Association between healthcare practitioners' beliefs about statins and patients' beliefs and adherence

Huiskes, Victor J. B.; Ende, C.H.M. van den; Dijk, Liset van; Burger, David M.; Bemt, Bartholomeus Johannes Fredericus van den

doi:10.1111/bcp.14467

Cited by 7 publications

(16 citation statements)

References 39 publications

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“…The verbal informed consent procedure was a pragmatic choice, based on the assumption that completing the questionnaire was an implicit agreement of the patient to participate in the study and to achieve an efficient process at the pharmacy counter. For inclusion criteria, we refer to Huiskes et al [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

“…The association between the extent of HCPs’ usual care activities (sum score of the Quality of Standard Care questionnaire) and the adherence (MARS-5 total score) of patients was subjected to multilevel linear regression analyses (see Huiskes et al [ 26 ]). If a healthcare practitioner did not answer one or more items of the usual care questionnaire within the total of usual care activities or within a sub scale, then the respondent was considered as lacking for the calculation of the total sum score or the sum score of that sub scale.…”

Section: Methodsmentioning

confidence: 99%

“…In this study a convenient sample of 1504 patients was included as described by Huiskes et al in the methods section [ 26 ]. Based on a conservative estimation of one-third non adherent patients in this population, 501 non-adherent patients were expected.…”

Section: Methodsmentioning

confidence: 99%

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Impact of physician’ and pharmacy staff supporting activities in usual care on patients’ statin adherence

et al. 2022

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Aims Little is known about usual care by physicians and pharmacy teams to support adherence to statins and whether the extent of this care is associated with adherence to statins. Objective of the study was to examine the relationship between the extent of adherence supporting activities of healthcare practitioners (HCPs) and patients’ adherence to statins. Methods Cross-sectional study in 48 pharmacies and affiliated physicians’ practices, between September 3, 2014 and March 20, 2015. Patients visiting the pharmacy with a statin prescription from participating prescribers were invited to participate. Usual care to support adherence was assessed among HCPs with the Quality of Standard Care questionnaire about usual care activities to support adherence. Adherence to statins was assessed among patients with the MARS-5 questionnaire. The association between the extent of HCPs’ adherence supporting activities and patients’ adherence was examined by means of multilevel regression analysis. Results 1,504 patients and 692 HCPs (209 physicians, 118 pharmacists and 365 pharmacy technicians) participated. No association was found between the extent of physicians’ adherence supporting activities and patients’ adherence to statins. The extent of adherence supporting activities by pharmacy teams in usual care was negatively associated with patients’ adherence to statins (B coefficient -0.057 (95%CI: -0.112- -0.002). Conclusions This study suggests that there is no positive relationship between the extent of HCPs’ adherence supporting activities in usual care and patients’ adherence to statins. Other methods than questionnaires (e.g. electronic monitors (to assess adherence) and observations (to assess usual care) should be applied to confirm the results of this study.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Impact of physician’ and pharmacy staff supporting activities in usual care on patients’ statin adherence

et al. 2022

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“…Adjustment for SEAMS-score at discharge, (non-)adherence and living status in multivariate analysis did not change this result. Per-protocol analysis results were comparable: 35 [IQR [31][32][33][34][35][36][37][38] versus 34 [IQR 30 -36] (p = 0.22; Figure 2).…”

Section: Main Outcomementioning

confidence: 88%

“…Median SEAMS-scores one week after discharge were [35][36][37][38] and 34 [IQR [30][31][32][33][34][35][36] in the pre-and postintervention period respectively (p = 0.08; Figure 1). Adjustment for SEAMS-score at discharge, (non-)adherence and living status in multivariate analysis did not change this result.…”

Section: Main Outcomementioning

confidence: 98%

The Effect of Self-Administration of Medication During Hospitalization on Patient’s Self-Efficacy and Medication Adherence After Discharge

