - SEAMS"; Cultural adaptation and evaluation of measurement of "Self-Efficacy for Appropriate Medication Adherence Scale - SEAMS"

Rafaela Batista dos Santos Pedrosa
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 07/07/2014 Português
Relevância na Pesquisa
68.369688%
Este estudo tem como objetivo disponibilizar uma versão da Self-efficacy for Appropriate Medication Adherence Scale ¿ SEAMS para a cultura brasileira e avaliar suas propriedades de medida quando aplicada em pacientes com doença arterial coronária (DAC) em seguimento ambulatorial.. O processo de adaptação cultural foi realizado de acordo com as etapas propostas na literatura - tradução, síntese, retrotradução, avaliação por comitê de especialistas e pré-teste, seguidos pela avaliação da praticabilidade, aceitabilidade, confiabilidade e validade. Fizeram parte deste estudo 147 pacientes com DAC em uso de medicamentos cardioprotetores e de alívio dos sintomas, em seguimento ambulatorial em hospital universitário do interior do estado de São Paulo. Os dados foram obtidos por meio de entrevista e aplicação de instrumento de caracterização sociodemográfica/clínica e das versões brasileiras da Morisky Self-Reported Measure of Medication Adherence Scale (MMAS-4), da General Perceived Self-Efficacy Scale (GSE) e da SEAMS. A praticabilidade foi avaliada pelo tempo despendido na entrevista e a aceitabilidade pela proporção de pacientes que responderam a todos os itens do instrumento. Foi estimada a confiabilidade no que se refere à consistência interna e estabilidade da medida. A validade de construto foi estimada pela evidência correlacional entre os escores da versão brasileira da SEAMS...

Preditores da adesão à medicação na epilepsia: estudo longitudinal; Medication adherence predictors in epilepsy: longitudinal study

Linhares, Vânia; Meneses, Rute F.; Pais-Ribeiro, José Luís; Pedro, Luisa; Silva, Isabel; Vilhena, Estela; Mendonça, Denisa; Cardoso, Helena; Martins, Ana; Martins-da-Silva, António
Fonte: Instituto Politécnico de Lisboa Publicador: Instituto Politécnico de Lisboa
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
Relevância na Pesquisa
68.329795%
Introdução: A não adesão à medicação na epilepsia é prevalente, pelo que a compreensão dos fatores associados deve ser promovida. Objetivos: Analisar a capacidade preditiva das estratégias de coping e da espiritualidade em relação à adesão à medicação ao longo do tempo. Metodologia: Foram avaliados 60 indivíduos através de um Questionário Sociodemográfico e Clínico, a Medida de Adesão aos Tratamentos, o COPER e a Escala de Avaliação de Espiritualidade em Contextos de Saúde, em dois momentos. Resultados: A espiritualidade Momento 1 não se relacionou com adesão à medicação no Momento 3, e as estratégias de coping: Desinvestimento Comportamental e Aceitação no Momento 1 predizem negativamente a adesão à medicação no Momento 2. Conclusão: A relação entre a adesão à medicação, estratégias de coping e espiritualidade varia em função do tempo, o que deve ser considerado ao nível da intervenção.; ABSTRACT - Introduction: The nonmedication adherence in epilepsy is prevalent by which the understanding of associated factors should be promoted. Objectives: To analyze the predictive capacity of the coping strategies and spirituality in relation to medication adherence over time. Methodology: A sociodemographic and clinical questionnaire...

Factors affecting medication adherence in Lebanese patients with chronic diseases

Al-Hajje,Amal; Awada,Sanaa; Rachidi,Samar; Zein,Salam; Bawab,Wafa; El-Hajj,Zeinab; Bou Zeid,Mayssam; Yassine,Mohammad; Salameh,Pascale
Fonte: Pharmacy Practice (Granada) Publicador: Pharmacy Practice (Granada)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2015 Português
Relevância na Pesquisa
68.29394%
Background: Non-adherence to prescribed medications represents an obstacle toward achieving treatment goals. This problem is more pronounced in patients with chronic illness. Objective: To identify the extent of adherence in Lebanese outpatients with chronic diseases, and to suggest possible predictors of non-adherence in this population. The secondary objective was to assess if medication adherence affects patients' quality of life. Methods: A questionnaire was administered face-to-face to a sample of Lebanese adults visiting the external clinics at two Tertiary Care Hospitals in Beirut. The level of adherence was assessed using the 8-item Morisky Medication Adherence Scale which was first validated. The health-related quality of life (HRQoL) of patients was measured using the EQ-5D. Linear regression and logistic regression analyses examined possible predictors of adherence. Results: Out of the 148 patients included in this study, 42.6% were classified as adherent. In the univariate analyses, statistically significant predictors of high adherence included good physician-patient relationship (p=0.029) and counseling (p=0.037), a high level of HRQoL (p<0.001), and a high level of perceived health (p<0.001). Predictors of low adherence included a declining memory (p<0.001)...

