A randomized controlled trial of the effectiveness of planning strategies in the adherence to medication for coronary artery disease

Lourenço, Laura Bacelar de Araújo; Rodrigues, Roberta Cunha Matheus; Ciol, Márcia A.; São‐João, Thaís Moreira; Cornélio, Marília Estêvam; Dantas, Rosana Aparecida Spadoti; Gallani, Maria Cecília Bueno Jayme

doi:10.1111/jan.12323

Cited by 26 publications

(44 citation statements)

References 38 publications

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“…The null findings for our planning intervention is contrary to the weight of evidence that has tended to support effects of planning interventions on health behaviour, including the relatively few studies that have applied these effects on medication adherence (Brown et al, 2009;Farmer et al, 2012;Jackson et al, 2006;Liu & Park, 2004;Lourenco et al, 2014;O'Carroll et al, 2014;Pakpour et al, 2015). That said, there is research which has found null effects for implementation intentions and other planning interventions (Jackson et al, 2005;Jackson et al, 2006;Jessop, Sparks, Buckland, Harris, & Churchill, 2014;Scholz, Ochsner, & Luszczynska, 2013;Skar, Sniehotta, Molloy, Prestwich, & Araujo-Soares, 2011).…”

Section: Discussioncontrasting

confidence: 81%

“…Numerous studies have demonstrated that implementation intentions are effective in promoting adherence to medication in epileptic (Brown, Sheeran, & Reuber, ), coronary artery disease (Lourenco et al., ), and hypertensive patients (O'Carroll, Chambers, Dennis, Sudlow, & Johnston, ). In contrast, another study (Jackson et al., ) did not find any effect of implementation intentions in improving adherence to antibiotic medication.…”

Section: Introductionmentioning

confidence: 99%

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A Randomised Controlled Trial to Test the Effectiveness of Planning Strategies to Improve Medication Adherence in Patients with Cardiovascular Disease

Meslot

Gauchet

Hagger

et al. 2016

Appl Psychol Health Well-Being

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Section: Discussioncontrasting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

A Randomised Controlled Trial to Test the Effectiveness of Planning Strategies to Improve Medication Adherence in Patients with Cardiovascular Disease

Meslot

Gauchet

Hagger

et al. 2016

Appl Psychol Health Well-Being

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“…Global Evaluation of Medication Adherence (GEMA): considering the 1. adherence proportion and the 2. observance of the care needed in taking medication, this variable was categorised in: Adherents : appropriate dose and adequate care; or Nonadherents : insufficient dose and/or inadequate care (Jannuzzi, Cintra, et al, ; Lourenço et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Adherents: appropriate dose and adequate care; or Nonadherents: insufficient dose and/or inadequate care (Jannuzzi, Cintra, et al, 2014b;Lourenço et al, 2014).…”

Section: Global Evaluation Of Medication Adherence (Gema)mentioning

confidence: 99%

Psychosocial determinants of adherence to oral antidiabetic medication among people with type 2 diabetes

Jannuzzi

Cornélio

São‐João

et al. 2020

Journal of Clinical Nursing

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Aims and objectives The aim of this study was to identify the psychosocial determinants of adherence to oral antidiabetic medication, according to the Theory of Planned Behaviour (TPB). Background Appropriate adherence to oral antidiabetic medication contributes to long‐term glycaemic control. However, glycaemic control is often poor in people with type 2 diabetes, mainly due to the poor adherence to oral antidiabetic agents. Design Prospective study with 2 waves of data collection, based on STROBE checklist was conducted. One hundred and fifty‐seven adults with type 2 diabetes, in chronic use of oral antidiabetic agents, composed the sample. At baseline, self‐reported measures of medication adherence (proportion and global evaluation of adherence) and of metabolic control (glycated haemoglobin) of diabetes were obtained. Methods The TPB main constructs (attitude, subjective norm and perceived control) and related beliefs were measured. Adherence and metabolic control measurements were obtained in a two‐month follow‐up (n = 157). Results Attitude and subjective norm, together, explained 30% of the variability in intention; their underlying belief‐based measures (behavioural and normative beliefs) explained 28% of the variability in intention. In addition, intention predicted behaviour at follow‐up. However, when added to the prediction model, past behaviour was the only explanatory factor of adherence behaviour. Conclusion Adherence behaviour to oral antidiabetic medication was predicted by intention, which, in turn, was determined by attitude and subjective norm. In order to promote adherence to oral antidiabetic agents, health professionals should include motivational strategies as well as strategies targeted to attitude and subjective norm when designing interventions. Relevance to clinical practice The nonadherence to antidiabetic medication contributes to lack of control of diabetes and ensuing complications. The comprehension of the factors explaining the variability in medication adherence can inform the design of theory‐based interventions aimed at promoting this behaviour.

