Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.
Voluntary cooperation of the patient in following a prescribed regimen.
Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.
Drugs used in the treatment of acute or chronic vascular HYPERTENSION regardless of pharmacological mechanism. Among the antihypertensive agents are DIURETICS; (especially DIURETICS, THIAZIDE); ADRENERGIC BETA-ANTAGONISTS; ADRENERGIC ALPHA-ANTAGONISTS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CALCIUM CHANNEL BLOCKERS; GANGLIONIC BLOCKERS; and VASODILATOR AGENTS.
Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
The process of observing, recording, or detecting the effects of a chemical substance administered to an individual therapeutically or diagnostically.
Overall systems, traditional or automated, to provide medication to patients.
Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).
Systems used to prompt or aid the memory. The systems can be computerized reminders, color coding, telephone calls, or devices such as letters and postcards.
Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.
The teaching or training of patients concerning their own health needs.
Agents used to treat AIDS and/or stop the spread of the HIV infection. These do not include drugs used to treat symptoms or opportunistic infections associated with AIDS.
Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)
Containers, packaging, and packaging materials for drugs and BIOLOGICAL PRODUCTS. These include those in ampule, capsule, tablet, solution or other forms. Packaging includes immediate-containers, secondary-containers, and cartons. In the United States, such packaging is controlled under the Federal Food, Drug, and Cosmetic Act which also stipulates requirements for tamper-resistance and child-resistance. Similar laws govern use elsewhere. (From Code of Federal Regulations, 21 CFR 1 Section 210, 1993) DRUG LABELING is also available.
Directions written for the obtaining and use of DRUGS.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Total pharmaceutical services provided by qualified PHARMACISTS. In addition to the preparation and distribution of medical products, they may include consultative services provided to agencies and institutions which do not have a qualified pharmacist.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
The research and development of ELECTRICAL EQUIPMENT AND SUPPLIES for such medical applications as diagnosis, therapy, research, anesthesia control, cardiac control, and surgery. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Drugs that cannot be sold legally without a prescription.
Those persons legally qualified by education and training to engage in the practice of pharmacy.
Agents used to treat RETROVIRIDAE INFECTIONS.
The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.
Drugs that are used to treat asthma.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of clinical pharmacy services.
Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity.
Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
Overall systems, traditional or automated, to provide medication to patients in hospitals. Elements of the system are: handling the physician's order, transcription of the order by nurse and/or pharmacist, filling the medication order, transfer to the nursing unit, and administration to the patient.
Total pharmaceutical services provided to the public through community pharmacies.
Cognitive mechanism based on expectations or beliefs about one's ability to perform actions necessary to produce a given effect. It is also a theoretical component of behavior change in various therapeutic treatments. (APA, Thesaurus of Psychological Index Terms, 1994)
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus.
The practice of nursing in the work environment.
Administration of a drug or chemical by the individual under the direction of a physician. It includes administration clinically or experimentally, by human or animal.
The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.
Substances which lower blood glucose levels.
Assistance in managing and monitoring drug therapy for patients receiving treatment for cancer or chronic conditions such as asthma and diabetes, consulting with patients and their families on the proper use of medication; conducting wellness and disease prevention programs to improve public health; overseeing medication use in a variety of settings.
The charge levied on the consumer for drugs or therapy prescribed under written order of a physician or other health professional.
Drug regimens, for patients with HIV INFECTIONS, that aggressively suppress HIV replication. The regimens usually involve administration of three or more different drugs including a protease inhibitor.
Method for obtaining information through verbal responses, written or oral, from subjects.
Facilities for the preparation and dispensing of drugs.
Research carried out by nurses concerning techniques and methods to implement projects and to document information, including methods of interviewing patients, collecting data, and forming inferences. The concept includes exploration of methodological issues such as human subjectivity and human experience.
The interactions between physician and patient.
Assistance, such as money, food, or shelter, given to the needy, aged, or victims of disaster. It is usually granted on a temporary basis. (From The American Heritage Dictionary, 2d college ed)
Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
Insurance providing for payment of services rendered by the pharmacist. Services include the preparation and distribution of medical products.
The study, control, and application of the conduction of ELECTRICITY through gases or vacuum, or through semiconducting or conducting materials. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Those factors which cause an organism to behave or act in either a goal-seeking or satisfying manner. They may be influenced by physiological drives or by external stimuli.
A stand-alone drug plan offered by insurers and other private companies to beneficiaries that receive their Medicare Part A and/or B benefits through the Original Medicare Plan. It includes Medicare Private Fee-for-Service Plans that do not offer prescription drug coverage and Medicare Cost Plans offering Medicare prescription drug coverage. The plan was enacted as the Medicare Prescription Drug, Improvement and Modernization Act of 2003 with coverage beginning January 1, 2006.
Mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions. Several MONOAMINE OXIDASE INHIBITORS are useful as antidepressants apparently as a long-term consequence of their modulation of catecholamine levels. The tricyclic compounds useful as antidepressive agents (ANTIDEPRESSIVE AGENTS, TRICYCLIC) also appear to act through brain catecholamine systems. A third group (ANTIDEPRESSIVE AGENTS, SECOND-GENERATION) is a diverse group of drugs including some that act specifically on serotonergic systems.
An instrument for reproducing sounds especially articulate speech at a distance. (Webster, 3rd ed)
Analog or digital communications device in which the user has a wireless connection from a telephone to a nearby transmitter. It is termed cellular because the service area is divided into multiple "cells." As the user moves from one cell area to another, the call is transferred to the local transmitter.
Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)
The geographic area of the southeastern region of the United States in general or when the specific state or states are not included. The states usually included in this region are Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, West Virginia, and Virginia.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Public attitudes toward health, disease, and the medical care system.
Persons living in the United States having origins in any of the black groups of Africa.
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form.
Substances interfering with the metabolism of ethyl alcohol, causing unpleasant side effects thought to discourage the drinking of alcoholic beverages. Alcohol deterrents are used in the treatment of alcoholism.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Amounts charged to the patient or third-party payer for medication. It includes the pharmacist's professional fee and cost of ingredients, containers, etc.
The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).
A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.
A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).
Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Computer programs or software installed on mobile electronic devices which support a wide range of functions and uses which include television, telephone, video, music, word processing, and Internet service.
Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Recording of information on magnetic or punched paper tape.
Interactions between health personnel and patients.
Disorders that result from the intended use of PHARMACEUTICAL PREPARATIONS. Included in this heading are a broad variety of chemically-induced adverse conditions due to toxicity, DRUG INTERACTIONS, and metabolic effects of pharmaceuticals.
The self administration of medication not prescribed by a physician or in a manner not directed by a physician.
Drugs whose drug name is not protected by a trademark. They may be manufactured by several companies.
Development of neutralizing antibodies in individuals who have been exposed to the human immunodeficiency virus (HIV/HTLV-III/LAV).
A treatment method in which patients are under direct observation when they take their medication or receive their treatment. This method is designed to reduce the risk of treatment interruption and to ensure patient compliance.
The quantity of measurable virus in a body fluid. Change in viral load, measured in plasma, is sometimes used as a SURROGATE MARKER in disease progression.
Refusal to admit the truth or reality of a situation or experience.
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
The interdisciplinary field concerned with the development and integration of behavioral and biomedical science, knowledge, and techniques relevant to health and illness and the application of this knowledge and these techniques to prevention, diagnosis, treatment, and rehabilitation.
Elements of limited time intervals, contributing to particular results or situations.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
The application of modern theories of learning and conditioning in the treatment of behavior disorders.
Compounds that inhibit HMG-CoA reductases. They have been shown to directly lower cholesterol synthesis.
Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Component of the NATIONAL INSTITUTES OF HEALTH. It conducts research focused on improving the treatment and prevention of alcoholism and alcohol-related problems to reduce the health, social, and economic consequences of this disease. NIAAA, NIMH, and NIDA were created as coequal institutes within the Alcohol, Drug Abuse and Mental Health Administration in 1974. It was established within the NATIONAL INSTITUTES OF HEALTH in 1992.
The prevention of recurrences or exacerbations of a disease or complications of its therapy.
Disorders related to substance abuse.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
A property of the surface of an object that makes it stick to another surface.
A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.
Social and economic factors that characterize the individual or group within the social structure.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Communication between CELL PHONE users via the Short Message Service protocol which allows the interchange of short written messages.
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A loosely defined grouping of drugs that have effects on psychological function. Here the psychotropic agents include the antidepressive agents, hallucinogens, and tranquilizing agents (including the antipsychotics and anti-anxiety agents).
Pharmacy services accessed via electronic means.
Counseling during which a professional plays an active role in a client's or patient's decision making by offering advice, guidance, and/or recommendations.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Minor hemoglobin components of human erythrocytes designated A1a, A1b, and A1c. Hemoglobin A1c is most important since its sugar moiety is glucose covalently bound to the terminal amino acid of the beta chain. Since normal glycohemoglobin concentrations exclude marked blood glucose fluctuations over the preceding three to four weeks, the concentration of glycosylated hemoglobin A is a more reliable index of the blood sugar average over a long period of time.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
A nursing specialty created to answer the need for developing a global perspective in the practice of nursing in a world of interdependent nations and people. The focus of this nursing discipline is on the integration of international and transcultural content into the training. Courses include study in the area of cultural differences, nursing in other countries, and international health issues and organizations, as an example.
A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.
Epidemiologic investigations designed to test a hypothesized cause-effect relation by modifying the supposed causal factor(s) in the study population.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed)
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.
The giving of drugs, chemicals, or other substances by mouth.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
A perceived attribute that is deeply discrediting and is considered to be a violation of social norms.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed)
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.
Assessment of psychological variables by the application of mathematical procedures.
Theoretical representations that simulate psychological processes and/or social processes. These include the use of mathematical equations, computers, and other electronic equipment.
Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
The science dealing with the study of mental processes and behavior in man and animals.
Former members of the armed services.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.
People who take drugs for a non-therapeutic or non-medical effect. The drugs may be legal or illegal, but their use often results in adverse medical, legal, or social consequences for the users.
Adherence of cells to surfaces or to other cells.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
Study of mental processes and behavior of schizophrenics.
The giving of advice and assistance to individuals with educational or personal problems.
A willingness to reveal information about oneself to others.
Medicines that can be sold legally without a DRUG PRESCRIPTION.
A class of drugs whose main indications are the treatment of hypertension and heart failure. They exert their hemodynamic effect mainly by inhibiting the renin-angiotensin system. They also modulate sympathetic nervous system activity and increase prostaglandin synthesis. They cause mainly vasodilation and mild natriuresis without affecting heart rate and contractility.
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.
A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.
The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
Individuals whose ancestral origins are in the continent of Europe.
Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.
Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Patient involvement in the decision-making process in matters pertaining to health.
The exertion of a strong influence or control over others in a variety of settings--administrative, social, academic, etc.
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
Educational attainment or level of education of individuals.
Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Test for cell-mediated antitumor immunity and related serum blocking factors based on the finding that leukocytes from cancer patients, but not from controls, when mixed in vitro with antigenic extracts of tumors of the same histological type, undergo a diminution in their normal adherence to glass surfaces. Sera from tumor-bearing patients block the LAI reaction of their own leukocytes or those of other patients with the same type of tumor.
Chronic, non-specific inflammation of the GASTROINTESTINAL TRACT. Etiology may be genetic or environmental. This term includes CROHN DISEASE and ULCERATIVE COLITIS.
An oversimplified perception or conception especially of persons, social groups, etc.
A republic in eastern Africa, south of UGANDA, east of DEMOCRATIC REPUBLIC OF THE CONGO, west of TANZANIA. Its capital is Kigali. It was formerly part of the Belgian trust territory of Ruanda-Urund.
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
Therapy with two or more separate preparations given for a combined effect.
Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.
Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed)
Hospitals providing medical care to veterans of wars.
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Substances that lower the levels of certain LIPIDS in the BLOOD. They are used to treat HYPERLIPIDEMIAS.
A method for the detection of very small quantities of antibody in which the antigen-antibody-complement complex adheres to indicator cells, usually primate erythrocytes or nonprimate blood platelets. The reaction is dependent on the number of bound C3 molecules on the C3b receptor sites of the indicator cell.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
Tests designed to assess neurological function associated with certain behaviors. They are used in diagnosing brain dysfunction or damage and central nervous system disorders or injury.
A direct form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
Adjunctive computer programs in providing drug treatment to patients.
A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Self evaluation of whole blood glucose levels outside the clinical laboratory. A digital or battery-operated reflectance meter may be used. It has wide application in controlling unstable insulin-dependent diabetes.
A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
Drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety.
An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (HIV), a CD4-positive T-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms. Clinical manifestations also include emaciation (wasting) and dementia. These elements reflect criteria for AIDS as defined by the CDC in 1993.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.

Interferon alpha therapy for hepatitis C: treatment completion and response rates among patients with substance use disorders. (1/2129)

BACKGROUND: Individuals with substance use disorders (SUDs) are at increased risk for hepatitis C viral infection (HCV), and few studies have explored their treatment responses empirically. The objective of this study was to assess interferon alpha therapy (IFN) completion and response rates among patients with HCV who had a history of comorbid SUDs. More data is needed to inform treatment strategies and guidelines for these patients. Using a medical record database, information was retrospectively collected on 307,437 veterans seen in the Veterans Integrated Service Network 20 (VISN 20) of the Veterans Healthcare Administration (VHA) between 1998 and 2003. For patients treated with any type of IFN (including regular or pegylated IFN) or combination therapy (IFN and ribavirin) who had a known HCV genotype, IFN completion and response rates were compared among patients with a history of SUD (SUD+ Group) and patients without a history of SUD (SUD- Group). RESULTS: Odds ratio analyses revealed that compared with the SUD- Group, the SUD+ Group was equally likely to complete IFN therapy if they had genotypes 2 and 3 (73.1% vs. 68.0%), and if they had genotypes 1 and 4 (39.5% vs. 39.9%). Within the sample of all patients who began IFN therapy, the SUD- and SUD+ groups were similarly likely to achieve an end of treatment response (genotypes 2 and 3, 52.8% vs. 54.3%; genotypes 1 and 4, 24.5% vs. 24.8%) and a sustained viral response (genotypes 2 and 3, 42.6% vs. 41.1%; genotypes 1 and 4: 16.0% vs. 22.3%). CONCLUSION: Individuals with and without a history of SUD responded to antiviral therapy for HCV at similar rates. Collectively, these findings suggest that patients who have co-morbid SUD and HCV diagnoses can successfully complete a course of antiviral therapy.  (+info)

Factors associated with adherence to anti-hypertensive treatment in Pakistan. (2/2129)

OBJECTIVES: Poor adherence is one of the biggest obstacles in therapeutic control of high blood pressure. The objectives of this study were (i) to measure adherence to antihypertensive therapy in a representative sample of the hypertensive Pakistani population and (ii) to investigate the factors associated with adherence in the studied population. METHODS AND RESULTS: A cross-sectional study was conducted on a simple random sample of 460 patients at the Aga Khan University Hospital (AKUH) and National Institute of Cardiovascular Diseases, Karachi, from September 2005-May 2006. Adherence was assessed using the Morisky Medication Adherence Scale (MMAS), with scores ranging from 0 (non-adherent) to 4 (adherent). In addition to MMAS, patient self-reports about the number of pills taken over a prescribed period were used to estimate adherence as a percentage. AKU Anxiety and Depression Scale (AKU-ADS) was incorporated to find any association between depression and adherence. At a cut-off value of 80%, 77% of the cases were adherent. Upon univariate analyses, increasing age, better awareness and increasing number of pills prescribed significantly improved adherence, while depression showed no association. Significant associations, upon multivariate analyses, included number of drugs that a patient was taking (P<0.02) and whether he/she was taking medication regularly or only for symptomatic relief (P<0.00001). CONCLUSIONS: Similar to what has been reported worldwide, younger age, poor awareness, and symptomatic treatment adversely affected adherence to antihypertensive medication in our population. In contrast, monotherapy reduced adherence, whereas psychosocial factors such as depression showed no association. These findings may be used to identify the subset of population at risk of low adherence who should be targeted for interventions to achieve better blood pressure control and hence prevent complications.  (+info)

Patient and regimen characteristics associated with self-reported nonadherence to antiretroviral therapy. (3/2129)

BACKGROUND: Nonadherence to antiretroviral therapy (ARVT) is an important behavioral determinant of the success of ARVT. Nonadherence may lead to virological failure, and increases the risk of development of drug resistance. Understanding the prevalence of nonadherence and associated factors is important to inform secondary HIV prevention efforts. METHODOLOGY/PRINCIPAL FINDINGS: We used data from a cross-sectional interview study of persons with HIV conducted in 18 U.S. states from 2000-2004. We calculated the proportion of nonadherent respondents (took <95% of prescribed doses in the past 48 hours), and the proportion of doses missed. We used multivariate logistic regression to describe factors associated with nonadherence. Nine hundred and fifty-eight (16%) of 5,887 respondents reported nonadherence. Nonadherence was significantly (p<0.05) associated with black race and Hispanic ethnicity; age <40 years; alcohol or crack use in the prior 12 months; being prescribed >or=4 medications; living in a shelter or on the street; and feeling "blue" >or=14 of the past 30 days. We found weaker associations with having both male-male sex and injection drug use risks for HIV acquisition; being prescribed ARVT for >or=21 months; and being prescribed a protease inhibitor (PI)-based regimen not boosted with ritonavir. The median proportion of doses missed was 50%. The most common reasons for missing doses were forgetting and side effects. CONCLUSIONS/SIGNIFICANCE: Self-reported recent nonadherence was high in our study. Our data support increased emphasis on adherence in clinical settings, and additional research on how providers and patients can overcome barriers to adherence.  (+info)

The information-motivation-behavioral skills model of ART adherence in a Deep South HIV+ clinic sample. (4/2129)

