Providing patients with information about disease‐modifying anti‐rheumatic drugs: Individually or in groups? A pilot randomized controlled trial comparing adherence and satisfaction

Homer, Dawn; Nightingale, Peter; Jobanputra, Paresh

doi:10.1002/msc.141

Cited by 36 publications

(43 citation statements)

References 16 publications

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“…We did not include here a pilot RCT of group versus individual counselling for RA34 and a pilot RCT of internet-based self-management with telephone support for JIA 44. Quality scores varied from 9 to 28 out of a maximum possible score of 32 (mean=18.6; median=18.5).…”

Section: Resultsmentioning

confidence: 99%

“…Adherence measures varied across studies from questionnaires,26 28–30 32 37–39 41–44 47 pill counts20 34 and refill patterns 25 28 34–36 38. There was further variation within measures, for example questionnaires included validated instruments (Morisky Scale,32 37 compliance questionnaire rheumatology (CQR)29 38) and researcher developed questions 26 27 30 39 41–43 47.…”

Section: Discussionmentioning

confidence: 99%

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What are the effects of medication adherence interventions in rheumatic diseases: a systematic review

et al. 2015

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What are the effects of medication adherence interventions in rheumatic diseases: a systematic review

et al. 2015

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“…[30] The difficulty of incorporating a new medication regimen into patient's lives may be reduced if they are fully understood the reasons behind each drug, and how the drug is expected to improve their health outcomes. [35][36][37][38] In the current study; patient related dimensions where it included two subcategories: physical factors such as impaired mobility or dexterity and visual impaired respectively; in psychological /behavioral factors such as fear of possible adverse effects, fear of dependence, psychosocial stress, anxiety and anger and feeling stigmatized by the disease were the most consistently notified factors affecting on medication adherence among patients with rheumatic disorders. Therefore, it is of major importance for healthcare providers to consider the psychosocial variables that affect the patient's adherence when prescribing medication.…”

Section: Discussionmentioning

confidence: 95%

Factors affecting medication adherence among patients with rheumatic disorders

Ismail

Selim²,

Elkhashab³

2017

JNEP

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Background and objective: Patient's adherence is an important factor affecting the successful maintenance of treatment, slow progression of the disease; reduce costs of health care especially in the presence of multiple chronic conditions as rheumatic disorders. While, medication non-adherence is a significant problem leads to increased mortality and morbidity. So, identification of the factors affecting non-adherence to medication regimens is beneficial for healthcare providers to improve patient's health condition. The aim of the study was to determine factors affecting medication adherence among sample of Egyptian patients with rheumatic disorders.Methods: Design: An exploratory descriptive research design. Subjects: Purposive sampling of patients with history of rheumatic disorders. Setting: The study was carried out in rheumatology department and medical wards at Al-Kaser Al-Aini hospital. Tool: Patient Preliminary Informational Variables, Morisky Medication Adherence Scale 8-Items and Factors affecting drug adherence checklist were used to collect pertinent data.Results: The study showed 59.2% of study group had low adherence, followed by medium adherence and high adherence (28%, 12.7%) to prescribed medications respectively. Findings also; revealed that the highest percent of these factors that may combine to render patients to be less able to adhere to prescribed medication ranked as complexity of medication regimen; chronic conditions, restricted formularies, changing medications covered on formularies; fear of possible adverse effects, fear of dependence; lack of continuity of care, treatment interferes with lifestyle or requires significant behavioral changes; patient information materials written at too high literacy level; severity of symptoms; lack of knowledge on adherence and the effective interventions for improving it; as well the medication cost; long wait times; burdensome schedule; poor access or missed appointments; actual or perceived unpleasant side effects; duration of therapy; medication negative effect on liver and kidney; in addition, psychosocial stress, anxiety and anger.Conclusions: Due to the diversity of causes of non-adherence, the health care professionals must understand factors affecting medication adherence when dealing with problems of medication adherence especially with chronic conditions as rheumatic disorders. Recommendation: Interventions for overcoming factors affecting adherence must become a central component of efforts to improve patients' health worldwide. This could be done by proper determination for factors affecting medication adherence, also to consider patient condition individually and modify the treatment approach accordingly.

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“…One study estimated that only 64% of more than 80% of 1668 patients with RA were adherent to MTX therapy 17 . Although it seems intuitive, there has been little research on whether patient education could alter a patient's belief in the usefulness of taking treatment and help find a balance between understanding potential risks and benefits 18 . There are likely to be other factors associated with a patient's beliefs about medications and past illness experiences that may be more important in determining longterm treatment outcomes.…”

Section: Recommendationmentioning

confidence: 99%