Herpen-Meeuwissen¹,

Onzenoort²,

Bemt³

et al. 2022

PPA

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The effect of self-administration of medication (SAM), in which capable hospitalized patients administer medication themselves on medication self-efficacy is inconclusive. The aim of this study was to evaluate the effect of SAM on medication selfefficacy, adherence and patient satisfaction. Patients and Methods: A prospective pre-post intervention study on the orthopedic ward of the Sint Maartenskliniek (Nijmegen) was conducted from January 2020 to July 2021. All adults admitted to this ward were eligible for participation. The primary outcome was the level of medication self-efficacy measured by the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) one week after discharge. Secondary outcomes were SEAMS-score three months after hospitalization, medication adherence measured by the Medication Adherence Rating Scale (MARS) one week and three months after hospitalization and patient satisfaction expressed on a five-point Likert scale in patients who experienced SAM. The differences in median SEAMS-scores and non-adherence pre-versus post-implementation of SAM were statistically analyzed. Patients' agreement regarding satisfaction with SAM was calculated as proportion per Likert scale answer. Results: Of the 197 patients participating in the study, 96 were included pre-and 101 post-implementation of SAM. Median SEAMSscores one week after discharge were 35 and 34 pre-and post-intervention respectively (p = 0.08). There was no difference in the proportion of non-adherent patients at one week and three months after discharge pre-and post-intervention, 52.4%, 53.2%, 57.9% and 64.4% respectively. Of the patients that experienced SAM 32% agreed and 49% strongly agreed that they would like to self-manage medication again during a future hospitalization. Conclusion:In this orthopedic population with high medication self-efficacy scores at discharge, SAM did not affect patients' medication self-efficacy nor medication adherence after hospitalization. Most patients preferred SAM. Additional studies should focus on the effect of SAM in other patient populations.

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Beliefs of rheumatologists and general practitioners on urate lowering therapy: a cross-sectional study

Veenstra

Vriezekolk

Bemt

et al. 2023

Rheumatology Advances in Practice

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Objective To describe beliefs about urate lowering therapy (ULT) of physicians and patients in primary and secondary care, to examine differences in physicians’ medication beliefs, and to examine the association of physicians’ medication beliefs with prescribed dosage of ULT, gout outcomes, and patients’ medication beliefs. Methods Cross-sectional study among rheumatologists and general practitioners (GPs) and their patients using ULT in The Netherlands. All participants filled out the Beliefs about Medication questionnaire (BMQ). Demographics of physicians were collected through questionnaires. Patient and disease characteristics were collected through questionnaires and electronic medical records. Differences between rheumatologists and GPs in BMQ subscales Necessity and Concern, and the necessity concern difference (NCD) score were analysed by two-sample T-tests. Multilevel analyses were performed to examine the association of physicians’ BMQ scores with the prescribed dosage of ULT, gout outcomes (number of gout flares, serum urate) and patients’ BMQ scores. Results Twenty-eight rheumatologists, 443 rheumatology patients, 45 GPs and 294 GP patients were included. Mean NCD scores were 7.1±3.6, 4.0±4.0, and 4.2±5.0 for rheumatologists, GPs and patients respectively. Rheumatologists scored higher on necessity beliefs (mean diff=1.4; 95%CI 0.0;2.8) and lower on concern beliefs(mean diff=-1.7; 95%CI -2.7;-0.7) compared to GPs. No associations between physicians’ beliefs and prescribed dosage of ULT, gout outcomes, or patients’ beliefs were found. Conclusion Rheumatologists had higher necessity and lower ULT concern beliefs, compared to GPs and patients. Physicians’ beliefs were not related to prescribed ULT dosage and patient outcomes. The role of physicians’ beliefs in gout management in patients using ULT seems limited. Future qualitative research can provide more insight into physicians’ views of gout management. Lay summary What does this mean for patients? Gout is a painful disease that seems easy to treat. However, in real life, many patients do not reach their treatment goal with urate lowering therapy. We wanted to study the beliefs of rheumatologists and general practitioners on urate lowering therapy(ULT). These beliefs might influence how rheumatologists and general practitioners treat their patients and how patients think about urate lowering therapy. We also wanted to know whether these beliefs affected patients' beliefs or the outcome of their disease. Questionnaires about beliefs were sent to rheumatologists, general practitioners, and their patients. Information on the treatment of gout was collected from the electronic patient records. The results show that rheumatologists scored higher on necessity beliefs and lower on concern beliefs compared to general practitioners. No relationship was found between the beliefs of rheumatologists and general practitioners and the dosage of ULT medication they prescribed, the serum urate, the number of gout attacks, or their patients’ beliefs. This means that the role of beliefs if rheumatologists and general practitioners is limited in how they treat their gout patients. Further qualitative research can provide further information.

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Association between healthcare practitioners' beliefs about statins and patients' beliefs and adherence

Cited by 7 publications

References 39 publications

Impact of physician’ and pharmacy staff supporting activities in usual care on patients’ statin adherence

Impact of physician’ and pharmacy staff supporting activities in usual care on patients’ statin adherence

The Effect of Self-Administration of Medication During Hospitalization on Patient’s Self-Efficacy and Medication Adherence After Discharge

Beliefs of rheumatologists and general practitioners on urate lowering therapy: a cross-sectional study

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