High levels of adherence to antiretroviral therapy (ART) are critical to the management of HIV, yet many people living with HIV do not achieve these levels. There is a substantial body of literature regarding correlates of adherence to ART, and theory-based multivariate models of ART adherence are emerging. The current study assessed the determinants of adherence behavior postulated by the Information-Motivation-Behavioral Skills model of ART adherence in a sample of 149 HIV-positive patients in Mississippi. Structural equation modeling indicated that ART-related information correlated with personal and social motivation, and the two sub-areas of motivation were not intercorrelated. In this Deep South sample, being better informed, socially supported, and perceiving fewer negative consequences of adherence were independently related to stronger behavioral skills for taking medications, which in turn associated with self-reported adherence. The IMB model of ART adherence appeared to well characterize the complexities of adherence for this sample.  (+info)

Adherence to antiretroviral medication regimens: a test of a psychosocial model. (5/2129)

OBJECTIVE: The primary aim of this study was to test a psychosocial model of medication adherence among people taking antiretroviral medications. This model was based primarily on social cognitive theory and included personal (self-efficacy, outcome expectancy, stigma, depression, and spirituality), social (social support, difficult life circumstances), and provider (patient satisfaction and decision-making) variables. DESIGN: The data for this analysis were obtained from the parent study, which was a randomized controlled trial (Get Busy Living) designed to evaluate an intervention to foster medication adherence. Factor analysis was used to develop the constructs for the model, and structural equation modeling was used to test the model. Only baseline data were used in this cross sectional analysis. METHODS: Participants were recruited from a HIV/AIDS clinic in Atlanta, GA. Prior to group assignment, participants were asked to complete a questionnaire that included assessment of the study variables. Results A total of 236 participants were included in the analysis. The mean age of the participants was 41 years; the majority were male, and most were African-American. In the final model, self-efficacy and depression demonstrated direct associations with adherence; whereas stigma, patient satisfaction, and social support were indirectly related to adherence through their association with either self-efficacy or depression. CONCLUSION: These findings provide evidence to reinforce the belief that medication-taking behaviors are affected by a complex set of interactions among psychosocial variables and provide direction for adherence interventions.  (+info)

Medication adherence and quality of life in pediatric inflammatory bowel disease. (6/2129)

 (+info)

Perceptions, impact and management of asthma in South Africa: a patient questionnaire study. (7/2129)

 (+info)

Effects of increased patient cost sharing on socioeconomic disparities in health care. (8/2129)

 (+info)

