The Danish version of the Medication Adherence Report Scale: Preliminary Validation in Cancer Pain Patients

Jacobsen, Ramunė; Møldrup, Claus; Christrup, Lona Louring; Sjögren, Per; Hansen, Ole

doi:10.1111/j.1533-2500.2008.00245.x

Cited by 17 publications

(16 citation statements)

References 44 publications

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“…The MARS has been used as a self-reported measure of adherence in a number of chronic diseases, including chronic obstructive pulmonary disease,38 asthma,39 chronic pain management in cancer,40 bipolar disorder,17 and inflammatory bowel disease 41,42. The MARS includes a preamble encouraging honest responses.…”

Section: Methodsmentioning

confidence: 99%

Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique

Cottrell¹,

Denaro²,

Emmerton³

2013

PPA

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PurposeBeliefs about medicines impact on adherence, but eliciting core beliefs about medicines in individual patients is difficult. One method that has the potential to elicit individual core beliefs is the “repertory grid technique.” This study utilized the repertory grid technique to elicit individuals’ beliefs about their heart failure treatment and to investigate whether generated constructs were different between adherent and nonadherent patients.MethodsNinety-two patients with heart failure were interviewed using a structured questionnaire that applied the repertory grid technique. Patients were asked to compare and contrast their medicines and self-care activities for their heart failure. This lead to the generation of individual constructs (perceptions towards medicines), and from these, beliefs were elicited about their heart failure treatment, resulting in the generation of a repertory grid. Adherence was measured using the Medication Adherence Report Scale (MARS). Patients with a MARS score ≥ 23 were categorized as “adherent” and those with a score ≤ 22 as “nonadherent.” The generated grids were analyzed descriptively and constructs from all grids themed and the frequency of these constructs compared between adherent and nonadherent patients.ResultsIndividual grids provided insight into the different beliefs that patients held about their heart failure treatment. The themed constructs “related to water,” “affect the heart,” “related to weight,” and “benefit to the heart” occurred more frequently in adherent patients compared with nonadherent patients.ConclusionThe repertory grid technique elicited beliefs of individual participants about the treatment of their heart failure. Constructs from self-reported adherent patients were more likely to reflect that their medicines and self-care activities were related to water and weight, and affect and benefit to the heart. Providing clinicians with better insight into individuals’ beliefs about their treatment may facilitate the development of tailored interventions to improve adherence.

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Section: Methodsmentioning

confidence: 99%

Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique

Cottrell¹,

Denaro²,

Emmerton³

2013

PPA

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“…Medication adherence will be evaluated by use of a Danish version of The Medication Adherence Report Scale (DMARS-4). This is a generic scale as yet solely validated to cancer patients in relation to their analgesic treatment [40]. In addition the two group’s primary medication adherence at follow up will be evaluated by gathering of register data from the Danish Medicines Agency [12].…”

Section: Methodsmentioning

confidence: 99%

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

Mollerup

Veien²,

Johansen

2012

BMC Dermatol

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BackgroundHand eczema has a one-year prevalence of approximately 10 % in the general Danish population. Often the disease becomes chronic with numerous implications for the individual’s daily life, occupation and quality of life. However, no guidelines of self-management recommendations beyond the acute stage are given. Self-management of the disease is pivotal and involves self-monitoring of the condition, medication adherence, and preventive behaviour. Interventions best to support the individual in this ongoing process need to be developed.Methods/designThis paper describes the design of a randomised clinical trial to test a newly developed intervention of individual counselling versus conventional information. 300 patients consecutively referred to dermatologic treatment at two different settings are individually randomised to either the intervention programme, named ‘The Healthy Skin Clinic’ or to the control group. Block-wise randomisation according to setting and gender is carried out.The intervention offers a tool for self-monitoring; basic and specific individual counselling; the possibility of asynchronous communication with the intervention team; and an electronic patient dialogue forum. Primary outcome variable is objective assessment of the hand eczema severity performed at baseline prior to randomisation, and repeated at six months follow-up. Secondary outcome variables are dermatology related life quality and perceived global burden of disease.DiscussionThe trial aims at evaluating a newly developed guidance programme which is expected to support self-management of patients referred to dermatology treatment due to chronic hand eczema. The design of the protocol is pragmatic with blinding of neither participants nor the investigator. Thus, in the interpretation of the results, the investigator takes into account effects that may be attributed to actors of the interventions rather than the intervention per se as well of potential observer bias. Inclusion criterions are wide in order to increase transferability of the results.Trial registrationThe trial is registered in ClinicalTrials.Gov with registration number NCT01482663.

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“…The generic scale covers whether respondents avoid, forget, alter or discontinue the prescribed medication. Measurement of the four items is on a five-point Likert scale (26).…”

Section: Demographics Susceptibility and Dermatological Treatmentmentioning

confidence: 99%

An analysis of gender differences in patients with hand eczema – everyday exposures, severity, and consequences

Mollerup

Veien²,

Johansen

2014

Contact Dermatitis

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The Danish version of the Medication Adherence Report Scale: Preliminary Validation in Cancer Pain Patients

Abstract: The DMARS-4 seems to be a valid and reliable measure of self-reported adherence to analgesic regimen in the context of cancer pain.

Cited by 17 publications

References 44 publications

Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique

Exploring beliefs about heart failure treatment in adherent and nonadherent patients: use of the repertory grid technique

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

An analysis of gender differences in patients with hand eczema – everyday exposures, severity, and consequences

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