Development and Validation of Adherence Score for Subcutaneous Biologic Disease-Modifying Antirheumatic Drugs

Razak, Salmi Abdul; Makmor‐Bakry, Mohd; Said, Mohd Fuaad; Tan, Chai-Eng; Redzuan, Adyani Md

doi:10.3389/fphar.2020.572260

Cited by 1 publication

(4 citation statements)

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“…However, in real clinical practice, many patients do not achieve their treatment goals 5 . One reason for this may be poor adherence, which has been reported among patients with RA 6,7 . Poor adherence leads to less effective treatment outcomes, even with the implementation of the most appropriate treat‐to‐target strategy.…”

Section: Introductionmentioning

confidence: 99%

“…for all items: (1) informing patients of their access to consult with nurses (median [interquartile range]):(6 [5-7] vs 7[7], p = .00054),(2) providing support based on patients' perspectives(5 [4-6] vs 7[6,7], p < .0001), (3) providing support to patients' families(5 [4-6] vs 7 [6.5-7], p < .0001), (4) referring patients to other health professionals (6 [5-6.5] vs 7 [6.5-7], p < .0001), (5) providing support catered to patients' feelings(6 [4.75-6] vs 7[7], p < .0001), and(6) providing support based on patients' needs(5 [4.75-6] vs 7 [6.25- 7], p < .0001) (Figure4). In addition, the participants stressed the importance of psychological support for patient education and shared decision-making (median [interquartile range]):(7 [7] vs , respectively).…”

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confidence: 99%

“…According to a previous study, the rate F I G U R E 1 Comparison between necessity, implementation, and motivation for providing psychological support. Their levels (indicated on the y-axis) were measured on a seven-point numerical rating scale with the highest number(7) representing "extremely" and the lowest number (1) representing "not at all". Statistical analyses were performed using the Friedman's test and Wilcoxon signed-rank test.…”

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confidence: 99%

“…The level of understanding and implementation regarding support related to patient-centered care. Their levels (indicated on the y-axis) were measured on a seven-point numerical rating scale with the highest number(7) representing "extremely" and the lowest number (1) representing "not at all". Statistical analyses were performed using the Wilcoxon signed-rank test.…”

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confidence: 99%

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Psychological support and patient‐centered care for patients with rheumatoid arthritis: Nurses' opinions and practice in Japan

et al. 2023

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AimTo investigate nurses' opinions and practices regarding psychological support and patient‐centered care (PCC) for patients with rheumatoid arthritis.MethodRegistered nurses engaged in rheumatic care in Japan were asked to complete the questionnaire regarding nurses' perceived necessity, understanding, and implementation of psychological support, and six patient supports related to PCC, using a seven‐point Likert scale. Correlation on practice between psychological support and PCC was evaluated.ResultsA total of 53 nurses participated. Nurses indicated high necessity of providing psychological support, whereas implementation was statistically significantly lower than necessity and motivation. Nurses' answers showed significantly lower implementation compared with understanding regarding basic concepts of psychological support: listening, empathy, acceptance, open questions, and closed questions. Most nurses (54.7%) sometimes provided psychological support, followed by often (34.0%), always (5.7%), and not at all (5.6%). Perceived necessity of PCC was rated high. However, its implementation was significantly lower than necessity for all evaluated cares, such as patients' need‐based support and support to patients' families, related to PCC. Positive correlations were observed between the implementation of psychological support and PCC. Nurses stressed the importance of psychological support for patient education and shared decision‐making.ConclusionThis preliminary study indicated that most nurses considered psychological support and PCC necessary, but their implementation was relatively low. As psychological support is also crucial to shared decision‐making, in addition to PCC, barriers to its implementation should be addressed to improve patients' outcomes and quality of life.

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Section: Introductionmentioning

confidence: 99%