The effect of one-dose package on medication adherence for the elderly care in Japan

Nakai,Kiyohito; Yamamoto,Nobuo; Kamei,Miwako; Fujita,Masahiko
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2009 Português
Relevância na Pesquisa
68.50312%
Deterioration of the medication adherence for elderly could result in wasteful medical expenditure in a long-term span as well as aggravating the patient's medical condition. Objective: This study surveyed the effect of one-dose package medication made up by a pharmacist on the patient's behavior towards medication, what is expected to be one of the measures to improve the medication adherence for elderly. Methods: With support activity of the Pharmacist Association in Ueda-city in Nagano Prefecture, Japan, the survey form of one-dose package was sent to 86 pharmacy directors located in Ueda-city. Results: The most frequent reasons of one dose packaging was "Patient’s request" though, "Large number of doses", "Prevent the improper drug use" and "Improved medication adherence" which is considered that the pharmacists are willing to utilize one dose package for patient’s care in order to improve the medication adherence were chosen as well. The influences of one dose package for patient’s medication adherence were very positive, and most answers indicated that medication adherence was improved. Conclusion: It is noticed that the pharmacists were willing to dispense one dose packaging by own decision, not physician’s order, in order to improve the medication adherence...

Adherence: a review of education, research, practice and policy in Switzerland

Schneider,Marie P.; Krummenacher,Isabelle; Figueiredo,Hugo; Marquis,Julien; Bugnon,Oliver
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2009 Português
Relevância na Pesquisa
58.621167%
Nonadherence to medication treatment regimens is a major preventable risk behavior in both acute and chronic diseases. Community pharmacists are facilitators in community care for promoting medication adherence and they should implement interdisciplinary medication adherence programs. To do so, pharmacists should be educated in medication adherence, and new pharmaceutical care policies should be implemented. The healthcare system should evolve to better meet the specific needs of patients. Aims: this article describes what has been undertaken in the last decade in medication adherence in terms of education, research, practice and policy in Switzerland. Methods: Medline was searched, with the search limited to Switzerland. The three Swiss pharmacy schools were also contacted to collect information about the medication adherence content of both their courses and research programs. National policies related to medication adherence were also reviewed for relevant content. Results: Education: two pharmacy schools offer courses devoted specifically to medication adherence. The number of hours dedicated to the topic varies between 4 to13. Research: a total of 16 studies met the inclusion criteria. Chronic patients were the focus of 9 studies. Medication adherence was the primary outcome of all studies; 10 studies also measured clinical outcomes. Nine studies evaluated the prevalence of medication nonadherence; three studies evaluated the feasibility of new technologies for monitoring adherence; three studies evaluated medication adherence enhancing programs. Policies: three cognitive pharmaceutical services are reimbursed by healthcare insurers...

Medication adherence and community pharmacy: a review of education, policy and research in England

Clifford,Sarah; Garfield,Sara; Eliasson,Lina; Barber,Nick
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2010 Português
Relevância na Pesquisa
68.277153%
Objective: The objective of this narrative review was to identify and describe the current policy, education and research related to community pharmacy and medication adherence in England. Methods: Medline, Embase, International Pharmaceutical Abstracts and Pharmline were used to search for relevant research articles. Current policy documents were identified via the websites of the Department of Health in England, the Royal Pharmaceutical Society of Great Britain, the National Pharmacy Association, the Pharmaceutical Services Negotiating Committee and NHS Employers. All pharmacy schools in England were contacted to obtain information about the adherence-related courses they provide to undergraduate and postgraduate pharmacy students. Results: National policies and guidelines in England are conducive to an increasing role for community pharmacists to support patients with medication adherence. Many pharmacy schools cover the issue of adherence in their undergraduate and postgraduate courses. Research in this area has tested the effectiveness of pharmacists providing adherence support in the form of compliance aids, education, involvement in discharge planning, and tailored interventions. Conclusion: In community pharmacy in England...

Medication adherence: a review of pharmacy education, research, practice and policy in Finland

Bell,J. Simon; Enlund,Hannes; Vainio,Kirsti
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2010 Português
Relevância na Pesquisa
68.60211%
Aims: To describe pharmacy education, research, practice and policy related to medication adherence in Finland since the year 2000. Methods: The three universities that provide pharmacy education (Åbo Akademi, University of Eastern Finland, and University of Helsinki) completed a structured pro-forma questionnaire regarding education related to medication adherence. A MEDLINE and EMBASE literature search was performed to identify English language peer-reviewed research that reported medication compliance, adherence or persistence. The Ministry of Social Affairs and Health was invited to nominate policies and documents related to medication adherence. A narrative review of medication counselling practices and professional service delivery through Finnish community pharmacies was undertaken. Results: Medication adherence was a theme integrated into obligatory and elective courses for bachelors and masters degree students. The literature search identified 33 English language peer-reviewed research articles reporting medication compliance, adherence or persistence published since the year 2000. Policy documents of the Ministry of Social Affairs and Health recognise that poor medication adherence may lead to sub-optimal treatment outcomes...

