Beliefs about medicines and self-reported adherence among pharmacy clients

Mårdby, Ann-Charlotte; Åkerlind, Ingemar; Jörgensen, Tove

doi:10.1016/j.pec.2007.08.011

Cited by 157 publications

(180 citation statements)

References 21 publications

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“…Þaer rannsóknir sem hafa verið gerðar hafa beinst að mismunandi heilbrigðisstéttum 29,30 og við-skiptavinum apóteka. 27 Einnig hafa viðhorf saensks almennings til lyfja verið könnuð þar sem almenni hluti BMQ-listans var notaður. Viðhorf Svía, líkt og Íslendinga, voru einnig jákvaeðari meðal fólks sem notaði lyfseðilsskyld lyf.…”

Section: Meltingarsjúkdómarunclassified

Icelanders' beliefs about medicines. Use of BMQ

Vilhelmsdóttir¹,

Jóhannsson²

2017

LBL

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Objective: To study beliefs held by the general public in Iceland about medicines. Methods: The Beliefs about Medicines Questionnaire was used to explore Icelanders' beliefs about medicines. A sample of 1500 Icelandic citizens, aged 18-75, obtained from the Social Science Research Institute was given The Beliefs about Medicines Questionnaire. Results: The response rate was 61.6%. Most Icelanders have positive beliefs about their medication as well as general trust. Those who suffer from chronic diseases are more positive towards medicines than others and less inclined to view them as excessively used and harmful. Higher level of education predicts more positive beliefs towards medication - and vice versa. Gender and age do not seem to affect such beliefs. Conclusion: Gaining a better understanding of people´s beliefs about medicines and what determines these beliefs can be of considerable value in the search for ways to improve therapy and adherence, especially for those suffering from chronic diseases. Promoting education for the general public about medicines might result in less misunderstanding among patients and subsequently better grounded beliefs and more adequate therapeutic adherence.

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Section: Meltingarsjúkdómarunclassified

Icelanders' beliefs about medicines. Use of BMQ

Vilhelmsdóttir¹,

Jóhannsson²

2017

LBL

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“…[31][32][33][34][35][36] Patients with strong beliefs about the value of their medications and few concerns about their medicines are more likely to be adherent. 31,36 Information Resource The educator role also included the subtheme role of information resource in which pharmacists apply their medication knowledge expertise in researching medication information as well as in the provision of written materials or tools to aid patients' understanding of their medications.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

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“…The MARS is a 5-item self-report measure which has been validated against electronic adherence monitors (Cohen et al, 2008) and has demonstrated good psychometric qualities in a range of illnesses (George et al, 2005;Horne and Weinman, 2002;Mardby et al, 2007). Respondents indicate how often they engage in each of five nonadherent behaviours (e.g.…”

Section: Adherence To Phosphate Binding Medicationmentioning

confidence: 99%

Profiling patient attitudes to phosphate binding medication: A route to personalising treatment and adherence support

Chater

Parham

Riley

et al. 2014

Psychology & Health

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Objective: Nonadherence to phosphate binding medication (PBM) compromises the efficacy of treatment for chronic kidney disease (CKD), but its causes are poorly understood. This study sought to explore patient attitudes towards PBM and to evaluate the utility of the Necessity-Concerns Framework for understanding adherence to PBM. Design: A sample of two hundred and twenty-one dialysis patients currently prescribed PBM were surveyed from eight UK renal units. Main Outcome Measures: Demographic data and clinical information, alongside the Beliefs about Medication Questionnaire (BMQ) and the Medication Adherence Report Scale (MARS) were reported. Results: Low adherence to PBM was predicted by reduced beliefs in personal need for PBM (OR = .34; 95% CI: .14-.83; p < .05), and increased concerns about PBM (OR = 3.17; 95% CI: 1.87-5.37; p < .001). Patients were categorised into attitudinal groups based on their beliefs about PBM and being 'skeptical' of PBM (low necessity beliefs, high concerns) was most associated with low adherence. Conclusion:Strategies to improve adherence to PBM should aim to elicit and address patients' beliefs about their personal need for PBM and their concerns about this medication.

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Beliefs about medicines and self-reported adherence among pharmacy clients

Cited by 157 publications

References 21 publications

Icelanders' beliefs about medicines. Use of BMQ

Icelanders' beliefs about medicines. Use of BMQ

Hospital pharmacists' perceptions of medication counseling: A focus group study

Profiling patient attitudes to phosphate binding medication: A route to personalising treatment and adherence support

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