This is the first study to assess the economic consequences of initial medication non-adherence and among the first to estimate the economic consequences of a medication non-adherence event in almost an entire population. Big data provide high representativeness, which increases the validity of the results.. Regarding limitations in the database registries, it was not possible to assess differences in hospital admissions and interventions between adherent and non-adherent patients. These costs have been shown to be higher in patients who display post-initiation medication non-adherence.6,7 Furthermore, it was not possible to evaluate the clinical impact of non-adherence and, as mentioned above, only the short-term impact of non-adherence to chronic medication could be evaluated. In the future, clinical indicators should be searched in the database for specific diseases and economic models constructed to evaluate the long-term consequences of initial medication non-adherence.. Another database ...
Show more ,Background Medication non-adherence is a major issue after transplant that can lead to misdiagnosis, rejection, poor health affecting quality of life, graft loss or death. Several estimations of adherence and related factors have previously been described but conclusions leave doubt as to the most accurate assessment method. Aim of the review To identify the factors most relevant to medication non-adherence in kidney transplant in current clinical practice. Method This systematic review is registered in the PROSPERO data base and follows the Prisma checklist. Articles in English in three databases from January 2009 to December 2014 were analysed. A synthesis was made to target adherence assessment methods, their prevalence and significance. Results Thirty-seven studies were analysed rates of non-adherence fluctuating from 1.6 to 96%. Assessment methods varied from one study to another, although self-reports were mainly used. It appears that youth (≤50 years old), male, low social ...
Purpose : To assess the feasibility of using automated text parsing to screen physician notes in the electronic health record (EHR) to identify glaucoma patients with poor medication compliance. Methods : For recruitment to a larger study assessing the impact of a glaucoma coaching program on medication adherence, we used an automated EHR pull to identify patients who received ophthalmic care at the University of Michigan, had a diagnosis of glaucoma, were ≥40 years old, and took ≥1 glaucoma medication. A manual chart review was performed to exclude those deceased, or with severe mental illness or cognitive impairment. A research associate called patients and, if interested, assessed their medication adherence with two validated instruments, the Chang Scale and the Morisky Medication Adherence Scale. In tandem, we used the Electronic Medical Record Search Engine (EMERSE), a text parsing tool that abstracts data from the text section of the EHR to search for the terms noncompliant and ...
Of the many factors that contribute to poor medication adherence among the chronically ill, the portion of drug costs borne by patients appears to be central. Pitney Bowes is one of a handful of large employers and insurers that have begun experimenting with reduced copays for essential medications. In 2007, the company reduced or eliminated cost-sharing for medications used to treat coronary artery disease and osteoporosis, with the goal of improving employees medication adherence and health outcomes. This project will examine Pitney Bowes claims data to determine the impact that reduced copayments have had on medication adherence, clinical outcomes, health care utilization, and costs. The findings will aid employers, private insurers, the Medicare program, and policymakers in crafting changes to the structure of health benefits that lead to increased use of prescription drugs known to be effective for managing chronic disease.. ...
Background: Parsimonious self-report tools predicting pharmacy refill in patients with uncontrolled blood pressure could facilitate hypertension management in the elderly. We developed and evaluated a short self-report tool to predict low adherence via pharmacy refill in older patients with uncontrolled hypertension.. Methods: Cross-sectional analyses of survey and administrative data from the Cohort Study of Medication Adherence among Older Adults (CoSMO) were conducted on 394 adults with uncontrolled blood pressure. We considered 164 self-reported candidate items for development of a prediction rule for low (,0.8) vs. high (≥0.8) medication possession ratio (MPR) from pharmacy refill data. Risk prediction models were evaluated using best subsets analyses, and the final model was chosen based on clinical relevance and model parsimony. Bootstrap simulations assessed internal validation. The performance of the final model was compared to the 8-item Morisky Medication Adherence Scale (MMAS-8) ...
Abstract Medication Adherence in Adult Patients with Bipolar Disorder: An Integrative Literature Review Objective: To examine factors contributing to nonadherence in BD and methods for directly addressing these in an effect to offer providers information that can be used to assist clients. Methods: A review of the literature from 2012 to 2017 was conducted using a computerized search using Cumulative Index to Nursing and Health Literature (CINAHL) and PsycInfo. Results: Ten studies were identified as meeting the inclusion criteria. The resulting studies evenly discussed the reasons for medication non-adherence as well as treatment strategies aimed at improving adherence. Conclusion: The major findings of this study are two-fold, with one aspect determining effective strategies aimed at improving medication non-adherence in BD patients, while the other determines the reasons behind medication non-adherence. A significant portion of the research attributed non-adherence to substance abuse. Another
TY - JOUR. T1 - Validity and reliability of a self-reported measure of medication adherence in patients with Type2 diabetes mellitus in Singapore. AU - Wang, Y.. AU - Lee, J.. AU - Toh, M. P H S. AU - Tang, W. E.. AU - Ko, Y.. PY - 2012/9. Y1 - 2012/9. N2 - Aims A reliable and valid measure is essential for the assessment of medication adherence. Until now, no patient-reported medication adherence measure has been validated in Singapore. The aim of this study was to validate a modified 4-item Morisky-Green-Levine Medication Adherence Scale in patients with Type2 diabetes in Singapore. Methods A cross-sectional survey was conducted in a sample of outpatients with Type2 diabetes in Singapore from September to December in 2009. Respondents completed either an English or Chinese version of the modified 4-item Morisky-Green-Levine Medication Adherence Scale. The scale scores ranged from 0 to 4, with higher scores indicating better medication adherence. Reliability was assessed using Cronbachs alpha. ...
OBJECTIVE: The objective of this study was to investigate the effect of a multidisciplinary program on anxiety, depression, medication adherence, and quality of life in patients with epilepsy in eastern China.. METHODS: A cohort of 184 patients with epilepsy from the epilepsy clinic of a tertiary hospital in eastern China completed this program, out of which 92 were randomized into the intervention group and 92 the control group. Patients in both groups received standard antiepileptic drugs (AEDs), while those of the intervention group received an additional 12-month multidisciplinary program developed by a group of the epileptologist, pharmacist, psychiatrist, and epilepsy specialist nurse. Patients were assessed both before and after the 12-month period. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the eight-item Morisky Medication Adherence Scale (MMAS-8) were used to assess the severity of depression, anxiety, and medication adherence, respectively, along with ...
This study is testing a theory-based HIV treatment adherence intervention delivered by cell phone to patients in urban and rural areas. Adherence to antiretroviral (ART) medications is necessary to achieve HIV suppression and non-adherence can lead to treatment resistant genetic variants of HIV. People living with HIV/AIDS often experience difficulty sustaining high-levels of treatment adherence. Most factors that interfere with adherence are unanticipated and occur between clinical visits, including depression, side effects, substance use, and lapses in pharmacy refill. We will conduct a randomized clinical trial to test a cell phone-delivered theory-based medication adherence counseling intervention. The intervention is grounded in Self-Regulation Model and utilizes unannounced pill counts to monitor adherence and guide corrective feedback within the counseling context. Using pill count adherence information for counseling allows providers to detect and correct patient non-adherence within a ...
This study is testing a theory-based HIV treatment adherence intervention delivered by cell phone to patients in urban and rural areas. Adherence to antiretroviral (ART) medications is necessary to achieve HIV suppression and non-adherence can lead to treatment resistant genetic variants of HIV. People living with HIV/AIDS often experience difficulty sustaining high-levels of treatment adherence. Most factors that interfere with adherence are unanticipated and occur between clinical visits, including depression, side effects, substance use, and lapses in pharmacy refill. We will conduct a randomized clinical trial to test a cell phone-delivered theory-based medication adherence counseling intervention. The intervention is grounded in Self-Regulation Model and utilizes unannounced pill counts to monitor adherence and guide corrective feedback within the counseling context. Using pill count adherence information for counseling allows providers to detect and correct patient non-adherence within a ...
TY - JOUR. T1 - The Effect of Partner Serostatus and Relationship Duration on HIV Medication Adherence. AU - Mitzel, Luke D.. AU - Vanderdrift, Laura. AU - Ioerger, Michael. AU - Vanable, Peter A. PY - 2018/1/1. Y1 - 2018/1/1. N2 - High adherence rates to antiretroviral medications are necessary for people living with HIV/AIDS. The current study focuses on relationship-level predictors of HIV medication adherence by testing whether adherence rates differ by dyadic serostatus (seroconcordant vs. serodiscordant couples) among individuals with HIV in romantic relationships. Results showed a significant interaction between dyadic serostatus and relationship duration on adherence, such that individuals in long-term serodiscordant relationships reported better adherence than short-term serodiscordant relationships or seroconcordant partners in long-term relationships. Future research is needed to understand what relationship dynamics explain differences in adherence rates based on dyadic ...
Objective: To assess medication adherence among patients with chronic diseases.. Methods: This was a prospective observational study carried out over period of one year in mysuru city. The subjects who meet study criteria were enrolled in this research study. The enrolled subjects were administered with simplified medication adherence questionnaire. The criteria to establish adherent and non-adherent were calculated as per simplified medication adherence questionnaire directions.. Results: The gender distribution of this research study was reflected with male accountable for 45.63 % followed by female 54.36%. Asper simplified medication adherence questionnaire88% were adherent and remaining 12% were non-adherent in this research study.. Conclusion: Patients with good adherence in this research study showed that they have good literacy status as well as better awareness about the existing medical condition and more consciousness may be there among these patients, what will be going to happen if ...
Hypertension is a challenging public health problem with a huge burden in the developing countries. Non-adherence to antihypertensive treatment is a big obstacle in blood pressure (BP) control and favours disease progression to complications. Our objectives were to determine the rate of non-adherence to antihypertensive pharmacotherapy, investigate factors associated with non-adherence, and to assess the association between non-adherence and BP control in the Buea Health District (BHD), Cameroon. A community-based cross-sectional study using stratified cluster sampling was conducted in the BHD from November 2013 - March 2014. Eligible consenting adult participants had their BP measured and classified using the Joint National Committee VII criteria. The Morisky medication adherence scale was used to assess adherence to BP lowering medication. Multivariable logistic regression models were used to predict non-adherence. One hundred and eighty-three participants were recruited with mean age of 55.9 years.
Background: Non-adherence to medications is a major concern among patients with type 2 diabetes mellitus (T2DM). Failure to achieve positive health-related outcomes could be associated with non-adherence. Medication non-adherence is considered a socio-behavioral problem, thus using a behavioral model such as the transtheoretical model (TTM) could improve it. Objective: The primary objectives of this study were: (1) to determine the TTMs Stages of Change (SOC) and medication adherence scores of patients with T2DM in a primary health care setting in Qatar; (2) to determine the relationship between these two variables; and (3) to determine whether SOC could predict medication adherence whilst controlling for confounding factors. The secondary objectives were to assess the relationship: (1) between SOC and glycated hemoglobin (HbA1c); and (2) between medication adherence and HbA1c in the same population. Method: The study was conducted in the non-communicable disease clinic. Non-Qatari patients ...
Although the medication adherence of patients with glaucoma differs between reports, depending on the study patients and the methods of measurement, it is known to be low because glaucoma typically has no clear symptoms until it develops enough to reach its last stages.1 Therefore, an increase in medication adherence is regarded as an important factor for the better management of glaucoma. In this multicentre study, we aimed to investigate which factors influence medication adherence among patients with glaucoma in South Korea.. According to our results, the medication adherence rate of the patients with glaucoma in South Korea was 90.6±17.8%, and patients with ,80% medication adherence (non-adherent patients) made up about 30% of the study population. Hence, medication adherence of patients with glaucoma in South Korea appears to be relatively good when compared with that in foreign countries as reported to be 15%-58%.5 And, it could be partially explained by the relatively good insurance ...
Factors affecting adherence/compliance among patients diagnosed with unipolar depression in a General Hospital in Kolkata. Dr Sohini Banerjee, Dr Sayanti Ghosh, Dr Raviprasad Verma. Background. Non-adherence with psychotropic medication is a common phenomenon globally. However, adherence to anti-depressant medication in subjects diagnosed as unipolar depression requires methodical study. Limited evidence in this regard is available from India. This study aimed to assess the correlation of non-adherence to prescribed treatment among patients suffering from unipolar depression.. Method. A cross-sectional study was conducted in the Psychiatric Out Patient department (OPD) of R G Kar Medical College and Hospital in Kolkata. The Morisky Medication Adherence Scale (MMAS) was used and a questionnaire was designed by the principal investigator and was administered to the patients to explore correlation of non-adherence.. Results. A total of 239 { 63 men (26.4%), 176 women (73.6%) } patients with ...
TY - JOUR. T1 - Antihypertensive medication adherence in cancer survivors and its affecting factors. T2 - Results of a Korean population-based study. AU - Shin, Dong Wook. AU - Park, Jong Hyock. AU - Park, Jae Hyun. AU - Park, Eun Cheol. AU - Kim, So Young. AU - Kim, Sung Gyeong. AU - Choi, Jin Young. PY - 2010/2. Y1 - 2010/2. N2 - Purpose: Cancer survivors have been reported to receive less care for other conditions than the general population; however, it is not clear whether patients behavior also contribute to this. The present study was performed to examine cancer survivors adherence to antihypertensive medication and factors associated with it, compared to the general population. Methods: We used pharmacy claims and enrollment data from the National Health Insurance, which covers 97% of the Korean population. In total, 2,455,193 subjects, including 12,636 (0.5%) cancer survivors, who were prescribed antihypertensive medications during the calendar year 2004 were identified. A cumulative ...
Antipsychotic medications are a cornerstone of treatment and recovery for people with schizophrenia. However, many people have difficulty adhering to prescribed treatments and the average rate of non-adherence for schizophrenia is 50%. Failure to take medication is the most important risk factor leading to relapse and can result in a fivefold increase in the rate of relapse. An Australian study of 81 service users looked into the factors behind medication omission, including the participants levels of insight into their condition and their experience and feelings of stigma as a consequence of their mental illness. Most participants had insight into their illness and were aware of the stigma attached to it. Around 70% of them had experienced annoying side effects while nearly half admitted alcohol consumption. About a fifth admitted they had missed taking medication in the previous week. A younger age, the perception of negative side effects and lack of access to a psychiatrist all made it less ...
Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication nonadherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication nonadherence, (3) the association between nonadherence and outcomes, (4) the reasons for nonadherence, and finally, (5) interventions to improve medication adherence.. ...
Material and Methods. : SS was measured using a social support inventory previously validated in Chile. Self-Rated Health was assessed with a single non-comparative general question; adherence to medication was assessed using the four-item Morisky medication adherence scale. Blood glucose and blood pressure control were also assessed. A logistic regression was performed to estimate Prevalence Odds Ratio (POR) and Robust Poisson method to estimate the Prevalence Ratio (PR). ...
Objective: Nonadherence to prescribed antipsychotic medications places patients with schizophrenia at a greatly increased risk of illness exacerbation and rehospitalization. Identification of risk factors for nonadherence is an initial step toward designing effective interventions. This article reviews recent literature on the prevalence of and risk factors for medication nonadherence in patients with schizophrenia. Data Sources: We searched the MEDLINE/HealthSTAR and PsycINFO databases using combinations of the keywords risk factor(s), adherence, compliance, antipsychotic, neuroleptic, schizophrenia, and psychosis for articles published since 1980 that identified risk factors for medication nonadherence in schizophrenia patients. We included reports that (1) were published in English and (2) specifically examined risk factors for medication nonadherence. Thirty-nine articles met our selection criteria. Data Synthesis: Among the 10 reports that met a strict set of study inclusion criteria, we ...
The New York Times has described American's nonadherence to prescribed medications as an "out-of-control epidemic that costs more and affects more…
BACKGROUND/OBJECTIVE: The AIDS Clinical Trials Group (ACTG) Adherence Questionnaire is used extensively, but investigators frequently only use the first item of the questionnaire (4-day recall).. DESIGN/METHODS: A secondary analysis was conducted to (1) estimate the validity and reliability of each of the 5 scale items and (2) compare the approach commonly used to summarize adherence data collected with the instrument (average 4-day recall) with alternate approaches derived using principal component (PC) analysis and the full questionnaire. We hypothesized that an estimate of adherence taking all items of the questionnaire into account would provide a stronger measure of adherence.. RESULTS: Logistic regression analyses showed that the first PC identified (PC1) was significantly correlated with plasma HIV RNA outcome (P , 0.0001 for ACTG 370 data and P = 0.006 for ACTG 398 data) and correlated with plasma HIV RNA better than average 4-day recall. An adherence index formulated using weights of ...
Prescription refill online. Request a medication refill online for Walgreens, Walmart, CVS, Rite Aid and Costco prescription refills.
Despite increased awareness, poor adherence to treatments for chronic diseases remains a global problem. Adherence issues are common in patients taking antihypertensive therapy and associated with increased risks of coronary and cerebrovascular events. Whilst there has been a gradual trend towards improved control of hypertension, the number of patients with blood pressure values above goal has remained constant. This has both personal and economic consequences. Medication adherence is a multifaceted issue and consists of three components: initiation, implementation and persistence. A combination of methods is recommended to measure adherence, with electronic monitoring and drug measurement being the most accurate. Pill burden, resulting from free combinations of blood pressure lowering treatments, makes the daily routine of medication taking complex, which can be a barrier to optimal adherence. Single-pill fixed-dose combinations simplify the habit of medication taking and improve medication adherence.
Background: Myocardial infarction (MI) is one of the leading causes of death. Along with lifestyle factors, poor medication adherence is one of the causes. This study was planned to find out the level of adherence in post-MI patients and its related factors. Objectives: Monitoring medication adherence in patients of MI attending cardiac outpatient department and to reveal causes of nonadherence to drug therapy in them. Methods: One hundred and one newly diagnosed MI patients were included in the study. Data collected were patient characteristics, habits, comorbidities, and drugs prescribed. Morisky 8 item scale was used to find out the medication adherence at the end of 1 st and 6 th month of cardiac event. Data were analyzed using McNemar test, Chi-square test, and logistic regression analysis. Results: Most common preventive cardiovascular drugs given were aspirin, clopidogrel, and statins, 98%, 88.1%, and 90%, respectively. Medication adherence at 6 th month post-MI was significantly ...
Osteoporosis is a chronic condition that is characterized by the disruption in the balance of bone metabolism. Loss of bone mass leaves bones more fragile and susceptible to fractures. There are effective medicines available to treat osteoporosis and strengthen bones. It has been established in clinical trials that treatment with these medicines has to last for at least three years for them to be effective. Unfortunately all patients do not take their medicines as instructed by their doctor. The rate to which patients follow instructions is referred to as medication adherence. Medication non-adherence is the number one reason why patients do not achieve the health benefits from medicines hoped for. With osteoporosis medicines it is regarded as sufficient when a patient takes at least 80% of the prescribed doses for the concentration of medicine in blood to be high enough and for the drug to be effective. The current thesis studied the utilization of drugs, adherence to osteoporosis medicines and ...
New in the 2011 Edition: This all-new follow-up to the best-selling 2010 edition contains comparative 2010-over-2011 data on key activities, as well as new data on the emerging role and responsibilities of the community pharmacist in medication adherence efforts. Medication adherence efforts figure prominently into many key initiatives rolled out from healthcare reform from care transition management, where insufficient education and errors can lead to non-adherence, to accountable care organizations and patient-centered medical homes, where provider reimbursement and rewards are closely tied to patient compliance, satisfaction, clinical outcomes and appropriate use of healthcare services. This 50-page resource provides all-new metrics and measures on current and planned medication adherence programs as well as program elements, lessons learned, challenges and benefits and early returns from successful medication adherence initiatives. This exclusive report analyzes the responses of 162 ...
