Beliefs about prescribed medicine and self-reported adherence among elderly patients discharged from hospital

Article Sidebar

Requires Subscription or Fee PDF (USD 25)
Published: Dec 6, 2012
DOI: https://doi.org/10.5750/ijpcm.v2i4.203
Keywords:
medication adherence medication adherence rating scale medication beliefs beliefs about medicines questionnaire drug related problems elderly discharged from hospital satisfaction with information self reported adherence

Main Article Content

Abeer Ahmad
Vu University Medical Center

Abstract

Rationale Non adherence with medication use may result in poor health outcomes and death. Many studies have mentioned that elderly patients do not adhere to their medication after discharge from hospital. No studies investigated the opinions and beliefs of the patients after hospital discharge.Objective To describe elderly patients’ beliefs and satisfaction with information received about their medication as well as their self-reported adherence after hospital discharge. Association between patients’ self-reported adherence and their beliefs about medicines as well as the information they received about their medicine will be analyzedMethod Descriptive study among patients aged 60 and above, recently discharged from hospital to their homes and using at least five or more medications for chronic illness. Beliefs about medication, satisfaction with information received about their drugs and self reported adherence were assessed by questionnaires after patients were discharge from the hospital.Results Elderly patients who were discharged from hospital had strong beliefs about the necessity of using their medication and that they were less concerned about the potential risks of medication use. They had fewer negative beliefs about their medicines being addictive, but had more negative beliefs about doctors overusing medicines. All patients were satisfied with the information they received about their drugs. Associations between self-reported adherence and the necessity, overuse and action and usage sub-scales were statistically significant.Conclusion healthcare workers should be aware of the importance of patients’ beliefs about medicine in predicting adherence. Both emphasizing the importance that using drugs has for patients’ health and reducing negative beliefs about drugs being overused by doctors can stimulate the adherence of these patients.

Article Details

Issue
Vol. 2 No. 4 (2012)
Section
Regular Articles

References

Reference List

Modig S, Kristensson J, Ekwall AK, Hallberg IR, Midlov P. Frail elderly patients in primary care--their medication knowledge and beliefs about prescribed medicines. European Journal of Clinical Pharmacoly 2009; 65:151-155.

Ellitt GR, Engblom E, Aslani P, Westerlund T, Chen TF. Drug related problems after discharge from an Australian teaching hospital. Pharm World Sci. 2010; 32:622-630.

Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, Bueno-Cavanillas A. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing 2010; 39:430-438.

Nikolaus T, Kruse W, Bach M, Specht-Leible N, Oster P, Schlierf G. Elderly patients' problems with medication. An in-hospital and follow-up study. Eur.J.Clin.Pharmacol. 1996; 49:255-259.

Beers MH, Sliwkowski J, Brooks J. Compliance with medication orders among the elderly after hospital discharge. Hosp.Formul. 1992; 27:720-724.

Gray SL, Mahoney JE, Blough DK. Medication adherence in elderly patients receiving home health services following hospital discharge. Ann.Pharmacother. 2001; 35:539-545.

Horne R, Weinman J. Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. Journal of Psychosomatic Research 1999; 47:555-567.

Mahler C, Hermann K, Horne R, Jank S, Haefeli WE, Szecsenyi J. Patients' Beliefs about Medicines in a primary care setting in Germany. Journal of Evaluation in Clinical Practice 2010.

Schuz B, Marx C, Wurm S et al. Medication beliefs predict medication adherence in older adults with multiple illnesses. Journal of Psychosomatic Research 2011; 70:179-187.

Bane C, Hughes CM, McElnay JC. The impact of depressive symptoms and psychosocial factors on medication adherence in cardiovascular disease. Patient Education and Counseling 2006; 60:187-193.

Horne R, Parham R, Driscoll R, Robinson A. Patients' attitudes to medicines and adherence to maintenance treatment in inflammatory bowel disease. Inflamm.Bowel.Dis. 2009; 15:837-844.