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“…(20) Other studies evaluating the relationship between quality of life and medication adherence in people with chronic diseases have identified influencing factors such as patients' beliefs (self-efficacy), their attitudes and knowledge about the disease treatment (literacy or health literacy), and the health professionals' support for greater empowerment. (21)(22)(23) In this study, factors associated with greater adherence were not investigated, but it is possible that, in line with the literature, the support of health professionals is also an important aspect.…”

Section: Discussionmentioning

confidence: 68%

Qualidade de vida e adesão medicamentosa para pessoas hipertensas

2016

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Objective: To analyze the correlation between medication adherence and quality of life for hypertensive people attended at Basic Health Units (UBS -Unidade Básica de Saúde). Methods: Cross-sectional analytical study with a random and representative sample. The correlation between quality of life and medication adherence was evaluated by using the Minichal Brazil and the Morisky scale of medication adherence. Results: The study included 720 people monitored in 13 Basic Health Units. The mean age was 62.5 years old. The Spearman's coefficient revealed an inverse (Rho = -0.130) and statistically significant (p = 0.001) correlation of low magnitude. Conclusion: The inverse correlation means that greater adherence (higher scores of Morisky scale) equals better quality of life (lower scores of Brazil Minichal scale). The weak correlation between quality of life and medication adherence reinforces the idea that quality of life for hypertensive people is related to other factors, suggesting further research. ResumoObjetivo: Analisar a correlação entre adesão medicamentosa e qualidade de vida para pessoas hipertensas assistidas em Unidades Básicas de Saúde. Métodos: Estudo transversal, analítico, com amostra aleatória e representativa. Avaliou-se a correlação entre qualidade de vida e adesão medicamentosa, utilizando-se o Minichal Brasil e a escala Morisky de adesão medicamentosa. Resultados: Participaram do estudo 720 pessoas, acompanhadas em 13 Unidades Básicas de Saúde. A média de idade foi de 62,5 anos. O coeficiente de Spearman revelou uma correlação inversa (Rho = -0,130) e estatisticamente significante (p=0,001), de fraca magnitude. Conclusão: A correlação inversa significa que maior adesão (maiores escores na escala Morisky) equivale a melhor qualidade de vida (menores escores da escala Minichal Brasil). A fraca correlação entre qualidade de vida e adesão medicamentosa reforça a ideia de que qualidade de vida para hipertensos está relacionada a outros fatores, sugerindo novas investigações.

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A randomized controlled trial of the effectiveness of planning strategies in the adherence to medication for coronary artery disease

Abstract: This study has shown that individuals who use action and coping planning report higher adherence to drug treatment, when measured by the global adherence evaluation. Further studies with longer follow-ups are needed to assess if the effect of planning strategies has long-term duration.

Cited by 26 publications

References 38 publications

A Randomised Controlled Trial to Test the Effectiveness of Planning Strategies to Improve Medication Adherence in Patients with Cardiovascular Disease

A Randomised Controlled Trial to Test the Effectiveness of Planning Strategies to Improve Medication Adherence in Patients with Cardiovascular Disease

Psychosocial determinants of adherence to oral antidiabetic medication among people with type 2 diabetes

Qualidade de vida e adesão medicamentosa para pessoas hipertensas

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