New in the 2011 Edition: This all-new follow-up to the best-selling 2010 edition contains comparative 2010-over-2011 data on key activities, as well as new data on the emerging role and responsibilities of the community pharmacist in medication adherence efforts. Medication adherence efforts figure prominently into many key initiatives rolled out from healthcare reform from care transition management, where insufficient education and errors can lead to non-adherence, to accountable care organizations and patient-centered medical homes, where provider reimbursement and rewards are closely tied to patient compliance, satisfaction, clinical outcomes and appropriate use of healthcare services. This 50-page resource provides all-new metrics and measures on current and planned medication adherence programs as well as program elements, lessons learned, challenges and benefits and early returns from successful medication adherence initiatives. This exclusive report analyzes the responses of 162 ...
Having less long-term medication adherence is a challenge in the treating bipolar disorder, particularly through the maintenance phase when symptoms are less prominent. had been enrolled in the analysis. Out of this total, 266 had been effectively stabilized on LAI 345630-40-2 supplier aripiprazole and inserted the randomization stage. Treatment-emergent adverse occasions had been, generally, minor to moderate. Akathisia was the most frequent undesirable event, which, coupled with restlessness, was experienced by 23% from the sample. By the end from the 52-week research period, nearly doubly many LAI-treated individuals remained stable in comparison to those treated with placebo. Balance through the maintenance stage is arguably the main objective of treatment. It really is during this time period of comparative independence from symptoms that sufferers have the ability to build a significant and satisfying lifestyle. The option of a fresh treatment agent, especially one that gets the potential ...
People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health, according to a new RAND Corporation study.
Persistence rates were similar through the first 60 days of therapy. The mandatory mail cohort had a notable drop in persistence by day 90 (63.3% vs. 56.3%, p < 0.001), with a more pronounced drop among those without previous mail-service pharmacy use (50.5%). Median medication possession ratio (49.2% vs. 57.4%) and optimal adherence (33.6% vs. 36.1) were also lower. In the multivariable models, mandatory mail participants were less likely to achieve optimal adherence overall (odds ratio [OR], 0.70; 95% confidence interval [CI], 0.67-0.74) and in the metformin (OR, 0.55), sulfonylurea (OR, 0.72), ACE inhibitor (OR, 0.74), ARB (OR, 0.69), and statin (OR, 0.69) classes. Participants with no prior use of mail-service pharmacy had significantly lower odds of achieving optimal adherence in all therapeutic classes.. ...
TY - JOUR. T1 - A programme of symptom management for improving quality of life and drug adherence in AIDS/HIV patients. AU - Chiou, Piao Yi. AU - Kuo, Benjamin Ing Tiau. AU - Lee, Ming Been. AU - Chen, Yi Ming. AU - Chuang, Peing. AU - Lin, Li Chan. PY - 2006/7/1. Y1 - 2006/7/1. N2 - Aim. This paper reports an evaluation of the effect of symptom management programmed on drug adherence, CD4 count and virus load and the quality of life of patients with HIV/AIDS. Background. Patients with HIV/AIDS have to face the long-term side effects caused by highly active antiretroviral therapy regimens. There has been little research to evaluate the influence of drug intervention side effects on self-care. Methods. Sixty-seven patients with HIV/AIDS were randomly assigned to one-on-one teaching, group teaching, or control groups. All those in the one-on-one and group teaching groups attended a symptom management programme once a week, followed by 3 weeks of continuity and telephone counselling. Those in the ...
INTRODUCTION:Adherence-enhancing interventions have been assessed in the literature, however heterogeneity and conflicting findings have prohibited a consensus on the most effective approach to maintain adherence over time. With the ageing population and growth of chronic conditions, evaluation of sustainable strategies to improve and maintain medication adherence long term is paramount. We aimed to determine the comparative effectiveness of interventions for improving medication adherence over time among adults with any clinical condition. MATERIALS AND METHODS:Meta-analyses evaluating interventions to improve medication adherence were searched in PubMed in January 2019 and reviewed for primary studies. Experimental studies with a comparison group assessing an intervention to enhance medication adherence in adult patients with reported adherence outcomes were included. Two authors extracted data for study characteristics, interventions and adherence outcomes. Interventions were categorized into ...
Despite the availability of many new treatment options for type 2 diabetes, the proportion of patients achieving the HbA1c target , 7.0% remains around 50%. We put forward the hypothesis that the unchanged HbA1c results, observed in the last decade in type 2 diabetes patients, are also a consequence of medication nonadherence and clinical inertia. Poor medication-taking behavior is usually defined as medication nonadherence and is responsible for uncontrolled hemoglobin A1c level in 23% of cases. Medication nonadherence may also affect clinical outcomes, as diabetic patients with good adherence (≥80%) had a significant 10% lower rate of hospitalization events and a significant 28% lower rate of all-cause mortality when compared with patients with poor adherence (,80 ...
Methods We used data on late middle age individuals (51-64 years) from the longitudinal US-based Health and Retirement Study (N=19 281) to examine the relationship between negative wealth shock and short-term outcomes that serve as markers of the pathways from wealth shock to health: elevated depressive symptoms, as a marker of the stress pathway and cost-related medication non-adherence (CRN), as a marker of the consumption pathway. Negative wealth shock was considered to be a loss of total net worth of 75% or more. ...
Women from Islamic and African cultures who have vaginal yeast infections may prefer oral drugs to vaginally inserted medications. Latin Americans expect
There are large differences in non-recurring health care spending (which includes overnight hospital stays, outpatient surgery, home health care, nursing home stays, and other services) between older singles and older couples, and these differences increase with age. For those 85 and above, singles and couples on average spent $13,355 and $8,530, respectively, on these services during the two-year period of the study ...
TY - JOUR. T1 - Relationship between medication adherence and health beliefs among patients with hypertension in Oman. T2 - Pilot study. AU - Al-Noumani, Huda. AU - Wu, Jia Rong. AU - Barksdale, Debra. AU - Alkhasawneh, Esra. AU - Knafl, George. AU - Sherwood, Gwen. PY - 2017/8/1. Y1 - 2017/8/1. N2 - Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence ...
The article emphasized the use of technological solutions to enhance medication adherence, and said that [medication nonadherence] undermines even the best cost-saving and clinical intentions of evidence-based care. These ideas are consistent with NACDS focus on expanding e-prescribing, fostering electronic health records and increasing access to and use of pharmacist-provided medication therapy management services, the pharmacy group said.. In response to the article, NACDS president and CEO Steve Anderson said, The National Association of Chain Drug Stores has pledged to own the issue of medication adherence. We made this pledge because we know that pharmacists have the education and skills to work with patients to increase medication adherence rates, improve patient health and reduce overall healthcare costs.. As previously reported by Drug Store News, an article published in the New England Journal of Medicine last month noted that more than $100 billion is spent each year on avoidable ...
Medication non-adherence has a significant impact on patients morbidity and mortality. Behavioral interventions have been developed to improve medication adherence. Adherence research requires an understanding about the best methodology to conduct studies especially when assessing interventions. Adherence studies include various designs such as: randomized controlled clinical trials, observational, and quasi-experimental studies. The Medication Adherence and Persistence Special Interest Group will develop good research practice recommendations for the conduct of medication adherence and treatment persistence research studies and will provide insight, through systematic reviews of the medication adherence literature, on interventions that improve medication adherence.. ...
Aim This study assessed the impact of illness perceptions, emotional responses to the disease and its management, and patient characteristics on the adherence to optimal insulin pump management in adolescents with type 1 diabetes mellitus. Methods From May to December 2013 and May 2015 to September 2016, we investigated 90 adolescents (50% boys), 12-18 years with type 1 diabetes. We analysed the association of optimal adherence to insulin pump therapy to age, gender, diabetes duration, results of questionnaires relating to fear and problems of self-testing, illness perceptions, emotional distress and family conflicts. Optimal adherence was defined as bolusing insulin on average ,= 2.5/3 main meals/d. Results Adolescents with suboptimal adherence were on average 1.8 years older (95% Confidence Interval 1.09-2.50 years, P ,.001) than those with optimal adherence. After adjustment for age, no other patient or parent factors were related to optimal adherence. Conclusion Adherence to insulin pump ...
South Africa has the highest HIV prevalence and supports the largest antiretroviral therapy (ART) programme globally. With the introduction of a test and treat policy, ensuring long term optimal adherence to ART (≥95%) is essential for successful patient and public health outcomes. The aim of this study was to assess long-term ART adherence to inform best practices for chronic HIV care. Long-term ART adherence was retrospectively analysed over a median duration of 5 years (interquartile range [IQR]: 5.3-6.5) in patients initially enrolled in a randomised controlled trial assessing tuberculosis and HIV treatment integration and subsequently followed post-trial in an observational cohort study in Durban, South Africa. The association between baseline patient characteristics and adherence over time was estimated using generalized estimating equations (GEE). Adherence was assessed using pharmacy pill counts conducted at each study visit and compared to 6 monthly viral load measurements. A Kaplan Meier
Conclusions Based on these results, action planning appears useful in increasing exercise adherence, especially when intentions are low and when coping planning is not present, since these acted as parameters for effectiveness. High intentions and confidence in plans seem beneficial for optimizing adherence and action planning appears to compensate a lack of intentions. Current study only measured adherence once and confidence in plans could not be measured in the control group, hence nothing could be concluded about behaviour maintenance or moderating effects of confidence in plans on action planning effectiveness. Future studies should focus on longer term effects and ways to increase intentions and confidence in plans. Similar studies into other behavioural change techniques are needed to expand our knowledge in their parameters for effectiveness.. Present study covers a relatively new area within rheumatology, namely improving exercise adherence behaviour, which might increase ...
Secondary analysis of electronically monitored medication adherence data for a cohort of hypertensive African-Americans George J Knafl1, Antoinette Schoenthaler2, Gbenga Ogedegbe21School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 2Center for Healthful Behavior Change, New York University School of Medicine, New York, NY, USABackground: Electronic monitoring devices (EMDs) are regarded as the “gold standard” for assessing medication adherence in research. Although EMD data provide rich longitudinal information, they are typically not used to their maximum potential. Instead, EMD data are usually combined into summary measures, which lack sufficient detail for describing complex medication-taking patterns. This paper uses recently developed methods for analyzing EMD data that capitalize more fully on their richness.Methods: Recently developed adaptive statistical modeling methods were used to analyze EMD data collected with medication event monitoring system
In-center dialysis patients have multiple physicians involved in their care related to complications of end stage renal disease and the start of dialysis. This study reviewed the number of physicians involved in the participants (n=41) care and determined if it was associated with medication compliance and additionally assessed the in-center dialysis facility staffs ability to keep up-to-date home medication orders. Participant interviews, home medication reviews, and reconciliations were completed. The average number of medications ordered per participant was 11.58, and 37% of all medications ordered needed corrections made to the home medication orders. The average number of physicians per participant was 3.66, and 66% of participants reported noncompliance with some part of their medication regime. Results showed no correlation between the number of physicians involved in participants care and medication compliance. Participants with a higher number of medications had lower compliance.
Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence Raymond L Ownby,1 Drenna Waldrop-Valverde,2 Joshua Caballero,3 Robin J Jacobs11Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale, FL, 2Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 3Department of Pharmacy Practice, Nova Southeastern University, Fort Lauderdale, FL, USAAbstract: Medication adherence in persons treated for human immunodeficiency virus (HIV) continues to be an important focus for intervention. While high levels of adherence are required for good clinical outcomes, research shows many patients do not achieve these levels. Despite multiple interventions to improve adherence, most require multiple sessions delivered by trained clinicians. Cost and lack of trained personnel limit the availability of these interventions. Alternatives to clinician-delivered interventions are interventions provided via
INTRODUCTION: diabetes is a costly and increasingly common chronic disease.Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations.There are many factors that could affect patient adherence to drug therapy.The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs. METHODS: the present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA). RESULTS: a total of 372 (55.59 % males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence.
In medication adherence-promotion trials, participants in the intervention arm are often cognizant of the researchers aim to improve adherence; this may lead to their inflating reports of their own adherence compared to control arm participants. Using data from 1,247 HIV-positive participants across eight U.S. Studies in the Multi-site Adherence Collaboration on HIV (MACH14) collaboration, we evaluated the validity of self-reported adherence by examining whether its association with two more objective outcomes [1], electronically monitored adherence and [2] viral load, varied by study arm. After adjusting for potential confounders, there was no evidence of greater overestimation of self-reported adherence among intervention arm participants, supporting its potential as a trial outcome indicator ...
WOONSOCKET, R.I., (June 27, 2013) - The U.S. health care system could avoid hundreds of millions of dollars in medical costs if medication adherence rates improved, according to the CVS Caremark (NYSE: CVS) 2013 State of the States: Adherence Report released today. Drawing on data from the 2012 CVS Caremark pharmacy benefit management (PBM) book of business, the State of the States report projects potential cost-savings within each state by examining medication adherence rates and the use of generic drugs across four common health conditions: diabetes, hypertension (high blood pressure), dyslipidemia (high cholesterol) and depression. The potential cost-savings among the states range from $19 million to $2.1 billion based on state member characteristics ...
Mobile medical applications (mHealth), music and video games are being developed and tested for their ability to improve pharmacotherapy outcomes and medication adherence. Pleiotropic mechanism of music and gamification engage an intrinsic motivation and the brain reward system, supporting therapies in patients with neurological disorders, including neuropathic pain, depression, anxiety, or neurodegenerative disorders. Based on accumulating results from clinical trials, an innovative combination treatment of epilepsy seizures, comorbidities and the medication non-adherence can be designed, consisting of antiepileptic drugs and disease self-management software delivering clinically beneficial music. Since creative elements and art expressed in games, music and software are copyrighted, therefore clinical and regulatory challenges in developing copyrighted, drug-device therapies may be offset by a value proposition of the exclusivity due to the patent-independent protection which can last for over 70
The Role of Medication Compliance in Improving Outcomes of Pharmaceutical Care ... Managing medication compliance = improved outcomes ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 24ef1-Y2VlO
The present article considered cardiovascular patients adherence to physicians medication recommendations. Nonadherence was defined as following the suggested medicine regiment 75 percent or less of the time. Study participants were 1,015 outpatients with coronary heart disease (CHD) who took part in the Heart and Soul Study. Participants were asked about adherence and had their medical records evaluated for cardiovascular events such as CHD death, myocardial infarction (MI) and stroke over a period of 3.9 years. Additionally, the risks related to nonadherence by patients with CHD were compared to risks related to diabetes, hypertension and smoking.. Key Findings:. ...
Lita. On May 1 my husband and I Stomach Acid Daily Medication told him he only had 4 months later, I have experience just to wear at night, which did not expect XanGo? Juice pasteurized or heat processed? Yes. Because of my lower lip that the damage had been going on with my family. This year I have only PPS pain that there may be an onset of a month on Xango, my reach. Now I was diagnosis, Marshall had blood work done, and on December 09, 2005 Low Red Blood Cells, Nupagen Shots, Immune System after having bronchitis during pregnancy. Anytime she had a cold or any other ingredient results in either pasteurized or heat process, each bottle batch of juice today and my breathing is better, and my blood pressure was waiting for my neck pain. I can hardly comprehend how drastically affected by xerostomia increase with age and more than heartburn treatment center episcopal diocese of west texas home page half of the pericarp is rich in xanthones, it tastes very bitter. This flu like heartburn ...
Employers are then in a position to create clear goals and develop strategies to achieve them. A vendor summit is a vital step to make sure that all vendors are aligned with the strategy. Medication adherence can also be integrated into wellness programs with tactics such as health education; access to hotlines or coaching; disease management services; and links to community resources.. Berger shared case studies that showed a number of different approaches that have improved medication adherence, including disease management, a pharmacist-run risk reduction program; VBID; a combined VIBD and disease management program; mobile health technology, and a multi-pronged approach that combined nurse follow-up with reduced deductibles and co-pays for patients with chronic conditions.. Berger recommended using numerous strategies to reach employees. At the same time, the employer should continue to engage employees in improving their health in other ways.. The good news is that employers can get help ...
Methods A total of 87 postmenopausal women between 45 and 70 years old with osteoporosis, currently taking BSP (30 with alendronate 70 mg/week, 28 with risedronate 35 mg/week and 29 with ibandronate 150 mg/month). All patients were interviewed and examined for the gathering of information on perceptions of their osteoporosis medications, their reasons for adherence and non-adherence to therapy, and the effectiveness of strategies they had tried to improve adherence at baseline, month 6 and month 12.. Duration of therapy was measured by the count of days of therapy without of interruption of drug purchases greater than 2 weeks. Treatment compliance was evaluated with the Morisky Medication-taking Adherence Scale.. ...
TY - JOUR. T1 - Vaccine Development against the Renin-Angiotensin System for the Treatment of Hypertension. AU - Azegami, Tatsuhiko. AU - Itoh, Hiroshi. PY - 2019. Y1 - 2019. N2 - Hypertension is a global public health issue and the most important preventable cause of cardiovascular diseases. Despite the clinical availability of many antihypertensive drugs, many hypertensive patients have poor medication adherence and blood pressure control due, at least partially, to the asymptomatic and chronic characteristics of hypertension. Immunotherapeutic approaches have the potential to improve medication adherence in hypertension because they induce prolonged therapeutic effects and need a low frequency of administration. The first attempts to reduce blood pressure by using vaccines targeting the renin-angiotensin system were made more than half a century ago; however, at the time, a poor understanding of immunology and the mechanisms of hypertension and a lack of optimal vaccine technologies such as ...
Background. Low adherence rates to antihypertensive pharmacotherapy have been documented everywhere, especially among people of lower socioeconomic status such as Medicaid beneficiaries. Existing studies tend to focus on hypertensive patients who received mono-therapy or measure adherence at a fixed point in time, which may generate external validity issues or not be suitable for patients whose survival periods vary considerably. Purpose. To examine the relationship between patient adherence to antihypertensive medication and subsequent risk of cardiovascular events by using a new approach to measure adherence. Methods. A secondary data analysis of a mid-Atlantic Medicaid Managed Care Organization (MCO) data was conducted. We used Ordinary Least Squares (OLS) models and logistic regression models to examine predictors of patients adherence at one year post index date. We also used Coxs Proportional Hazard models and pooled logistic regressions to investigate the relationship between adherence ...
The pharmaceutical industry is divided on how to address the larger problem of patient adherence. Some companies believe that patient adherence will be at the core of their business model in the future and are transforming current practices to reflect this belief. Others believe that patient adherence is too difficult for the industry to solve on its own. Companies such as Merck and GlaxoSmithKline are betting on the adherence model: recently, both Merck and GSK reviewed their specific adherence issues, uncovered root causes, and are now establishing enhanced capabilities to improve overall patient adherence. In 2011, Merck set up a center of excellence to focus exclusively on adherence.1 In the same year, GSK created a Patient Engagement Group to define standard patient adherence approaches across chronic diseases within its portfolio2.. Despite efforts by a few players, the industry as a whole lags in addressing the adherence issue. A recent patient-adherence report, Vision & Reality3, found ...
A new study that reviews more than four decades of medical journal articles about the impact of HIT and electronic communications on medication adherence concludes that while there is evidence to suggest that simple electronic reminders are an effective and low-cost means to improve adherence, there are few studies that show how HIT can be leveraged to more thoughtfully engage or motivate patients to take medications as prescribed.. The study was published this week in the American Journal of Managed Care and is the result of a research partnership between Harvard University, Brigham and Womens Hospital and CVS Caremark - a three-year collaboration focused on developing a better understanding of patient behavior, particularly around medication adherence.. According to the researchers, the study findings highlight the disappointing state of evidence on a topic of substantial health importance. The researchers concluded that as the United States invests substantially in the broad ...
Antiretroviral therapy (ART) has been shown to reduce HIV-related morbidity and mortality amongst those living with HIV and reduce transmission of the virus to those who are yet to be infected. However, these outcomes depend on maximum ART adherence, and HIV programs around the world make efforts to ensure optimal adherence. Predictors of ART non-adherence vary considerably across populations and settings with respect to demographic, psychological, behavioral and economic factors. The objective of this study is to investigate risk factors that predict non-adherence to antiretroviral treatment among HIV-infected individuals in northern Tanzania.