Tibaldi G, Clatworthy J, Torchio E, Argentero P, Munizza C, Horne R. The utility of the Necessity--Concerns Framework in explaining treatment non-adherence in four chronic illness groups in Italy. Chronic Illness 2009; 5:129-133.

Horne R, Weinman J. Self regulation and self management in asthma:exploring the role of illnessperception and treatments believes in explaining non-adherence to preventer medication. Journal of Psychosomatic Research 2006; 64:47-54.

Horne R, Weinman J, Hankins M. The beliefs about medicine questionaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health 1999; 14:1-24.

Bowskill R, Clatworthy J, Parham R, Rank T, Horne R. Patients' perceptions of information received about medication prescribed for bipolar disorder: implications for informed choice. Journal of Affective Disorders 2007; 100:253-257.

King JL, Schommer JC, Wirsching RG. Patients' knowledge of medication care plans after hospital discharge. american journal of health system pharmacy 1998; 55:1389-1393.

Lip GY, Beevers DG. Doctors, nurses, pharmacists and patients--the Rational Evaluation and Choice in Hypertension (REACH) survey of hypertension care delivery. Blood Press Suppl 1997; 1:6-10.

Makaryus AN, Friedman EA. Patients' understanding of their treatment plans and diagnosis at discharge. mayo clinic proceedings 2005; 80:991-994.

Nair K, Dolovich L, Cassels A et al. What patients want to know about their medications. Focus group study of patient and clinician perspectives. Canadian Family Physician 2002; 48:104-110.

Krska J, Cromarty JA, Arris F et al. Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care. Age Ageing 2001; 30:205-211.

Ahmad A, Hugtenburg JG, Welschen L, Dekker J, Nijpels G. Effect of medication review and cognitive behaviour treatment by community pharmacists of patients discharged from the hospital on drug

related problems and compliance: design of a randomized controlled trial. BMC Public Health 2010; 10:133.

Horne R, Hankins M, Jenkins R. The Satisfaction with Information about Medicines Scale (SIMS): a new measurement tool for audit and research. Quality of Health Care 2001; 10:135-140.

Thompson K, Kulkarni J, Sergejew AA. Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses. Schizophrenia Research 2000; 42:241-247.

Johnson G, Kong D, Thoman R, Stewart K. factors asscoiated with medication non adherence in patients with COPD. chest 2011; 128:3198-3204.

Farmer A, Kinmonth AL, Sutton S. Measuring beliefs about taking hypoglycaemic medication among people with type 2 diabetes. Diabetic Medicine 2005; 23:265-270.

Menckeberg TT, Bouvy ML, Bracke M et al. Beliefs about medicines predict refill adherence to inhaled corticosteroids. Journal of Psychosomatic Research 2008; 64:47-54.

Horne R, Cooper V, Gellaitry G, Date HL, Fisher M. Patients' perceptions of highly active antiretroviral therapy in relation to treatment uptake and adherence: the utility of the necessity-concerns framework. journal of acquired immune deficiency syndrome 2007; 45:334-341.

Mardby AC, Akerlind I, Jorgensen T. Beliefs about medicines and self-reported adherence among pharmacy clients. Patient Education and Counseling 2007; 69:158-164.

Auyeung V, Patel G, Mcrobbie D, Weinman J, Graham D. Information about medicines to cardiac in-patients: Satisfaction alongside the role perceptions and practices of doctors, nurses and pharmacists. Patient Education and Counselling 2011.

van Geffen EC, Philbert D, van BC, van DL, Bos MB, Bouvy ML. Patients' satisfaction with information and experiences with counseling on cardiovascular medication received at the pharmacy. Patient.Educ.Couns. 2011; 83:303-309.

Gray SL, Mahoney JE, Blough DK. Medication adherence in elderly patients receiving home health services following hospital discharge. Ann.Pharmacother. 2001; 35:539-545.

CBS Statline. 7-7-2011.

Ref Type: Internet Communication