Medication adherence and glycemic control in patients with psychotic disorders in The Veterans Affairs healthcare system

Nelson,Leigh Anne; Graham,Maqual R.; Lindsey,Cameron C.; Rasu,Rafia S.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2011 Português
Relevância na Pesquisa
68.42579%
Objective: To compare antihyperglycemic medication adherence and glycemic control between individuals with schizophrenia and related psychotic disorders and a nonpsychiatric comparison group. Methods: This was a retrospective medical record review. A total of 124 subjects with diabetes (62 patients with schizophrenia or a related psychotic disorder and 62 randomly selected, age-matched patients without a psychiatric illness) receiving their medical and psychiatric care exclusively through the Kansas City Veterans Affairs healthcare system during 2008 were included in the study. Adherence to antihyperglycemic and antipsychotic medication was determined by refill records obtained through the computerized patient record system to calculate the cumulative mean gap ratio. Hemoglobin A1C values were utilized to compare glycemic control between groups and compared to glycemic goals established by diabetes treatment guidelines. Results: Antihyperglycemic medication adherence was poor for both groups as approximately 60% of the psychotic disorder group and 75% of the nonpsychiatric comparison group were without antihyperglycemic medication for greater than 30 days during the 12-month period but adherence did not differ between the groups (p=0.182). Antipsychotic adherent subjects (≥80% adherent) were more likely to be adherent to their antihyperglycemic medication (p=0.0003). There were no significant differences between groups in glycemic control. Conclusion: Antihyperglycemic medication adherence and glycemic control was less than optimal for both groups. There were no significant differences in antihyperglycemic medication adherence and glycemic control between patients with a psychotic disorder and those without a psychiatric illness.

Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in Southwestern Nigeria

Adisa,Rasaq; Fakeye,Titilayo O.; Fasanmade,Adesoji
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2011 Português
Relevância na Pesquisa
68.446772%
Objective: To assess adherence to medication among ambulatory patients with type 2 diabetes, ascertain the level of glycemic control, and evaluate patients´ opinions on probable reasons for non-adherence with a view to identify areas of intervention to improve adherence. Methods: A prospective cross-sectional study was carried out at a 900-bed tertiary teaching hospital in Ibadan, Southwestern Nigeria between June and August, 2009. Out of 140 consented patients, 114 (81.4%) properly responded to the validated and pre-tested data collection tool and these were subsequently considered for analysis. Descriptive statistics were used to summarize the data. Means and proportions were compared using student t-test and chi-square or Kruskal-Wallis test as appropriate, with p<0.05 considered statistical significant. Results: Approximately sixty percent of the patients were adjudged adherent with prescribed medication. Out of 58.8% of the cohort who gave their recent fasting plasma glucose (FPG) values, 59.7% had FPG above 110mg/dL. The mean FPG for patients was 139.05 (SD=70.5)mg/dL, males and females significantly differed in their mean FPG, 146.55 (SD=85.0)mg/dL versus 133.33 (SD=57.6)mg/dL respectively (p=0.032). Also, the mean FPG values for adherent patients...

The impact of a pharmacist assisted clinic upon medication adherence and quality of life in mental health patients

Lizer,Mitsi H.; Parnapy Jawaid,Sarah A.; Marsh,Wallace; Mogili,Lakuma
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2011 Português
Relevância na Pesquisa
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Objectives: To determine if a pharmacist assisted psychiatric clinic would improve adherence to medications and quality of life over 6 months. The primary study endpoints were the change from baseline in Medication Adherence Rating Scale (MARS), Brief Evaluation of Medication Influences and Beliefs (BEMIB), World Health Organization Quality of Life - BREF (WHOQOL-BREF) scales as well as hospitalizations and emergency room visits. Secondary endpoints included metabolic and physiologic parameters. Methods: A prospective, single-center study conducted at an outpatient psychiatric clinic. Subjects were required to attend 3 clinic visits (baseline, 3 and 6 months) with the pharmacist. Subject and medication histories were obtained at each visit. Subjects´ records within the local health system were reviewed for emergency room visits and hospitalizations. Metabolic parameters were assessed at each visit. Results: Twenty-seven subjects enrolled and twenty subjects completed. Total MARS score at baseline and study end were 7.90 and 8.65, respectively. At baseline, 10 (50%) were nonadherent based on the BEMIB and 9 (45%) were nonadherent at 6 months. Statistically significant improvements were seen in 2 domains of the WHOQOL-BREF. Reductions in both ER visits and hospitalizations were achieved. There were significant improvements in total cholesterol and LDL. Conclusions: Improvements were seen in two domains of the WHOQOL-BREF - physical capacity and psychological well-being over the 6 month period. While improvements were seen in various rating scales...