Written prescriptions of physical activity have increased in popularity. Such schemes have mostly been evaluated in terms of efficacy in clinical trials. This study reports on a physical activity prescription referral scheme implemented in routine primary health care (PHC) in Sweden. The aim of this study was to evaluate patients self-reported adherence to physical activity prescriptions at 3 and 12 months and to analyse different characteristics associated with adherence to these prescriptions. Prospective prescription data were obtained for the general population in 37 of 42 PHC centres in Östergötland County, during 2004. The study population consisted of 3300. The average adherence rate to the prescribed activity was 56% at 3 months and 50% at 12 months. In the multiple logistic regression models, higher adherence was associated with higher activity level at baseline and with prescriptions including home-based activities. Prescription from ordinary PHC staff yielded adherence in half of the
TY - JOUR. T1 - Association of refill adherence and health care use among adults with hypertension in an urban health care system. AU - Stroupe, Kevin T.. AU - Teal, Evgenia Y.. AU - Tu, Wanzhu. AU - Weiner, Michael. AU - Murray, Michael D.. PY - 2006/6/1. Y1 - 2006/6/1. N2 - Study Objectives. To determine the rates of undersupply, appropriate supply, and oversupply of antihypertensive drugs, as measured by refill adherence, among patients with complicated and uncomplicated hypertension (i.e., patients who have and have not, respectively, experienced hypertension-related target organ damage), and to examine the association of refill adherence with hospitalization and health care costs among these patients. Design. Retrospective analysis of electronic medical records. Setting. An urban, public health care system. Patients. A total of 15,206 patients aged 18 years or older whose electronic medical records indicated a clinical diagnosis of hypertension based on the International Classification of ...
This clinical trial demonstrated the safety and efficacy of daily TDF/FTC, in conjunction with behavioral interventions, in reducing sexual HIV acquisition in a multinational population of MSM exposed to HIV through high-risk sex (4). A recent safety study of PrEP with TDF among 400 MSM in the United States also revealed few safety concerns (5). As a component of a comprehensive HIV prevention intervention, PrEP showed a significant added benefit, although effectiveness was highly dependent on medication adherence. The findings in this report are subject to at least five limitations. First, the trial was not large enough to evaluate efficacy in each of the sites, and the majority of the participants were in South America; only 10% were in the United States, making it impossible to determine effects on incidence in the United States trial sites specifically. Second, the assessment of adherence by drug-level testing was not performed for all trial participants and was performed for seroconverters ...
TY - JOUR. T1 - Development and validation of an immunosuppressant therapy adherence barrier instrument. AU - Chisholm, Marie A.. AU - Lance, Charles E.. AU - Williamson, Gail M.. AU - Mulloy, Laura L.. PY - 2005/1. Y1 - 2005/1. N2 - Background. To decrease allograft rejection as a result of non-adherence to immunosuppressant therapy (IST), a valid and reliable instrument that measures solid organ transplant patients adherence barriers is needed. Methods. An immunosuppressant therapy barrier scale (ITBS) was developed to assess transplant patients perceived barriers to IST adherence and was completed by 222 transplant patients who lived in Georgia, USA. A renal transplant population subset was used to test the ITBS reliability and validity. Scale reliability was estimated using Cronbachs alpha coefficient of internal consistency; scale dimensionality was assessed using principal components analysis. The criterion-related validity of the scale was assessed by relating subscale scores to ...
Oral antihyperglycemic therapies are effective methods to control glucose levels among patients with type 2 diabetes, thus lowering their risk of developing microvascular and macrovascular complications. However, the relationship between oral medication nonadherence and hospitalization is not well established for patients with diabetes. Using administrative claims data in an MCO, this study found that among adult enrollees taking oral antihyperglycemic medications, almost 30% had poor adherence in 2000 and 2001. A significant relationship was found between antihyperglycemic medication nonadherence and subsequent hospitalization, after controlling for age, sex, adherence to antihypertensive and lipid-modifying drugs, the intensity of the diabetes drug regimen, the Charlson comorbidity index, and previous hospitalization. Enrollees who were nonadherent in 2000 were 2.5 times as likely to be hospitalized in 2001 as those who were adherent in 2000.. The relationship between medication adherence and ...
Osterberg L, Blaschke T (2005). "Adherence to medication". The New England Journal of Medicine. 353 (5): 487-497. doi:10.1056/ ... People with mild to moderate pain can be treated with over-the-counter pain medications. Topical lotions containing calamine ... If shingles develops, antiviral medications such as aciclovir can reduce the severity and duration of disease if started within ... Occasionally, severe pain may require an opioid medication, such as morphine. Once the lesions have crusted over, capsaicin ...
Interventions for enhancing medication adherence. Cochrane Database of Systematic Reviews 2014, Issue 2 . Art. No.: CD000011. ... "Improvement of medication compliance in uncontrolled hypertension". Lancet. 1 (7972): 1265-8. doi:10.1016/s0140-6736(76)91737-2 ... Interventions for helping patients to follow prescriptions for medications. (Cochrane Review) In: The Cochrane Library, Issue 3 ... Systematic review of randomised trials of interventions to assist patients to follow prescriptions for medications. Lancet 1996 ...
"Collaboration may improve medication adherence". Retrieved 2013-11-20. "Not taking your medication, or taking waaay too much? ... They then will spread price the medication and charge the plan sponsor a much higher price for the medication than they will ... "Does Medication Waste Cost The U.S. $418 Billion?". Forbes. Retrieved 2013-11-20. Raksha Shetty (2004-08-04). "Drug Benefit ... Express Scripts is known to reimburse pharmacies below cost for medications and push patients to only use their mail order ...
"Assessing Medication Adherence in the Elderly. Which Tools to Use in Clinical Practice?". Drugs & Aging. 22 (3): 231-255. doi: ... Unknown medication history due to confusion amongst generic names, brand names and chemical names may place the security of ... Thousands of prescription medications were retreated as devoid of clinical evidence on effectiveness; and drug labels were ... Drug policy of the United States Drug policy of the United Kingdom Medication package insert Auxiliary label F. Janssen, ...
November 2018). "Factors Affecting Adherence to Antihypertensive Medication". Korean Journal of Family Medicine. 39 (6): 325- ... It is available as a generic medication. In 2020, it was the 53rd most commonly prescribed medication in the United States, ... Atenolol is a beta blocker medication primarily used to treat high blood pressure and heart-associated chest pain. Atenolol, ... It can also be used with other blood pressure medications. Common side effects include feeling tired, heart failure, dizziness ...
Albrecht S (18 May 2011). "The Pharmacist's Role in Medication Adherence". US Pharmacist. 36 (5): 45-48. "Disposal of Unused ... Examples of medications include methadone, naltrexone and clonidine. Currently, no FDA-approved medications are available for ... Sedative-hypnotic medications are commonly prescribed for anti-anxiety or sleeping aid purposes. A major class of sedative- ... Due to the CNS effect caused by misuse of medications, people are more likely to have poor judgement and thus engaging in risky ...
Gonzalez, J.S.; Safren, S.A.; Cagliero, E. (2007). "Depression, self-care, and medication adherence in type 2 diabetes". ... Jimmy, B; Jose, J (2011). "Patient medication adherence: Measures in daily practice". Oman Medical Journal. 26 (3): 155-159. ... and poor medication adherence. An individual with impaired cognitive or functional abilities (e.g., memory impairment) also has ... but the medication adherence and symptom monitoring behaviors associated with an acute illness are typically short lived. ...
Zhang, JX; Bhaumik, D; Meltzer, D (2022). "Decreasing rates of cost-related medication non-adherence by age advancement among ... "Gender and Cost-related Medication Non-adherence". Cancer Therapy Advisor. 27 December 2016. Zhang JX, Crowe JM, Meltzer DO ( ... Zhang JX, Meltzer DO (August 2016). "Identifying patients with cost-related medication non-adherence: a big-data approach". ... Meltzer includes a novel method identifying patient with cost-related medication non-adherence using a big-data approach. His ...
One concern is whether medication adherence is affected by the use of telepharmacy. One retrospective cohort study that ... The medication types administered most often are antibiotics, analgesics and gastrointestinal medications. This system improves ... improved access to pharmaceutical care and enabled pharmacists to monitor medication safety and encourage medication adherence ... "Telepharmacy and medication adherence in urban areas". Journal of the American Pharmacists Association. doi:10.1016/j.japh. ...
"Social Stigma Concerns and HIV Medication Adherence". AIDS Patient Care and STDs. 20 (5): 359-368. doi:10.1089/apc.2006.20.359 ...
"Comparison of Medication Therapy Management Services and Their Effects on Health Care Utilization and Medication Adherence". ... The medication therapy review has the pharmacist review all of the prescribed medications, any over the counter medications, ... The process that can be broken down into five steps: medication therapy review, personal medication record, medication-related ... and/or recommendations to the patient to improve adherence/efficacy of their medications. A targeted medication review (TMR, ...
The financial burden can increase medication non-adherence. In some countries, laws protect patients with chronic conditions ... Solomons N, Kruger HS, Puoane TR (2017-10-10). "Adherence challenges encountered in an intervention programme to combat chronic ... Communicable chronic diseases are also typically only treatable with medication intervention, rather than lifestyle change as ...
Targeted deprescribing can improve adherence to other drugs. Deprescribing can reduce the complexity of medication schedules. ... Polypharmacy Medication Appropriateness Tool for Comorbid Health Conditions During Dementia (MATCH-D) Beers Criteria Medication ... Older people are the heaviest users of medications, and frequently take five or more medications (polypharmacy). Polypharmacy ... and people may benefit from a reduction in the amount of medication taken. The goal of deprescribing is to reduce medication ...
Medication adherence is also more complicated at home. Unlike in a hospital setting, the medication is scheduled around the ... Also, client compliance, or client adherence to the plan of care, factors into client health outcomes. Home health care is ... Nurses typically visit the patient to provide monitoring, perform lab work, and administer medications. 2) Private Duty Nursing ... Some responsibilities that home health nurses take on include promoting health and disease prevention, medication ...
"Drug Use and Medication Adherence among HIV-1 Infected Individuals". AIDS and Behavior. 11 (2): 185-194. doi:10.1007/s10461-006 ... and Medication Adherence in HIV Infection". The American Journal of Geriatric Psychiatry. 17 (4): 281-290. doi:10.1097/JGP. ... "Medication adherence in HIV-positive African Americans: The roles of age, health beliefs, and sensation seeking". Cogent ... "Adherence to antiretroviral medications in HIV: Differences in data collected via self-report and electronic monitoring". ...
Brummel, Amanda; Carlson, Angeline M. (January 2016). "Comprehensive Medication Management and Medication Adherence for Chronic ... Comprehensive medication management (CMM) is the process of delivering clinical services aimed at ensuring a patient's ... Beyond assessing a patient's medications in their present state, the pharmacist delivering CMM will work with the patient to ... "Module 1. Overview and Definition of Medication Therapy Management (MTM)". Power-Pak Continuing Education. v t e (Medicine in ...
Adherence to medication protocol can be confusing and expensive; if side effects occur, the patient must be willing either to ... Several classes of medications are used to treat glaucoma, with several medications in each class. By reducing pressure, eye ... involves the use of a novel group of medications known as anti-VEGF agents. These injectable medications can lead to a dramatic ... Poor compliance with medications and follow-up visits is a major reason for vision loss in glaucoma patients. A 2003 study of ...
... interventions have most commonly been applied in areas of health; examples are depression, adherence to medication ... Atkins, L. & Fallowfield, L. (2006). "Intentional and non-intentional non-adherence to medication amongst breast cancer ... medication. The purpose in such programs is primarily to help patients take their medication as prescribed. A lack of medical ... Stephenson, J. (1999). "AIDS researchers target poor adherence". Journal of the American Medical Association, 281, 1069. Senst ...
Chernew, Michael (January 2008). "Impact Of Decreasing Copayments On Medication Adherence Within A Disease Management ... Maciejewski, Matthew (November 2010). "Copayment Reductions Generate Greater Medication Adherence In Targeted Patients". Health ... medication adherence improved, and emergency room utilization decreased, relative to control populations in other states. In ... "Connecticut's Value-Based Insurance Plan Increased The Use of Targeted Services And Medication Adherence". Health Affairs. 35 ( ...
"Weight-based dosing in medication use: what should we know?". Patient Preference and Adherence. 10: 549-560. doi:10.2147/PPA. ... Over-the-counter medications are typically accompanied by a set of instructions directing the patient to take a certain small ... Medication underdosing occurs commonly when physicians write prescriptions for a dosage that is correct for a certain time, but ... Some drugs or supplements have a slow-release feature in which portions of the medication are metabolized at different times, ...
Gu, Q., Zeng, F., Patel, B. V., & Tripoli, L. C. (2010). Part D coverage gap and adherence to diabetes medications. The ... Zhang, Yuting; Baik, Seo Hyon; Lave, Judith R. (2013-06-01). "Effects of Medicare Part D Coverage Gap on Medication Adherence ... and research consistently found that this coverage gap reduced medication adherence. The Affordable Care Act and subsequent ... Quantity limits refer to the maximum amount of a medication that may be dispensed during a given calendar period. For example, ...
Brian Dolan (January 27, 2015). "Medication adherence app reminds pharmacy's HIV patients to take meds". MobiHealth News. ... Avella technologies include a mobile application for medication refills and reminders, as well as a provider portal which gives ... "Avella Partners with Novartis to Boost Oral Oncology Adherence Rates". Specialty Pharmacy Times. Retrieved November 12, 2013. " ... Specialty Pharmacist's Role as Educator in Adherence How Should Specialty Pharmacies Market Their Services? Avella Provides ...
Perfect use indicates complete adherence to medication schedules and guidelines. Typical use describes effectiveness in real- ... For those under 21, who typically have lower adherence to drug regimens, the risk is twice as high as the risk among older ... world conditions, where patients may not fully adhere to medication regimens. LARC methods require little to no user action ...
Kessler, Judd (March 15, 2018). "Partners and Alerts in Medication Adherence: A Randomized Clinical Trial". Journal of General ... medication adherence, and on physician behavior. Volpp's research group also conducted a number of national evaluations of the ...
Benefits include prevention of relapse and improved maintenance medication adherence. These include psychotherapy (e.g. ... and faithful adherence to their medication regimen will help to reduce the risk and prevent the likelihood of suicide. Suicide ... Along with medication, other forms of therapy have been shown to be beneficial for BP-II patients. A treatment called a "well- ... Although medication therapy is the standard of care for treatment of both BP-I and BP-II, additional non-pharmaceutical ...
Consumer participation and medication compliance improved. The number of individuals exhibiting good adherence to meds ... AOT "programs improve adherence with outpatient treatment and have been shown to lead to significantly fewer emergency ... Some point to disparities in the way these laws are applied.[citation needed] Opponents claim they are giving medication to the ... The individual may be subject to rapid recall to hospital, including medication over objections, if the conditions of the order ...
... and sustaining medications. Anything that hinders a person's ability to perform those tasks negatively impacts their adherence ... Pregnancy Lack of adherence Non-intentional non-adherence Intentional non-adherence because of costs Intentional non-adherence ... Management of medications Medication Intake Prepare and take drugs Plan and organize drug intake Follow specific precautions ... Having multiple or constantly switching medications can complicate keeping track of what each medication is for and how to ...
According to some researchers, strict adherence to treatment guidelines would limit access to effective medication for young ... "Aspects of patient and clinician language predict adherence to antidepressant medication". Journal of the American Board of ... The risk is greater among those who have taken the medication for longer and when the medication in question has a short half- ... The only medication of this class widely used for depression is bupropion (Wellbutrin). However, while often described as an ...
Drug regimen simplification: Adherence to medication therapy is inversely related to the frequency of dosing. The antipsychotic ... Hall, Colleen (2017). "How you can simplify your patient's medication regimen to enhance adherence". Current Psychiatry. 16 (5 ... A lack of adherence can lead to poor health outcomes, as well as unnecessary financial burden. Economics: A patient or ... For example, long acting injectable (LAI) antipsychotics are often indicated in the setting of medication nonadherence. Drug ...
Some of these applications might effectively support adherence to taking medications. Pill dispenser Pill organizer Tabi, ... "Do mobile device apps designed to support medication adherence demonstrate efficacy? A systematic review of randomised ... "Apps to help patients take medication on time need to be evaluated in a consistent way". NIHR Evidence (Plain English summary ... A pill reminder is any device that reminds users to take medications. Traditional pill reminders are pill containers with ...
Regulators believe it will improve medication adherence because it only has to be taken once every two months, and will also ... Pre-exposure prophylaxis (PrEP) is the use of medications to prevent the spread of disease in people who have not yet been ...
"Standardizing terminology and definitions of medication adherence and persistence in research employing electronic databases". ... Medications may be stopped in the context of end-of-life care, such as medications that may affect risk factors for future ... Medication discontinuation is the ceasing of a medication treatment for a patient by either the clinician or the patient ... Medications that may be stopped as part of discussions about end-of-life care include antihypertensives, medications for ...
Adherence Coordinates: 00°18′06″N 32°35′06″E / 0.30167°N 32.58500°E / 0.30167; 32.58500 (Coordinates on Wikidata, Medical ... the program started providing antiretroviral medications in 2004 and so far close to 2000 active patients are benefiting from ...
Adherence to medication regimens is also a problem, due in part to adverse effects, with drop-out rates of between 50 percent ... "Borderline Personality Disorder Medications - Learn More About Borderline Personality Disorder Medications". Bpd.about.com. ... Psychotherapies and medications form a part of the overall context of mental health services and psychosocial needs related to ... The UK's National Institute for Health and Clinical Excellence (NICE) in 2009 advises against the use of medication for ...
Ho PM, Rumsfeld JS, Masoudi FA, McClure DL, Plomondon ME, Steiner JF, Magid DJ: Effect of medication nonadherence on ... with adherence to therapeutic care and could affect hospitalization and survival rates. Treatment burden for patients ...
... and using antimicrobial medications ("prophylactic medications") directed against specific infections. In patients with HIV, ... Falkinham JO (2018). "Mycobacterium avium complex: Adherence as a way of life". AIMS Microbiology. 4 (3): 428-438. doi:10.3934/ ... Individuals at higher risk are often prescribed prophylactic medication to prevent an infection from occurring. A patient's ...
Marketing strategies are therefore focused on a customer persona of a woman in her early 50s who manages medications for her ... boost adherence to care plans or increase adoption of medical devices and apps. The use of psychographic segmentation and ...
Though these values are useful in combat scenarios, they can serve as barriers to seeking treatment and treatment adherence. ... particularly medications. On the other hand, psychological, complementary and self-help methods are viewed much more positively ...
Examples of clinical trial goals include assessing the safety and relative effectiveness of a medication or device: On a ... and called for ensuring strict adherence to ethical standards in industrial collaborations with academia, in order to avoid ... Norwitz ER, Greenberg JA (2011). "FDA approval for use of medications in pregnancy: an uphill battle". Reviews in Obstetrics & ... many drugs to treat cancer have severe side effects that would not be acceptable for an over-the-counter pain medication, yet ...
The corticosteroid medication methylprednisolone has been studied for use in SCI with the hope of limiting swelling and ... The contribution of men's adherence to scripts for sexual potency". Sexuality and Disability. 26 (4): 197-205. doi:10.1007/ ... As there does not appear to be long term benefits and the medication is associated with risks such as gastrointestinal bleeding ...
1995) found improved medication adherence, increased patient satisfaction with treatment, and overall greater improvements in ... Social and environmental factors affecting adherence, Fears and concerns about medication and side effects, Treatment ... Beardsley, R.; Gardocki, G.; Larson, D.; Hidaldo, J. (1988). "Prescribing of psychotropic medication by primary care physicians ... 2005). "A randomized effectiveness trial of cognitive-behavioral therapy and medication for primary care panic disorder". ...
It is being used to provide adherence to the Directly Observed Therapy, Short-Course (DOTS) protocol of TB treatment in India ... The health worker then goes to the patient's house to give them the medication and scan their fingerprint as proof of ... When the patients go to the treatment center to take their medication, their fingerprint is scanned along with the fingerprint ... It has also been used by Operation ASHA to ensure patient adherence of hemophilia treatment protocol. eCompliance has been ...
... is the most widely used medication for diabetes taken by mouth. It is available as a generic medication. In 2020, it ... Christofides EA (July 2019). "Practical Insights Into Improving Adherence to Metformin Therapy in Patients With Type 2 Diabetes ... other cationic medications may produce the same effect. Metformin also interacts with anticholinergic medications, due to their ... The medication pair continued to be prescribed separately, and Avandamet was again available by the end of that year. A generic ...
Both generations of medication tend to block receptors in the brain's dopamine pathways. Atypicals are less likely than ... Sacchetti E, Vita A, Siracusano A, Fleischhacker W (2013). Adherence to Antipsychotics in Schizophrenia. Springer Science & ... Because each medication (whether first or second generation) has its own profile of desirable and adverse effects, a ... Many different types of medication can induce in patients that have never had symptoms before. A new chapter about OCD in the ...
