Relationships between beliefs about medications and adherence.
ABSTRACT The relationships between beliefs about medications, health literacy, and self-reported medication adherence are examined.
Patients from an inner-city hospital pharmacy completed an in-person, interviewer-assisted questionnaire that included the Morisky 8-item Medication Adherence Scale (MMAS-8), the Beliefs About Medicines Questionnaire (BMQ), and the Rapid Estimate of Adult Literacy in Medicine (REALM). Multivariable logistic regression was used to determine predictors of self-reported medication adherence as determined by the MMAS-8. Variables included in the model were summary scores from the BMQ, REALM, and patient or regimen characteristics that were significantly associated with the MMAS-8.
A majority of the 275 study participants were African-American (86.2%), were women (73.1%), and could read at less than a high school reading level (59.7%). The average age was 53.9 years. Approximately half of the patients (52.7%) reported low medication adherence (MMAS-8 score of >2). Multivariate analyses indicated several factors were associated with low self-reported adherence, including negative beliefs about medications, younger age, low medication self-efficacy, and hyperlipidemia. Health literacy was not independently associated with beliefs or adherence.
Patients who had negative beliefs about medications, who were <65 years of age, or who had low medication self-efficacy reported low medication adherence.
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ABSTRACT: Beliefs about medication may impact a woman's decision to take a needed medication during pregnancy. While many women will be faced with decisions regarding medication use during pregnancy, there is a paucity of research on this topic in the literature. To study pregnant women's beliefs about medication and factors that determine those beliefs. A questionnaire was posted at the University of Oslo's Web site for Internet surveys for 5 weeks from mid-September 2008 through October 2008. Seven general statements from the "Beliefs about Medicines" questionnaire and 9 pregnancy-specific statements were used to assess pregnant women's attitudes toward medication use during pregnancy. Other information, such as sociodemographic background and personal medication use during pregnancy, was also collected. A total of 866 pregnant women completed the questionnaire. Most women had a positive attitude toward medication in general, but believed pregnant women should be more restrictive regarding use than nonpregnant women. There was a significant association between women's education, occupation, and attitudes, with less educated women believing that medications in general were harmful and herbal remedies were safe, while women with a higher education were more reluctant to use any medication in pregnancy. Women with health-related occupations were more knowledgeable about the possible risks of untreated illness during pregnancy. There was also an association between pregnant women's attitudes and their use of prescribed penicillins and herbal remedies. Most pregnant women believe that medicines in general are helpful and safe to use. However, they are much more restrictive and unsure about use during pregnancy. Health-care professionals should be aware of such attitudes when advising a woman to take a needed medication during pregnancy.Annals of Pharmacotherapy 09/2010; 44(9):1478-84. · 2.92 Impact Factor
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ABSTRACT: De auteurs hebben in de zomer van 2006 onderzoek gedaan naar de samenhang tussen meningen over geneesmiddelen, gezondheidsvaardigheden en medicatietrouw. Deze drie onderwerpen werden bij 275 patiënten onderzocht met behulp van interviews met gevalideerde vragenlijsten. Voor elk interview was 50 minuten beschikbaar. De onderzochte patiënten waren aselect gekozen uit een populatie die hun geneesmiddelen haalden bij apotheken, die zijn verbonden aan twee stedelijke ziekenhuizen. Patiënten werden ingesloten wanneer ze 18 jaar en ouder waren, Engels spraken, geen ernstige daling van het gezichtsvermogen hadden en slaagden voor een eenvoudige intelligentietest. Verdere randvoorwaarden waren dat ze meer dan een half jaar hun middelen van deze apotheek, als hun belangrijkste apotheek, betrokken. Ook moesten ze de opgehaalde middelen voor zichzelf hebben gehaald.47(8):117-118.
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ABSTRACT: Background: Identifying factors associated with adherence is of great value in clinical practice. The objective of this study was to investigate medication adherence, beliefs about medicines held by people with chronic illness and whether beliefs influence medication adherence. Methods: The study was carried out at primary health care clinic of the Palestinian Medical Military Services in Nablus, Palestine. The beliefs about medicines questionnaire was used to assess beliefs and Morisky medication adherence scale was used to assess adherence. Results: A total of 187 patients were interviewed. Most participants (79.6%) agreed or strongly agreed that their medications were necessary for their current health. However, 58.2% of the participants were concerned about having to take their medicines on a regular basis and 57.8% were concerned about becoming dependent on their medicines. None of the demographic and clinical variables was significantly associated with medication adherence. However, multivariate analysis showed that patients who had higher beliefs about medication necessity had higher odds (1.107 [1.023-1.197]) of being adherent. On the other hand, patients who had higher concern beliefs had lower odds (0.908 [0.845-0.975]) of being adherent. Conclusions: Beliefs about medicines are a major contributing factor to medication adherence.Journal of Family Medicine. 09/2014; 3(3):224-229.