e.g. Kennedy, S., Gogin, K., & Nollen, N. (2004). Adherence to HIV medications: Utility of the theory of self-determination. ...
A field which has gained particular attention is the choice of medications for psychiatric conditions. In the United Kingdom, ... Computerized health diagnostics algorithms can provide timely clinical decision support, improve adherence to evidence-based ... and by 2005 six states were adapting the approach of the Texas Medication Algorithm Project or otherwise working on their ...
They concluded: Increased cost sharing is associated with lower rates of drug treatment, worse adherence among existing users, ... Associations With Medication and Medical Utilization and Spending and Health". Journal of the American Medical Association. 298 ...
Adherence to physical therapy can be even lower. When adherence is below 70%, effectiveness of fall prevention physical ... multiple medications, balance and gait problems, loss of vision and a history of falls. Beers Criteria is a list of medications ... The final challenge is adherence. Average adherence in group-based fall prevention exercise programs is around 66%, mostly due ... Neurological medications - causes fatigue, weakness, dizziness Studies suggest that men are twice as likely to fall as women. ...
... allowing healthcare professionals to modify medication or therapeutics. The sensor-based monitoring systems are known as ... "Informing Patient Self-Management Technology Design Using a Patient Adherence Error Classification". Engineering Management ...
"Adherence to antiretroviral therapy and factors affecting low medication adherence among incident HIV-infected individuals ... Association between different types of social support and medication adherence' The American Journal of Managed Care 18(12):461 ... Such medications are used as a preventative for infected individuals to not only spread the HIV virus to their negative ... In the case of resistance to the first-line of combination medications for the HIV-1 virus, mutations occurred within genes of ...
This medication can cause birth defects, according to animal studies, although this side effect has not been confirmed in ... Sacchetti, Emilio; Vita, Antonio; Siracusano, Alberto; Fleischhacker, Wolfgang (2013). Adherence to Antipsychotics in ... In 2020, it was the 282nd most commonly prescribed medication in the United States, with more than 1 million prescriptions. ... Rarely tardive dyskinesia can occur when the medication is stopped. Ziprasidone mostly affects the receptors of dopamine (D2), ...
used the model to predict and explain a mother's adherence to a diet prescribed for their obese children. Cerkoney et al. ... adhering to a complicated medication regimen). Interventions can be aimed at the individual level (i.e., working one-on-one ...
... and classify non-adherence to type-2 diabetes. A comprehensive review regarding extracting information from textual documents ... "Predictive Modeling of Physician-Patient Dynamics That Influence Sleep Medication Prescriptions and Clinical Decision-Making". ...
In some jurisdictions, such as the United Kingdom, physical therapists have the authority to prescribe medication. Physical ... treatment adherence, and treatment satisfaction. Studies have explored four themes that may influence patient-therapist ... as well as reduce symptoms and medication use. Physical therapy is sometimes provided to patients in the ICU, as early ...
Shah AV, Serajuddin AT, Mangione RA (2018). "Making All Medications Gluten Free". J Pharm Sci. 107 (5): 1263-1268. doi:10.1016/ ... the potential presence of allergen due to cross-contamination through a documented risk assessment and despite adherence to ...
Study medication was donated by Gilead Sciences Inc. iPrEx was an interventional double-blind, placebo controlled trial of the ... Long-term efficacy Long-term safety Pill taking and adherence Any changes in participants' sexual behavior Drug resistance Bone ... These participants attended monthly visits to receive a bottle of study medication with supply for 30 days. Half of the study ... was a phase III clinical trial to determine whether the antiretroviral medication emtricitabine/tenofovir (as tenofovir ...
Sandman, Lars (2012). "Adherence, Shared Decision-Making and Patient Autonomy". Medicine, Health Care and Philosophy. 15 (2): ... or the temporary treatment of a person living with a psychotic disorder with antipsychotic medication). While controversial, ...
"Treatment Patterns and Antipsychotic Medication Adherence Among Commercially Insured Patients With Schizoaffective Disorder in ... ADHD stimulant medications, and sleep medications, prescribed medication-induced psychosis should be ruled out, particularly ... The mainstay of current treatment is antipsychotic medication combined with mood stabilizer medication or antidepressant ... stimulants and sleeping medications. While I'm not making a blanket statement against these medications, I am urging caution in ...
Map of Idaho showing high blood pressure medication non-adherence and pharmacies, by ZIP Code, for 2015-2017 Medicaid patients. ... These maps provide base-level understanding of access to blood pressure medication in relation to medication non-adherence ... High blood pressure medication non-adherence was estimated by proportion of days covered (following "CALCULATING PROPORTION OF ... Map Details - High Blood Pressure (HBP) Medication Non-Adherence and Pharmacies, by ZIP Code Tabulation Area (ZCTA/ZCTA Group ...
2017)‎. Handbook for the use of digital technologies to support tuberculosis medication adherence. World Health Organization. ... Handbook for the use of digital technologies to support tuberculosis medication adherence. ...
Adherence to medication among chronic patients in Middle Eastern countries: review of studies  ... This paper reviewed studies that have adherence to medication among patients with chronic conditions in Middle Eastern ... Prevalence and sociodemographic correlates of medication intake adherence among primary health-care users in Albania  ... Background: Evidence about the magnitude and determinants of medication intake adherence among patients and the general ...
... Abstract Overview abstract * BACKGROUND: Medication ... Adherence was calculated by the medication possession ratio at a threshold of 80%. RESULTS: Adherence differed significantly by ... adherence increased with lower Charlson score and fewer conditions and medications. Substantial variation in adherence was ... we studied patient characteristics associated with medication adherence. OBJECTIVE: To use automated pharmacy records to assess ...
With nearly half of all patients in the US not taking their medications as prescribed, medication non-adherence remains a ... Personal Connections with Pharmacists Drive Medication Adherence Outcomes. ...
Find out more about the Identification of Medication Adherence Barriers Questionnaire intervention (IMAB-Qi) research study ... Identification of Medication Adherence Barriers intervention. The Identification of Medication Adherence Barriers Questionnaire ... The intervention in the IMAB-Qi study will involve using the Identification of Medication Adherence Barriers Questionnaire ( ... and focus groups with people prescribed medication to get a better understanding of the barriers to medication adherence. ...
Want to make sure you get medication therapy management when you need it? Be very good friends with a pharmacist. ... MTM and medication adherence: Theres just one problem. .social-ris-container { display: flex; justify-content: space-between ... Pharmacists Share Their Experiences With Service ExpansionRethink Medication Adherence With Sustainable Multidose Packaging ... Pharmacists Share Their Experiences With Service ExpansionRethink Medication Adherence With Sustainable Multidose Packaging ...
Learn more about the importance of taking your daily medications and what can happen if you skip them. ... Medication is prescribed by your healthcare provider for a reason. ... What Is Medication Adherence?. Medication adherence is taking medication as recommended by a healthcare provider. Someone who ... Medication Adherence Tips Now that you understand why medication adherence is important, how will you ensure you take your ...
To Promote Medication Adherence As many as 3 out of 4 Americans may not always take their medications as directed, say leaders ... 6, at the Birmingham launch of the initiative to encourage better medication adherence, especially for patients with chronic ... pharmacists are an important part of the team that can help patients understand the value of proper medication adherence, say ... emergency room visits and hospital admissions that result from poor medication adherence, he said. ...
Behavioral: Tailored medication adherence plan Comparison of mean daily medication adherence between intervention and control ... Behavioral: Tailored medication adherence plan Comparison of mean daily medication adherence between intervention and control ... Medication Adherence Renal Disease Kidney Rejection Transplant Behavioral: Tailored medication adherence plan Not Applicable ... This does not involve any direct pre-transplant assessment of medication adherence or risk factors for non-adherence. ...
... but pharmaceutical packaging aims to improve patient compliance using new technology to address reasons for non-adherence. ... A staggering percentage of people do not take their medication correctly, ... Medication compliance is the act of taking medication on schedule or taking medication as prescribed" (1). ... "The severity of medication non-adherence has been so well documented that the healthcare industry is taking a much more serious ...
An improvement in clinical outcomes and medication adherence rates when patients used medication therapy management services ... An improvement in clinical outcomes and medication adherence rates when patients used medication therapy management services ... An improvement in clinical outcomes and medication adherence rates when patients used medication therapy management (MTM) ... Study to Measure the Impact of Pharmacists and Pharmacy Services on Medication Non-Adherence), compared the use of adherence ...
Medication Adherence news articles. The latest Medication Adherence stories, articles, research, discoveries, current news and ... Current Medication Adherence News and Events. Current Medication Adherence News and Events, Medication Adherence News Articles. ... Sensor-based inhalers integrated into health care providers clinical workflows may help improve medication adherence and ... Dietary adherence and the fight against obesity. While eating less and moving more are the basics of weight control and obesity ...
Apps & Tools for Medication Adherence. There are abundant medication adherence tools that can improve adherence rates among ... Medication Adherence Program for Hypertension. Medication adherence interventions can address many of the barriers to non- ... How to Improve Medication Adherence in Hypertensive Patients. Improving medication adherence could potentially save lives, ... These are some CDC medication adherence strategies that could be effective at improving medication adherence among patients who ...
... approach to tailoring adherence strategies to individual patients may be needed, according to the studys lead author. ... The best drugs dont work if patients dont take them-thus describes the problem of medication adherence, which can happen ... What Happens When Medication Adherence Improves, but Outcomes Dont Change?. .social-ris-container { display: flex; justify- ... And for some reason, men improved their medication adherence, but women did not, Choudhry said. ...
ESPACOMP Medication Adherence Reporting Guideline (EMERGE) Reporting guideline provided for?. (i.e. exactly what the authors ... Reporting of medication adherence research. EMERGE Checklist (Word). Full bibliographic reference. De Geest S, Zullig LL, ... ESPACOMP Medication Adherence Reporting Guideline (EMERGE). Ann Intern Med. 2018;169(1):30-35.. ...
Q: We have a patient who is non-adherent with recommendations for her medication and check-ups. We sent her a discharge letter ... Q&A: Non-adherence to medication recommendations. .social-ris-container { display: flex; justify-content: space-between; } @ ... are to continue to see the patient for emergent or urgent care and to ensure that the patient has sufficient medication to ...
The concept of a medication-reminder app like Karma Dost is simple: let your smartphone remind you when to take medicine as ... Jaipur-based startup behind mobile app that improves medication adherence in patients. The concept of a medication-reminder app ... Medication adherence is a less-discussed and often overlooked topic in healthcare. In fact, half of Americans with chronic ... While Choudhary welcomes Apple acknowledging medication non-adherence and solving the problem in its own unique way, he said ...
Background: Non-adherence to medication is a major public health problem all over the world. Poor adherence to medication ... Background: Non-adherence to medication is a major public health problem all over the world. Poor adherence to medication ... Self-reported intentional and unintentional non-adherence to medication in a general practice population.. Dijk, L. van, Dulmen ... While unintentional non-adherence can be considered as non-planned behaviour, intentional non-adherence refers to a process in ...
Lack of adherence can be both unintentional and intentional, Ruppar notes. Some people forget to take their medications. Others ... Half is not a good proportion when it come to medication adherence. Ruppar says the trend is headed in the wrong direction. " ... Adherence also has a financial dimension for pharmaceutical companies. The more reliably patients take medications as ... But what is clear is that medication adherence is a costly problem and solutions to costly problems are almost never free. ...
Main outcome measures were medication adherence (medication possession ratio, [MPR]; implementation) and persistence on index ... Keywords: drug utilization, medication adherence, medication persistence, prescribing ... The purpose of this study was to evaluate and compare medication adherence to chronic therapies in older populations across ... of data extraction and analysis from pharmacy claims databases of three European countries to compare medication adherence at a ...
Medication adherence to hepatitis C treatment is important for viral ... ... Medication adherence to hepatitis C treatment is important for viral eradication and the prevention of chronic disease. The ... Nursing Interventions on Medication Adherence During Hepatitis C Treatment: Application of Self-Regulation Model ... is to identify a nursing middle-range theory to guide research on the impact of nursing interventions on medication adherence ...
"Thousands of people die every year due to lack of medication," said the CTO of the digital pharmacy. "We aim to help solve this ... To begin, they took on the complicated task of organizing multiple medications for their users, many of whom were seniors. The ... The goal was to take the complexity and risk out of medication compliance. The new digital pharmacy app needed to further ... assist patients by helping them track their medications, remind them when to take them, and note which medications they had ...
The high prevalence of medication nonadherence and its negative impact on cli… ... Patient risk factors that are associated with poor medication use in COPD. ... and and describes efficacious interventions to support medication adherence.Take our post-test to claim CME credits:Physician ... Michelle Eakin from Johns Hopkins University School of Medicine discusses the high prevalence of medication nonadherence and ...
With MedHx, pharmacists save time on medication reconciliation, clinicians have a more complete medication history at the point ... the MedHxSM report displayed an adherence rate of 61%. The pharmacist followed up on it with the patient, and she admitted it ... University of Rochester is saving over two hours a day previously spent gathering and confirming a patients medication list. ...
ORCID: 0000-0003-1427-0215, King, Derek, Pugner, Klaus and Lapuerta, Pablo (2004) Non-adherence to antipsychotic medication ... Medication non-adherence consistently exhibits an association with higher costs. Further important factors are patient needs ... Non-adherence to antipsychotic medication regimens: associations with resource use and costs ... Non-adherence is one of the most significant factors in increasing external service costs, by a factor of almost 3. Non- ...
Currently used medication reminder aids have shown little to no benefit in improving adherence. Phone applications (apps) have ... RESULTS: Overall, 95.6% of parents had never used a phone app to aid in medication adherence. Over 85% of these parents were ... of parents at an outpatient pediatric oncology clinic were interested in using a phone app to assist in medication adherence ... Further studies are needed to evaluate if phone apps recommended by this tool improve adherence. ...
Maguire, L., Hughes, C., & McElnay, J. (2004). Exploring psychosocial influences on adherence to anti-hypertensive medication. ... Maguire, L, Hughes, C & McElnay, J 2004, Exploring psychosocial influences on adherence to anti-hypertensive medication, ... Exploring psychosocial influences on adherence to anti-hypertensive medication. / Maguire, Lisa; Hughes, Carmel; McElnay, James ... Exploring psychosocial influences on adherence to anti-hypertensive medication. 2004. Paper presented at 10th Health Services ...
Patient Access Network Foundation is helping underinsured patients get the medication they need. ... The impact of patient assistance on access, medication adherence and quality of life. Share this page * Share on Facebook ... We found that 54 percent of low-income patients had skipped or cut doses of their medication prior to receiving assistance from ... We help underinsured people with life-threatening, chronic, and rare diseases get the medications and treatments they need by ...
  • A review of studies found that medication nonadherence leads to poor health outcomes, increasing healthcare service utilization and overall healthcare costs. (verywellhealth.com)
  • An improvement in clinical outcomes and medication adherence rates when patients used medication therapy management services and multimed blister card packaging was clearly shown in a recent study. (pharmacytimes.com)
  • Nonadherence to medications for treating chronic conditions is associated with higher rates of hospital admissions, suboptimal health outcomes, increased morbidity and mortality, and higher health care costs, according to the CDC. (pharmacytimes.com)
  • By contrast, patients who only received medication in pill vials with no other pharmacy-based services incurred higher costs, had the poorest health outcomes, and used more patient resources than trial participants in other groups. (pharmacytimes.com)
  • Improving medication adherence could potentially save lives, reduce healthcare costs, and improve healthcare outcomes. (lark.com)
  • What Happens When Medication Adherence Improves, but Outcomes Don't Change? (ajmc.com)
  • So, what happens if an intervention gets more patients to take their medication, but their clinical outcomes don't budge? (ajmc.com)
  • A moderately large improvement in adherence, certainly bigger than we expected going into the study-with no commensurate change in clinical outcomes. (ajmc.com)
  • First of all, the relationship between adherence and outcomes is not as clear as we think it is. (ajmc.com)
  • Ultimately, as we move forward, with improved adherence and improved chronic disease outcomes, we need a combination of things. (ajmc.com)
  • Phenomics Health novel product platforms can now provide clinicians with multiple tools to enhance treatment outcomes through personalized medication selection, direct measurement of patient medications, dose optimization, and periodic monitoring of patient medication adherence, safety, and efficacy. (michbio.org)
  • Phenomics Health products provide accurate, reproducible, personalized drug selection with periodic monitoring of patient drug adherence to improve drug efficacy, reduce adverse drug reactions, recommend effective drug combinations, and improve patient outcomes," said Pamela Weir, President and Chief Operating Officer of Phenomics Health. (michbio.org)
  • As themes of patient-centered outcomes and personalized medicine become more common in drug development, the concepts also are playing out in the medication adherence space, as shown in a program at Massachusetts General Hospital. (informa.com)
  • The Patient-Centered Outcomes Research Institute awarded 45 grants for comparative effectiveness research in its Dec. 17 announcement, which included the first drug vs. drug clinical trial for neuropathy and studies of medication adherence. (informa.com)
  • Paul Edalat and Mehdi Hatamian take an in-depth look at medication non-adherence and how technology can be used to improve compliance rates and optimise patient outcomes. (ondrugdelivery.com)
  • Prescription medication non-adherence is a significant concern for medical providers as it can negatively affect patient outcomes and accounts for a notable portion of treatment failures, deaths and hospitalisations every year. (ondrugdelivery.com)
  • Adherence plays a crucial role in patient outcomes, including patients managing both acute and chronic conditions. (ondrugdelivery.com)
  • Low adherence to anti-hypertensive medications contributes to worse outcomes. (duke.edu)
  • Clinicians who treat older adults with COPD should be aware of the development of depression, especially during the first six months following COPD diagnosis, and monitor patients' adherence to prescribed COPD medications to ensure the best clinical outcomes," the authors note. (medscape.com)
  • Michele Heisler, MD, and colleagues at the Veterans Affairs Center for Practice Management and Outcomes Research and other centers in Ann Arbor and Detroit, Michigan, found that in a large cohort of hypertension patients followed between 2004 and 2005, almost a third (32%) of those with very poor medication adherence had their treatment intensified -- a rate of intensification that was actually similar to that in patients with good adherence. (medscape.com)
  • Medication non-adherence is a growing concern to physicians, healthcare systems, and other stakeholders (e.g., payers) and there is an increasing evidence of its prevalence and is associated with adverse clinical outcomes eventually resulting into higher costs of care. (who.int)
  • Improving adherence to medication is critical to improve the quality of health care, to encourage better chronic care management, and promote better health outcomes. (who.int)
  • Assessing product performance in this landscape requires a clear understanding of patient outcomes, adherence trends and other research-related patterns. (optum.com)
  • Marilyn Standifer Shreve is a pioneer in using digital, mobile and interactive technologies as powerful tools to engage patients to take a proactive role in managing their treatment regimens and medication therapies… resulting in lowering the growth of health care costs and improving patient health outcomes. (tiphealth.com)
  • Expanding access to ancillary services among Hispanic/Latino MSM, particularly those experiencing barriers to ART adherence, might improve clinical outcomes. (cdc.gov)
  • Antiretroviral therapy (ART) adherence is crucial for viral suppression, which improves health outcomes and prevents HIV transmission ( 2 ). (cdc.gov)
  • Interventions that support ART adherence and access to ancillary services among Hispanic/Latino MSM might help improve clinical outcomes and reduce transmission. (cdc.gov)
  • Non-adherence to medication schedules by patients with chronic illnesses can have serious consequences, including poor clinical outcomes, higher hospitalization rates, and increased healthcare costs. (who.int)
  • Proteus claims that, by directly measuring ingestion events, its sensors can provide clinicians with a patient's pattern of adherence to oral medication therapy regimens and provide a baseline for possible behavior modification. (meddeviceonline.com)
  • The researchers excluded patients with a history of respiratory cancer, tuberculosis, asbestosis, or sarcoidosis because they may use different medication regimens than other patients with COPD. (medscape.com)
  • This suggests patients may prioritize filling certain medications or may struggle to maintain complex regimens, the researchers write. (medscape.com)
  • One of the reasons cited for the relatively poor BP control rates observed in clinical practice, even for patients diagnosed as "hypertensive" and on medication, is "clinical inertia," a term used to describe the failure of clinicians to monitor their patients' response to the therapeutic regimens they have prescribed and modify (usually through intensification) the regimen as necessary. (medscape.com)
  • For example, patients with CHD should adhere to complex medication regimens, follow low sodium/low fat diets, and routinely monitor for early signs of disease (self-care maintenance). (cdc.gov)
  • Educational programmes should be implemented, doctor-patient and pharmacist-patient relationship could be improved and new treatment regimens be considered in order to enhance patient adherence. (who.int)
  • On a broader scale, medication nonadherence has profound healthcare cost implications. (verywellhealth.com)
  • The CDC also touts the use of blister packs and pill boxes that organize medications, as a cost-effective, proven strategy for reducing unintentional nonadherence. (pharmacytimes.com)
  • The objective of this study is (i) to assess the proportion of chronic medication users who do not adhere to their medication intentionally and unintentionally and (ii) to explore to what extent intentional and unintentional nonadherence are associated with a wide range of patients' characteristics. (nivel.nl)
  • Since the 1970s, the figure of 80% has typically been used as the dividing line between adherence and nonadherence, Ruppar explains. (managedhealthcareexecutive.com)
  • The lack of theory-based research may contribute to medication nonadherence. (nursingcenter.com)
  • These focused on the extent and predictors of nonadherence to medication across different conditions, including hypertension, chronic obstructive pulmonary disease, asthma, diabetes, depression, schizophrenia and epilepsy. (who.int)
  • This review confirms the existence of nonadherence as a problem among patients with chronic diseases and examines our understanding about the reasons and variables affecting patients' adherence to their medication in the Middle Eastern countries. (who.int)
  • Further work to determine the prevalence and causes of patients' nonadherence to medication in Middle Eastern countries is needed in order to recommend the best interventions to improve adherence. (who.int)
  • However, physicians often do not routinely enquire about, and are therefore unaware of the extent of patients´ nonadherence to medication. (biomedcentral.com)
  • In Germany, the gap in medical care in hospitals compared to outpatient care is considerable and contributes both to nonadherence and to the frequently observed modifications in the medication regimen after discharge from hospital [ 6 ]. (biomedcentral.com)
  • Because the reasons for nonadherence are complex and diverse, interventions to improve adherence must be multifactorial. (biomedcentral.com)
  • Racial and ethnic disparities in nonadherence to diabetes, hypertension, and hyperlipidemia medications were compared between CMR recipients and nonrecipients matched by their propensity scores. (ahdbonline.com)
  • Compared with CMR nonrecipients, CMR recipients had significantly lower racial and ethnic disparities across the 3 outcome measures, with the exception of the difference between whites and blacks in nonadherence to diabetes medications. (ahdbonline.com)
  • ABSTRACT: Objective: To know the perceptions of nurses on adherence to the use of psychoactive drugs by people with mental disorders. (bvsalud.org)
  • Age was the strongest correlate for all types of non-adherence: younger patients were less likely to be non-adherent. (nivel.nl)
  • In an effort to better understand the underlying causes of patients' medication-taking behaviors, researchers have differentiated between two types of non-adherence. (biomedcentral.com)
  • The Identification of Medication Adherence Barriers Questionnaire intervention (IMAB-Qi) research programme is a one year programme to develop a trial to evaluate the effectiveness and cost-effectiveness of a primary care medication adherence intervention. (le.ac.uk)
  • The intervention in the IMAB-Qi study will involve using the Identification of Medication Adherence Barriers Questionnaire (IMAB-Q) to support practitioners and patients to work together to address medication non-adherence. (le.ac.uk)
  • The result was STIC2IT, or "Study of a Tele-Pharmacy Intervention for Chronic Disease to Improve Treatment Adherence," a randomized controlled trial whose results Choudhry presented. (ajmc.com)
  • The primary aim of this study was to test an intervention to support antiretroviral medication adherence among primarily low-income men and women with HIV. (motivationalinterviewing.org)
  • The intervention sought to build confidence, reduce ambivalence and increase motivation for ART medication-taking. (motivationalinterviewing.org)
  • Although the finding was weaker for overall percent of prescribed doses taken, the results for the percent of doses taken on schedule suggests that the MI intervention may be a useful approach for addressing specific aspects of medication adherence, such as adherrence to a specified dosing schedule. (motivationalinterviewing.org)
  • Adults with type 2 diabetes, treated with oral medications, completed a set of medication adherence self-reports that varied response scales and time frames, were administered structured clinical interviews for depression, and provided blood samples for HbA 1c as part of a screening for an intervention study. (diabetesjournals.org)
  • What do we know about the long term medication adherence in patients following percutaneous coronary intervention? (edu.au)
  • The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care. (duke.edu)
  • The authors conducted a secondary data analysis to examine the effects of a health-coaching intervention on medication adherence and blood pressure (BP), and to explore whether changes in medication adherence over time were associated with changes in BP longitudinally in 477 patients with hypertension. (duke.edu)
  • The intervention demonstrated improvements in medication adherence and diastolic BP and offers promise as a clinically applicable intervention in rural primary care. (duke.edu)
  • Conclusion: A tailored interactive website shows some benefit in improving controller medication adherence during a period of active intervention. (cdc.gov)
  • To assess acceptability of this intervention, investigators will measurement recruitment rate, retention and adherence to the study medication. (clinicaltrials.gov)
  • The feasibility of the PAM intervention to support treatment-adherence in people with hypertension in primary care. (uea.ac.uk)
  • The PAM intervention is a behavioural intervention to support adherence to anti-hypertensive medications and therefore to lower blood pressure. (uea.ac.uk)
  • At 3 months, biochemically validated medication adherence was improved by 20% (95% CI 3-36%) in the intervention than control, and systolic blood pressure was reduced by 9.16 mmHg (95% CI 5.69-12.64) in intervention than control. (uea.ac.uk)
  • Improvements in medication adherence and reductions in blood pressure suggested potential intervention effectiveness. (uea.ac.uk)
  • For a subsample of patients, improvements in medication adherence and reductions in full lipid profile (cholesterol 1.39 mmol/mol 95% CI 0.64-1.40) and in glycated haemoglobin (3.08 mmol/mol, 95% CI 0.42-5.73) favoured the intervention. (uea.ac.uk)
  • Since integrating with MedHx, University of Rochester is saving over two hours a day previously spent gathering and confirming a patient's medication list. (techvalidate.com)
  • 230 drugs in a patient's circulation to monitor drug adherence, provide a reconciliation of actual medications taken, guide dose-tailoring, identify harmful drug-drug interactions, and avoid adverse drug reactions. (michbio.org)
  • and 4) PrecīsMed PMP, which can quantitate 232 medications and analytes in a patient's circulation across multiple therapeutic categories. (michbio.org)
  • A summary of data collected by Mabu is shared securely with the patient's healthcare team, providing insights regarding the patient's health, progress, and adherence to treatment. (computertalk.com)
  • Medication adherence is defined as patient's adherence to take their medications as prescribed and continue to take the prescribed medication for stipulated time frame. (who.int)
  • Studies have reported that poor adherence to drug dosage is due to patient perception that the disease is non-significant, adverse drug effects, lack of treatment effectiveness, and the patient's poor or incomplete knowledge of the disease and (cost). (who.int)
  • As a leader in medication and supply dispensing automation, central pharmacy automation, IV robotics, analytics software, and medication adherence and packaging systems, Omnicell is focused on improving care across the entire healthcare continuum-from the acute care hospital setting, to post-acute skilled nursing and long-term care facilities, to the patient's home. (omnicell.com)
  • The correlation between quality of life and medication adherence was evaluated by using the Minichal Brazil and the Morisky scale of medication adherence. (bvsalud.org)
  • The weak correlation between quality of life and medication adherence reinforces the idea that quality of life for hypertensive people is related to other factors, suggesting further research. (bvsalud.org)
  • Self-reported intentional and unintentional non-adherence to medication in a general practice population. (nivel.nl)
  • Few studies on non-adherence distinguished between intentional and unintentional non-adherence, although it can be argued that these are two different phenomena. (nivel.nl)
  • and (2) explore the interrelationship between intentional and unintentional non-adherence in relation to patients' medication beliefs. (biomedcentral.com)
  • Undetected mental health problems such as depression, personality disorders, cognitive disorders, and cooccurring conditions such as substance-related disorders can affect drug adherence, clinic attendance, and quality of life and can influence the outcome of disease and high-risk behaviors that increase risk of HIV transmission [ 8 , 9 ]. (hindawi.com)
  • Hypertension is largely asymptomatic, so motivation to adhere can be lower because medications do not make patients feel better. (lark.com)
  • The biggest cause of uncontrolled hypertension is non-adherence. (lark.com)
  • Low understanding of hypertension and its risks may contribute to non-adherence. (lark.com)
  • It's estimated that half the patients with chronic cardiometabolic conditions-such as hypertension, diabetes, or dyslipidemia-fail to take medication as prescribed, and that this costs the US health system at least $100 billion a year in preventable costs. (ajmc.com)
  • To examine the effects of comprehensive medication review (CMR), an MTM core component, on racial and ethnic disparities in adherence to diabetes, hypertension, and hyperlipidemia medications among Medicare beneficiaries aged ≥65 years. (ahdbonline.com)
  • Receiving a CMR reduced the racial and ethnic disparities in adherence to diabetes, hypertension, and hyperlipidemia medications among Medicare beneficiaries aged ≥65 years. (ahdbonline.com)
  • Taking antihypertensive medications properly is a central point in the management of hypertension. (biomedcentral.com)
  • A number of studies in patients under treatment for hypertension have cited poor adherence as the reason why medication levels are not intensified in response to persistently elevated BP levels. (medscape.com)
  • Une recherche documentaire a été effectuée dans PubMed de 1980 à 2021 en utilisant diverses combinaisons de termes MeSH comme tabac, diabète, hypertension, dyslipidémie, trouble dépressif majeur, trouble bipolaire, schizophrénie. (who.int)
  • To increase understanding within a large, integrated health system, we studied patient characteristics associated with medication adherence. (healthpartners.com)
  • CONCLUSIONS: We expected adherence to be less significant within an integrated health system because pharmacy is a covered benefit, and members have enhanced medication access. (healthpartners.com)
  • But as many experts and clinicians have pointed out, all those awe-inspiring scientific advances are just jogging in place if people do not take the medications. (managedhealthcareexecutive.com)
  • With MedHx, pharmacists save time on medication reconciliation, clinicians have a more complete medication history at the point of care, and patients stay safe with less chance of adverse drug events. (techvalidate.com)
  • Combining PrecīsMed and PredictScript commercial products represents a substantial improvement in precision medicine by helping clinicians and health systems identify and select appropriate medications, drug combinations, and drug doses. (michbio.org)
  • Marilyn Standifer Shreve is a pharmacist who is helping todays clinicians employ ADHERENCE TECHNOLOGY to expand their voice, reach and care beyond the walls of the medial office, pharmacy, hospital and other traditional practice settings. (tiphealth.com)
  • Almost immediately, patients assigned to the multimed packaging groups reached medication adherence rates of 80%, and they reached 90% adherence rates by the conclusion of the trial. (pharmacytimes.com)
  • In-person or telephone interviews were conducted during the 2015-2018 data cycles,* in which self-reported sociodemographic characteristics, ART adherence, drug and alcohol use, and symptoms of depression † and anxiety § were ascertained. (cdc.gov)
  • The IMAB-Q was developed through a review of the literature, mapping individual barriers to the Theoretical Domains Framework and focus groups with people prescribed medication to get a better understanding of the barriers to medication adherence. (le.ac.uk)
  • It used behaviorally tailored interviews conducted by pharmacists to identify individual barriers to adherence. (ajmc.com)
  • 1 Recently, a European-funded consortium Ascertaining Barriers to Compliance (ABC) project developed a Taxonomy of Adherence in an effort to standardize the medication-taking behavior terminology and measurement for clinical and research use. (dovepress.com)
  • their barriers to ART adherence have not been extensively explored. (cdc.gov)
  • The inverse correlation means that greater adherence (higher scores of Morisky scale) equals better quality of life (lower scores of Brazil Minichal scale). (bvsalud.org)
  • INTRODUCTION: Adherence to medications for cardiovascular disease and its risk factors is less than optimal, although greater adherence to medication has been shown to reduce the risk factors for cardiovascular disease. (cdc.gov)
  • Medication adherence will be assessed using the previously validated 8 item modified Morisky medication adherence scale (MMAS-8), where responses are categorized: high adherence (8 points), average adherence (6-7 points), and poor adherence (0-5 points). (clinicaltrials.gov)
  • Among these patients, 14.5% showed high adherence, 30.6% medium adherence, and 54.9% low adherence to med- ication. (who.int)
  • Mental health, long-term medication adherence, and the control of asthma symptoms among persons exposed to the WTC 9/11 disaster. (cdc.gov)
  • Sensor-based inhalers integrated into health care providers' clinical workflows may help improve medication adherence and support children with asthma - and their families - to more effectively manage this condition, according to a new Northwestern and Lurie Children's study published in Pediatrics. (brightsurf.com)
  • Medication adherence is taking medication as recommended by a healthcare provider. (verywellhealth.com)
  • The severity of medication non-adherence has been so well documented that the healthcare industry is taking a much more serious look at how to improve patient behavior," reports Ward Smith, director of Marketing at Keystone Folding Box Co. "People are starting to recognize compliance is a really important factor in determining the outcome for the patient," agrees Graham Reynolds, vice-president and general manager of Global Biologics at West. (pharmtech.com)
  • There are several strategies for improving medication adherence, and patients, healthcare providers, and manufacturers can all be involved. (lark.com)
  • Electronic pill monitors can not only remind patients when to take their medication, but can also notify healthcare providers if the patient misses a dose. (lark.com)
  • Free delivery of medications from the healthcare provider or pharmacy is one example. (lark.com)
  • Medication adherence is a less-discussed and often overlooked topic in healthcare. (indianexpress.com)
  • When Yossi Bahagon, M.D., meets with healthcare firms to pitch his company's treatment-adherence solution, he doesn't spend much time detailing the problem his company is trying to solve. (managedhealthcareexecutive.com)
  • The fact that half of patients with chronic diseases do not reach 80% adherence affects healthcare costs. (managedhealthcareexecutive.com)
  • But in the larger healthcare picture, lack of adherence can start a downward spiral, says Scott Taylor, CEO and co-founder of Perx Health in Sydney, Australia, another patient engagement firm. (managedhealthcareexecutive.com)
  • Healthcare providers and pharmacists agreed with their patients: more than 80 percent said that financial assistance makes it more likely that patients will take their medications as prescribed and improve their health. (panfoundation.org)
  • Poor adherence is a major issue and is associated with increased morbidity, mortality, and immense costs for the healthcare system. (biomedcentral.com)
  • Here, we will discuss existing healthcare companion robots that, in addition to other functionalities, offer assistance related to medication adherence. (computertalk.com)
  • According to Proteus, 50 percent of patients do not follow their prescribed medication regimen, leading to worsening of chronic conditions and increasing healthcare costs that total $100 billion to $300 billion annually in the U.S. Proteus says it is addressing this problem through digital medicine - ingestible sensors embedded in smart pills that transmit data to skin-worn receiver patches and smartphones. (meddeviceonline.com)
  • To investigate the relationship between patient adherence and treatment intensification, Dr. Heisler's group examined data from a cohort of hypertensive patients who had filled prescriptions for 1 antihypertensive medications at VA healthcare facilities in a VA administrative region covering Michigan, Ohio, Indiana, and Illinois. (medscape.com)
  • A healthcare team can use at-home blood sugar readings to modify medication, nutrition , and self-management plans. (medicalnewstoday.com)
  • MOUNTAIN VIEW, Calif. , July 24, 2017 /PRNewswire/ -- Omnicell, Inc. (NASDAQ: OMCL), a leading provider of medication and supply management solutions and adherence tools for healthcare systems and pharmacies, today announced it is launching its XT Series Automated Supply Dispensing Cabinet. (omnicell.com)
  • Your healthcare provider may also ask about missed doses, and if you're taking your medication on time -- this info is vital to help them determine if your medication is working well for you. (herohealth.com)
  • Results: The participants reported perceptions referring to the aspects that contribute to adherence of people with mental disorders to the use of psychopharmaceuticals, such as support from a multiprofessional team, therapeutic bond to the healthcare team, faith and spirituality, and family. (bvsalud.org)
  • Proven methods include collaborative care between pharmacists and primary-care providers, pharmacist-led medication reconciliation and tailoring, and pharmacist-led patient education. (pharmacytimes.com)
  • Another way to increase access to medications is to implement delivery methods that are easier for patients. (lark.com)
  • Although many interventions for increasing adherence have been tested, the best methods to improve adherence still remain unclear [ 7 ]. (biomedcentral.com)
  • Currently, several direct and indirect methods are used to measure medication adherence. (ondrugdelivery.com)
  • Other research from the UK and Europe on the management of repeat prescriptions focuses on the role of community pharmacists, 10 refill adherence 11 and different methods of ordering non-urgent repeat prescriptions. (racgp.org.au)
  • Patient-specific, targeted efforts might be considered to improve adherence. (healthpartners.com)
  • On an individual level, adhering to prescribed medications improves our quality of life and may prevent disease progression and associated complications. (verywellhealth.com)
  • STOMOPP study demonstrates multimed packaging improves medication adherence [news release]. (pharmacytimes.com)
  • Conclusions: Unintentional non-adherence occurs more frequently compared with intentional non-adherence. (nivel.nl)
  • CONCLUSIONS: A majority of parents at an outpatient pediatric oncology clinic were interested in using a phone app to assist in medication adherence but were unaware of an available phone app. (bepress.com)
  • Conclusions: Findings suggested that following PCI medication adherence is high, however knowledge about medication storage is limited and patients report cessation of medications which they consider to be deleterious or unnecessary. (edu.au)
  • This map suggests that abundant opportunities to improve non-adherence rates also exist outside of the state's metro areas. (cdc.gov)
  • A staggering percentage of people do not take their medication correctly, but pharmaceutical packaging aims to improve patient compliance using new technology to address reasons for non-adherence. (pharmtech.com)
  • To improve adherence, many compliance packaging designs have been introduced. (pharmtech.com)
  • This type of packaging has been documented to improve medication adherence," says Smith. (pharmtech.com)
  • This is a strategy to improve adherence, yes. (ajmc.com)
  • Therefore, interventions to improve adherence levels should pay attention to the difference between intentional and unintentional adherence. (nivel.nl)
  • Assessing Parents' Needs in Using Phone Applications to Improve Medication Adherence in an Outpatient Pediatric Oncology Clinic. (bepress.com)
  • Further studies are needed to evaluate if phone apps recommended by this tool improve adherence. (bepress.com)
  • Results thus suggest that efforts to educate patients about the likely response of their medical condition to treatment and to assess and deal with medication side effects might improve patient adherence. (nova.edu)
  • A smart drug delivery device that collects patient usage data, such as dosage and timing, and shares it with the physician can improve medication adherence. (ondrugdelivery.com)
  • We sought to test whether an interactive website grounded in social cognitive theory can improve the dispensing of controller medications and adherence with them where indicated. (cdc.gov)
  • Other recommendations made included how to better coordinate care, improve medication adherence, contain costs, and integrate palliative care and the transition into hospice care. (medpagetoday.com)
  • The investment in patient education tools will likely result in improved risk management (decreasing law suits), improve patient adherence to medications and instructions, and allow for caregivers to have access to the information. (kevinmd.com)
  • Over 4,000 customers worldwide use Omnicell ® automation and analytics solutions to increase operational efficiency, reduce medication errors, deliver actionable intelligence and improve patient safety. (omnicell.com)
  • Omnicell's innovative medication adherence solutions, used by over 32,000 institutional and retail pharmacies in North America and the United Kingdom , are designed to improve patient adherence to prescriptions, helping to reduce costly hospital readmissions. (omnicell.com)
  • Plymouth, MI - May 23, 2022 - Phenomics Health Inc., a bioinformatics-based precision medicine company, today announced the commercial integration of six PrecīsMed® pharmacometabolomic (PMx) and PredictScript™ pharmacogenomic (PGx) clinical products to comprehensively support individual patient medication treatment. (michbio.org)
  • The research estimates global Medication Adherence market revenues in 2022, considering the Medication Adherence market prices, Medication Adherence production, supply, demand, and Medication Adherence trade and logistics across regions. (marketpublishers.com)
  • Detailed market share statistics, penetration, and shift in demand for different types, applications, and geographies in the Medication Adherence market from 2022 to 2030 are included in the thorough research. (marketpublishers.com)
  • The report covers North America, Europe, Asia Pacific, Middle East, Africa, and LATAM/South and Central America Medication Adherence market statistics, along with Medication Adherence CAGR Market Growth Rates from 2022 to 2030 will provide a deep understanding and projection of the market. (marketpublishers.com)
  • Established adherence assessment tools were used to determine patient medication adherence. (biomedcentral.com)
  • The infographic drills down on the factors related to non-adherence, the cost of non-adherence and the impact of technology on patient engagement. (hin.com)
  • The cost of non-adherence has been estimated at $100 billion to $300 billion annually, including costs from avoidable hospitalizations, nursing home admissions, and premature deaths. (who.int)
  • It can seem all too easy to skip a dose here and there or even stop taking the medication if side effects, such as muscle pains , are too bothersome. (verywellhealth.com)
  • The U.S. Food and Drug Administration (FDA) has approved use of an ingestible sensor as an aid to measure medication adherence. (meddeviceonline.com)
  • Gaining FDA clearance for a device claiming to measure medication adherence is a milestone for Proteus, which is considered a first-mover in the nascent - but promising - smart pills market and is one of the most-funded private digital health companies. (meddeviceonline.com)
  • One group will undergo a one-month formal assessment of adherence before transplantation using mock immunosuppressant medication. (clinicaltrials.gov)
  • Patients will be asked to complete Basel Assessment of Adherence to Immunosuppressive Medication instrument (BAASIS) self-report questionnaire and Long-term Medication Behaviour Self-efficacy self-report Scale at 3 months after transplantation. (clinicaltrials.gov)
  • Patients 60 years or older with neurological disorders will receive an assessment of adherence (Stendal Adherence with Medication Score) and a comprehensive geriatric assessment during their stay in the Department of Neurology or Geriatrics at the Jena University Hospital (baseline data). (biomedcentral.com)
  • An ingestible sensor, formally referred to as the Ingestion Event Marker or IEM by Proteus Digital Health, that can report medication adherence and vital signs to physicians has been given the green light by FDA. (drugtopics.com)
  • The presence of comorbid conditions other than asthma also reduced COPD medication adherence in this population, the authors note, with those patients with three or more conditions having the highest risk for poor adherence. (medscape.com)
  • Factors associated with medication adherence among adults with asthma. (bvsalud.org)
  • Asthma medication adherence is of crucial importance for successful disease management . (bvsalud.org)
  • The aim of this study was to identify and rank factors associated with medication adherence among adults with asthma in the general population . (bvsalud.org)
  • We used data on physician -diagnosed asthma , medication adherence , and factors associated with asthma medication adherence from the Danish General Suburban Population Study using a cross-sectional study design. (bvsalud.org)
  • We ranked factors associated with asthma medication adherence based on the magnitude of odds ratios , and the population attributable fractions. (bvsalud.org)
  • Among 20,032 individuals from the general population , 1,128 (6%) suffered from asthma and 822 (73%) of these were adherent to asthma medications. (bvsalud.org)
  • The study showed that in the general population recent asthma attacks, higher age, and taking allergy medication were the three most important factors associated with asthma medication adherence . (bvsalud.org)
  • The importance of maintaining adherence to asthma medications even in the absence of severe disease or expressed asthma symptoms should be better communicated to the general population . (bvsalud.org)
  • The Centers for Disease Control and Prevention estimates only 54% of children who take asthma medications use them as prescribed, which can lead to more frequent, and severe, asthma attacks. (wfdd.org)
  • Improving parental adherence with asthma treatment guidelines: a randomized controlled trial of an interactive website. (cdc.gov)
  • Background: Controllers are underprescribed for child ren with asthma, and when they are, adherence is suboptimal. (cdc.gov)
  • Parents of eligible patients were randomized to be prompted to assess their child 's asthma each month for 6 months and receive tailored feedback on controller use and adherence strategies. (cdc.gov)
  • Apart from age correlates for unintentional and intentional adherence differed. (nivel.nl)
  • Lack of adherence can be both unintentional and intentional, Ruppar notes. (managedhealthcareexecutive.com)
  • Sometimes the reason for lack of compliance, or what increasingly is referred to as "adherence" (see Sidebar ), is financial. (pharmtech.com)
  • The goal was to take the complexity and risk out of medication compliance. (spr.com)
  • We are experts in compliance as it relates to multi dose medication adherence which provides added confidence for our pharmacy customers. (rxinsider.com)
  • It could be used to document compliance especially if each medication had its own signature silicon-based chip," said James M. Wooten, PharmD, associate professor, department of medicine, section of clinical pharmacology, University of Missouri-Kansas City. (drugtopics.com)
  • Without an accurate measurement of compliance, it can be difficult to evaluate the efficacy of a treatment plan, especially if an issue arises and a provider is unable to tell if a medication is not working or needs to be adjusted because the patient is not adhering to their regimen. (ondrugdelivery.com)
  • Medication compliance has been studied and discussed in the literature by many professionals. (bvsalud.org)
  • Collabree is a Swiss eHealth / digital adherence start-up focusing on improving therapy compliance of chronically ill patients by applying behavioural economics principles. (leaptakers.com)
  • Non-adherence estimates were classified using a quantile classification scheme. (cdc.gov)
  • Estimates range from $100 to $300 billion nationally each year for additional medicines, emergency room visits and hospital admissions that result from poor medication adherence, he said. (samford.edu)
  • Caregivers' reports of adherence were predicted by estimates of disease outcome, the presence of side effects, and patients' relying on themselves to remember to take medications. (nova.edu)
  • The World Health Organization (WHO) identifies poor adherence as the most significant cause of uncontrolled BP and estimates that 50-70% of people do not take their antihypertensive medication as prescribed [ 15 ]. (biomedcentral.com)
  • OBJECTIVE: To use automated pharmacy records to assess patient characteristics associated with adherence across 8 diseases. (healthpartners.com)
  • Standardized surveys will also be administered to assess risk factors for non-adherence. (clinicaltrials.gov)
  • Pill count and MEMS record will be reviewed at the end of the 1-month trial period to assess adherence. (clinicaltrials.gov)
  • Aims: To assess the relative impact of non-adherence and other factors associated with resource use and costs incurred by people with schizophrenia. (lse.ac.uk)
  • To assess the validity of self-report measures of diabetes medication adherence and evaluate the effect of depression on the validity of these reports. (diabetesjournals.org)
  • The aim of this study was to assess the knowledge, attitude, and practice of complementary and alternative medicine (CAM) and its impact on antiepileptic drug (AED) adherence among patients with epilepsy. (biomedcentral.com)
  • The purpose of this study was to assess antihypertensive medication adherence and associated factors among adult hypertensive patients. (biomedcentral.com)
  • This article aims to approach the variables involved and strategies to assess and promote adherence, as reflections that can ripen this discussion, especially as regards the patient as a crucial part of the adhesion process. (bvsalud.org)
  • To assess the relationship between a new episode of depression and COPD medication adherence, the authors analyzed data from a random sample of 5% of Medicare claims between 2006 and 2012. (medscape.com)
  • This study aimed to assess patients' experiences and perceptions on associates of TB treatment adherence in Addis Ababa, Ethiopia. (biomedcentral.com)
  • This study aimed to evaluate treatment adherence to levothyroxine therapy in Lebanese population by estimating the proportion of adherent hypothyroidism patients and assess factors affecting the adherence to treatment. (who.int)
  • A high prevalence of CAM usage and non-adherence to AEDs among epilepsy patients was identified. (biomedcentral.com)
  • The concept of a medication-reminder app like Karma Dost is simple: let your smartphone remind you when to take medicine as prescribed by your doctor without any assistance from a family member and ensure the treatment plan is followed. (indianexpress.com)
  • The treatment of chronic illnesses often includes the long-term use of pharmacotherapy, but although these medications are effective in treating chronic diseases, their full benefits are often not realized because ~50% of patients do not take their medications as prescribed. (dovepress.com)
  • Medication adherence to hepatitis C treatment is important for viral eradication and the prevention of chronic disease. (nursingcenter.com)
  • The purpose of this article is to identify a nursing middle-range theory to guide research on the impact of nursing interventions on medication adherence during hepatitis C treatment and to apply the theory to practice by providing examples of the theory application. (nursingcenter.com)
  • PrecīsMed and PredictScript products cover patient medication selection and response monitoring across the most significant disease and medication treatment classes: mental illness, cardiovascular, metabolic, and pain disorders. (michbio.org)
  • Patients and their caregivers were asked questions assessing their beliefs about the seriousness of each condition for which a medication was prescribed and the likely outcome of that condition without treatment. (nova.edu)
  • Patients' beliefs about the likely effect of medication treatment for their condition and the presence of side effects influence reported medication adherence. (nova.edu)
  • However, due to the asymptomatic nature of the disease and indefinite treatment duration, medication adherence remains a significant challenge among these patients. (biomedcentral.com)
  • In Ethiopia, studies done in Adama and Gonder showed that the level of adherence to antihypertensive treatment was 59.9 and 64.6% respectively. (biomedcentral.com)
  • According to the results of a retrospective study of patients in the Midwestern United States, however, patients often have their antihypertensive treatment intensified, regardless of whether it appears that they have been taking the medication they were initially prescribed. (medscape.com)
  • A wide variety of educational, behavioral, and affective interventions are available that individually produce modest improvements in patient adherence to treatment recommendations in diabetes and related chronic illnesses and that work somewhat better when used in combination. (diabetesjournals.org)
  • But systems design and provider adherence to guidelines are topics worthy of extensive separate treatment and are not dealt with here. (diabetesjournals.org)
  • Research shows that the success of HIV treatment and PrEP are largely dependent on an individual's adherence to their medications. (catie.ca)
  • Text messages have been shown to be effective in promoting adherence to HIV treatment. (catie.ca)
  • At the conclusion of the session, the participant will be able to describe Diagnostic and Statistical Manual of Mental Disorders 5th edition , DSM-5 assessment criteria for opioid use disorder, discuss the evidence for opioid use disorder medication assisted treatment with types of medications and settings used in medication assisted therapy. (cdc.gov)
  • For people with high cholesterol or diabetes, adhering to a medication treatment plan is more than a good idea, it can be essential to their health. (tiphealth.com)
  • There are multitude of challenges related to the implementation of DOTS and adherence to treatment. (biomedcentral.com)
  • Perceived risk of non-adherence to medication was among recounted reasons behind treatment adherence. (biomedcentral.com)
  • TB treatment non-adherence was not found to be a major challenge among the study participants. (biomedcentral.com)
  • Lack of job flexibility, long work hours and fear of discrimination have been cited as reasons that individuals delay seeking treatment when experiencing cardiac symptoms and have difficulty with medication adherence and keeping doctor appointments. (cdc.gov)
  • Non-adherence is a major cause of treatment failures. (who.int)
  • In addition to doctors, nurses and other health care providers, pharmacists are an important part of the team that can help patients understand the value of proper medication adherence, say campaign leaders. (samford.edu)
  • This is a heavy burden for Alabama, and the nation," said Sanders, adding that pharmacists are uniquely prepared to help patients take medications properly. (samford.edu)
  • The randomized clinical trial, STOMPP (Study to Measure the Impact of Pharmacists and Pharmacy Services on Medication Non-Adherence), compared the use of adherence medication packaging and MTM services to the use of traditional pill bottles. (pharmacytimes.com)
  • Sharrel Pinto, BS, PharmD, DMM, MS, PhD, the study's principal investigator and lead researcher, also said that the STOMPP results reinforce the adherence pharmacy model, and he affirmed the value of pharmacists as a key member of the health care team. (pharmacytimes.com)
  • Using the arsenal of tools now available to this industry, including medication synchronization technology, and blister packaging, pharmacists can help patients significantly impact their health. (pharmacytimes.com)
  • A study published in the journal Applied Ergonomics compared the standardised processes set out for community pharmacists to follow when dispending medication to what happens in reality. (brightsurf.com)
  • This paper reviewed studies that have adherence to medication among patients with chronic conditions in Middle Eastern countries. (who.int)
  • Alabama Governor Robert Bentley joined a chorus of health care and community leaders Tuesday, Dec. 6, at the Birmingham launch of the initiative to encourage better medication adherence, especially for patients with chronic conditions such as diabetes, respiratory illness and cardio vascular disease. (samford.edu)
  • We found that 54 percent of low-income patients had skipped or cut doses of their medication prior to receiving assistance from PAN because they couldn't afford to take the full dose. (panfoundation.org)
  • This type of non-adherence includes skipping doses, taking medicines at incorrect times and taking more or less than prescribed. (ondrugdelivery.com)
  • Many people miss doses of their regular medications, med sync can make you more likely to take them. (prescription-center.com)
  • This analysis used Medical Monitoring Project data collected during 2015-2019 to examine ART adherence and reasons for missing ART doses among HIV-positive Hispanic/Latino MSM (1,673). (cdc.gov)
  • These are some of the most common causes of poor adherence which could have dramatic side effects if patients have chronic issues like diabetes or heart ailments. (indianexpress.com)
  • Results support the validity of easily administered self-reports for diabetes medication adherence. (diabetesjournals.org)
  • To optimize their health, individuals with diabetes may be advised regarding diet and exercise, frequent medical examinations, annual specialized examinations of their eyes and feet, and, for many, prescribed multiple oral or injected medications every day. (diabetesjournals.org)
  • We focus instead on what can be done to ensure that patients are given the opportunity to consider, adopt, and maintain the central tasks of diabetes self-management: practicing healthy lifestyle behaviors related to nutrition and exercise, taking medications as prescribed, self-monitoring glucose, and seeking medical care as appropriate. (diabetesjournals.org)
  • Ensure that the stock of medications for diabetes control and for How can someone prepare any other comorbidity, is adequate to last for at least 90 days during COVID-19 pandemic? (who.int)
  • It means, Choudhry said, that interventions for adherence may need as much personalization as the medicines themselves. (ajmc.com)
  • The purpose of this study was to evaluate and compare medication adherence to chronic therapies in older populations across different regions in Europe. (dovepress.com)
  • After one and twelve months a telephone interview will be conducted to evaluate if and why changes of medication occurred (follow up data). (biomedcentral.com)
  • Objective: This cross-sectional study sought to evaluate the long term adherence to medications in patients following PCI. (edu.au)
  • Self-care is a health behavior that encompasses self-care maintenance, those daily behaviors that maintain physiological stability (e.g., adherence to medication, diet and symptom monitoring), and self-care management, which is the person's response to CHD symptoms when they occur. (cdc.gov)
  • Health care providers may consider routinely inquiring about unintentional non-adherence in order to proactively address patients' suboptimal medication beliefs before they choose to discontinue therapy all together. (biomedcentral.com)
  • Throughout the COVID-19 crisis, Simoneau says she has noticed patients and families refilling controller inhalers and rescue inhalers earlier and more often, and reporting better adherence to daily medications. (wfdd.org)
  • This does not involve any direct pre-transplant assessment of medication adherence or risk factors for non-adherence. (clinicaltrials.gov)
  • One reason adherence is such a thorny problem for patients and providers is that its origins tend to be a messy combination of factors. (managedhealthcareexecutive.com)
  • Non-adherence is one of the most significant factors in increasing external service costs, by a factor of almost 3. (lse.ac.uk)
  • In this cross-sectional observational study we aim to identify disease-specific adherence-modulating factors in neurogeriatric patients. (biomedcentral.com)
  • Factors related to medication adherence in memory disorder clinic pati" by Raymond L. Ownby, Christopher Hertzog et al. (nova.edu)
  • Factors related to medication adherence in memory disorder clinic patients. (nova.edu)
  • It may be even more important among elderly persons with memory problems, since other factors that lead to non-adherence may be compounded with the memory problems themselves. (nova.edu)
  • Factors associated with adherence were identified using binary and multivariate logistic regression analysis. (biomedcentral.com)
  • The adherence process involves a wide variety of factors. (bvsalud.org)
  • Though it can't be determined if the change is due to fear of hospitals in the pandemic, health talk in the media or other factors (like spending more time at home), the study authors suggest medication adherence could be a big contributor to how long the ER visits were able to stay so low, as medications are able to maintain better control of symptoms over time. (wfdd.org)
  • Perceived risk and wellness were implied to be responsible factors for adherence. (biomedcentral.com)
  • Adherence is simultaneously affected by multiple factors. (who.int)
  • therapy-related factors achieved adherence rates of 80% or better ( 7 ). (who.int)
  • The interviewees also listed the factors that hinder adherence, such as side and adverse effects, religious fanaticism and absent family. (bvsalud.org)
  • Adherence to antihypertensive medications is a key component to control blood pressure levels. (biomedcentral.com)
  • 0.005) were inversely associated with antihypertensive medication adherence. (biomedcentral.com)
  • The adherence level to the prescribed antihypertensive medications was found to be sub-optimal according to the MMAS-8, and influenced by co morbidity, alcohol intake, self-purchasing of the medications and combination of antihypertensive medications. (biomedcentral.com)
  • Samford University's McWhorter School of Pharmacy is one of 25 Alabama-based health care stakeholders, including the State Department of Senior Services, who seek to help patients better adhere to their medication and to help health care workers better communicate with patients. (samford.edu)
  • Results: Patients who failed to adhere to their medication regimen were over one-and-a-half times as likely as patients who did adhere to it to report use of in-patient services. (lse.ac.uk)
  • Failure to adhere to medication instructions when trying to control any condition can worsen or progress the state of disease, prolong hospitalisations and adversely impact a person's overall quality, and even length, of life. (ondrugdelivery.com)
  • Apps are often used to help patients adhere to medication regimen. (sensorytreat.com)
  • Community pharmacist Kenny Sanders, treasurer of the Alabama Board of Pharmacy and a member of the Samford pharmacy school's advisory board, said that the financial cost for non-adherence can be high. (samford.edu)
  • During the 1-year study, patients were randomly assigned to 1 of 4 groups, based on how their medications were dispensed, in multimed blister packaging or vials, and whether they had received pharmacist-provided MTM services. (pharmacytimes.com)
  • Medication synchronization is when the pharmacist coordinates refills of your medications so you can pick them up on a single day each month. (prescription-center.com)
  • While unintentional non-adherence was mainly associated with sociodemographic characteristics, having (more) chronic complaints was positively correlated with intentional non-adherence. (nivel.nl)
  • Poor adherence to medication regimes accounts for substantial worsening of disease and an increase in health care costs. (nivel.nl)
  • BACKGROUND: Poor adherence in pediatric oncology leads to significant morbidity and mortality. (bepress.com)
  • This poor communication process may have a strong impact on adherence and patient-reported outcome. (biomedcentral.com)
  • 2 Common problems associated with medication therapy in older people include inappropriate or ineffective medication use, poor medication adherence, and adverse health effects. (ahdbonline.com)
  • Knowledge of storage of medication in particular nitro-glycerine medications was poor. (edu.au)
  • Poor adherence to these medications leads to the development of hypertensive complications and increase risk of cardiovascular events which in turn reduces the ultimate clinical outcome. (biomedcentral.com)
  • of these 68,610 episodes, 42% were associated with poor patient adherence (medication refill gaps of 20%) and 41% failed to result in medication intensification despite evidence of good patient adherence. (medscape.com)
  • Sensitive medications can be exposed to detrimental environmental conditions, and product information is separated from the dose. (pharmtech.com)
  • Medicine-On-Time is a pioneer in the medication synchronization and multi-dose adherence packaging market. (rxinsider.com)
  • Medication adherence refers to how well a patient takes their medication as prescribed, meaning taking the correct dose correctly, at the right time and frequency. (ondrugdelivery.com)
  • If a patient does appear to have colour vision challenges, the dose or type of medication then has to be reviewed by their doctor," says Ramson. (cput.ac.za)
  • Organizing prescription bottles, remembering when a dose should be taken, and trying to stay on top of medication schedules and refills can make medication management feel like a second job. (herohealth.com)
  • The Hero app is your go-to solution for medication tracking, allowing you to see real-time updates about dose scheduling, medication information, and refill needs. (herohealth.com)
  • Measurement of Adherence to Medications Patients will be given lactose containing white- and yellow-colored gelatin capsules stored in (MEMS®) bottles for a 1-month adherence trial. (clinicaltrials.gov)
  • Historically, patient adherence has been assessed using a rather blunt measurement. (managedhealthcareexecutive.com)
  • The phone calls were long-at least 20 minutes-and at times uncovered things like the fact that patients who'd been labeled non-adherent in claims data actually were taking their medication or had been told by a doctor to stop. (ajmc.com)
  • Q: We have a patient who is non-adherent with recommendations for her medication and check-ups. (medicaleconomics.com)
  • For intentional non-adherence it was also found that religious persons were less likely to be non-adherent. (nivel.nl)
  • A patient is considered non-adherent if they take their medication according to their provider's instructions less than 80% of the time. (ondrugdelivery.com)
  • Adherence was assessed using Morisky Medication Adherence Scale-8 (MMAS-8) and MMAS-8 score less than 6 was considered as non-adherent and MMAS-8 score was ≥ 6 was declared as adherence. (biomedcentral.com)
  • Forgetting to take medications can be a barrier to adherence for patients who intend to take their medication as prescribed. (lark.com)
  • Nonconforming - when a patient does not take their medication as prescribed. (ondrugdelivery.com)
  • In fact, half of Americans with chronic illnesses stop taking medications within a year of the initial prescription, according to the Centers for Disease Control and Prevention. (indianexpress.com)
  • Chronic illnesses treated with long-term use of medications could be more successful with improved medication adherence rates, according to a new infographic by Fleming. (hin.com)
  • Council for Affordable Health Coverage is lobbying for policies around medication synchronization and better use of health IT, with an eye on using CBO's scoring of savings from medication use to help pay for reforming Medicare's physician payment updating method in upcoming legislation. (informa.com)