DiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureHumanitiesInformation ScienceNamed GroupsHealth CareGeographicals
Medication AdherencePatient ComplianceMedication ErrorsAntihypertensive AgentsGuideline AdherenceDrug MonitoringMedication SystemsHIV InfectionsReminder SystemsSelf CarePatient Education as TopicAnti-HIV AgentsTreatment RefusalUnited StatesDrug PackagingDrug PrescriptionsQuestionnairesPolypharmacyTreatment OutcomePharmaceutical ServicesHealth Knowledge, Attitudes, PracticeElectronics, MedicalPrescription DrugsPharmacistsAnti-Retroviral AgentsMedication ReconciliationAnti-Asthmatic AgentsHealth LiteracyClinical Pharmacy Information SystemsBacterial AdhesionHypertensionMedication Systems, HospitalCommunity Pharmacy ServicesSelf EfficacyCross-Sectional StudiesAntipsychotic AgentsOccupational Health NursingSelf AdministrationDrug TherapyHypoglycemic AgentsMedication Therapy ManagementPrescription FeesAntiretroviral Therapy, Highly ActiveSelf ReportPharmaciesNursing Methodology ResearchPhysician-Patient RelationsRelief WorkSocial SupportCohort StudiesCardiovascular AgentsRetrospective StudiesDepressionInsurance, Pharmaceutical ServicesElectronicsInsurance Claim ReviewMotivationMedicare Part DAntidepressive AgentsTelephoneCellular PhoneCost SharingSoutheastern United StatesProspective StudiesFollow-Up StudiesAttitude to HealthAfrican AmericansPilot ProjectsChronic DiseasePharmaceutical PreparationsAlcohol DeterrentsLogistic ModelsFees, PharmaceuticalDrug CostsDiabetes Mellitus, Type 2AsthmaTelemedicineInterviews as TopicRisk FactorsMobile ApplicationsOutpatientsLongitudinal StudiesPatient SatisfactionTape RecordingProfessional-Patient RelationsDrug-Related Side Effects and Adverse ReactionsSelf MedicationDrugs, GenericHIV SeropositivityDirectly Observed TherapyViral LoadDenial (Psychology)Drug Administration ScheduleBehavioral MedicineTime FactorsDiabetes MellitusBehavior TherapyHydroxymethylglutaryl-CoA Reductase InhibitorsClinical ProtocolsAge FactorsNational Institute on Alcohol Abuse and Alcoholism (U.S.)Secondary PreventionSubstance-Related DisordersComorbidityAdhesivenessUnited States Department of Veterans AffairsSocioeconomic FactorsSeverity of Illness IndexText MessagingManaged Care ProgramsOutcome Assessment (Health Care)Psychotropic DrugsPharmaceutical Services, OnlineDirective CounselingPhysician's Practice PatternsHemoglobin A, GlycosylatedMultivariate AnalysisTranscultural NursingSchizophreniaIntervention StudiesPractice Guidelines as TopicHealth BehaviorAdaptation, PsychologicalAmbulatory CarePsychiatric Status Rating ScalesAdministration, OralPrimary Health CareRegression AnalysisLouisianaSocial StigmaQuality of LifeMesalamineMedicaidDrug UtilizationPsychometricsIndianaModels, PsychologicalCaregiversLinear ModelsPsychologyVeteransNew York CityHealth Care CostsPatient Care TeamCommunicationAdrenal Cortex HormonesDrug UsersCell AdhesionSex FactorsHeart FailureSulfonylurea CompoundsPatient DischargeSchizophrenic PsychologyCounselingSelf DisclosureNonprescription DrugsAngiotensin-Converting Enzyme InhibitorsResearch DesignBipolar DisorderConfidence IntervalsAdministration, InhalationChicagoNaltrexoneEuropean Continental Ancestry GroupContinental Population GroupsCardiovascular DiseasesDisease ManagementDatabases, FactualPatient ParticipationPower (Psychology)Costs and Cost AnalysisEducational StatusRandomized Controlled Trials as TopicLeukocyte Adherence Inhibition TestInflammatory Bowel DiseasesStereotypingRwandaCognition DisordersDrug Therapy, CombinationPatient-Centered CareDepressive DisorderCost SavingsFloridaHealth Benefit Plans, EmployeeGlaucomaHospitals, VeteransData CollectionHypolipidemic AgentsImmune Adherence ReactionQualitative ResearchOdds RatioNeuropsychological TestsCognitive TherapyContinuity of Patient CareDrug Therapy, Computer-AssistedFocus GroupsFeasibility StudiesBlood Glucose Self-MonitoringMetforminAdrenergic beta-AntagonistsAcquired Immunodeficiency Syndrome
Medication Adherence: Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Medication Errors: 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.Antihypertensive Agents: 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.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Drug Monitoring: The process of observing, recording, or detecting the effects of a chemical substance administered to an individual therapeutically or diagnostically.Medication Systems: Overall systems, traditional or automated, to provide medication to patients.HIV Infections: Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).Reminder Systems: 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.Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Anti-HIV Agents: 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.Treatment Refusal: Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)United StatesDrug Packaging: 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.Drug Prescriptions: Directions written for the obtaining and use of DRUGS.Questionnaires: 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.Polypharmacy: 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)Treatment Outcome: 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.Pharmaceutical Services: 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.Health Knowledge, Attitudes, Practice: 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).Electronics, Medical: 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)Prescription Drugs: Drugs that cannot be sold legally without a prescription.Pharmacists: Those persons legally qualified by education and training to engage in the practice of pharmacy.Anti-Retroviral Agents: Agents used to treat RETROVIRIDAE INFECTIONS.Medication Reconciliation: 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.Anti-Asthmatic Agents: Drugs that are used to treat asthma.Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.Clinical Pharmacy Information Systems: 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.Bacterial Adhesion: 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.Hypertension: 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.Medication Systems, Hospital: 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.Community Pharmacy Services: Total pharmaceutical services provided to the public through community pharmacies.Self Efficacy: 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)Cross-Sectional Studies: 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.Antipsychotic Agents: 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.Occupational Health Nursing: The practice of nursing in the work environment.Self Administration: 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.Drug Therapy: The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.Hypoglycemic Agents: Substances which lower blood glucose levels.Medication Therapy Management: 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.Prescription Fees: The charge levied on the consumer for drugs or therapy prescribed under written order of a physician or other health professional.Antiretroviral Therapy, Highly Active: 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.Self Report: Method for obtaining information through verbal responses, written or oral, from subjects.Pharmacies: Facilities for the preparation and dispensing of drugs.Nursing Methodology Research: 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.Physician-Patient Relations: The interactions between physician and patient.Relief Work: 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)Social Support: 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.Cohort Studies: 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.Cardiovascular Agents: Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.Retrospective Studies: 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.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Insurance, Pharmaceutical Services: Insurance providing for payment of services rendered by the pharmacist. Services include the preparation and distribution of medical products.Electronics: 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)Insurance Claim Review: 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.Motivation: 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.Medicare Part D: 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.Antidepressive Agents: 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.Telephone: An instrument for reproducing sounds especially articulate speech at a distance. (Webster, 3rd ed)Cellular Phone: 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.Cost Sharing: 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)Southeastern United States: 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.Prospective Studies: 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.Follow-Up Studies: 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.Attitude to Health: Public attitudes toward health, disease, and the medical care system.African Americans: Persons living in the United States having origins in any of the black groups of Africa.Pilot Projects: 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.Chronic Disease: 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)Pharmaceutical Preparations: 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.Alcohol Deterrents: 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.Logistic Models: 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.Fees, Pharmaceutical: Amounts charged to the patient or third-party payer for medication. It includes the pharmacist's professional fee and cost of ingredients, containers, etc.Drug Costs: 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).Diabetes Mellitus, Type 2: 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.Asthma: 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).Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Interviews as Topic: 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.Risk Factors: 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.Mobile Applications: 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.Outpatients: Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Patient Satisfaction: 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.Tape Recording: Recording of information on magnetic or punched paper tape.Professional-Patient Relations: Interactions between health personnel and patients.Drug-Related Side Effects and Adverse Reactions: 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.Self Medication: The self administration of medication not prescribed by a physician or in a manner not directed by a physician.Drugs, Generic: Drugs whose drug name is not protected by a trademark. They may be manufactured by several companies.HIV Seropositivity: Development of neutralizing antibodies in individuals who have been exposed to the human immunodeficiency virus (HIV/HTLV-III/LAV).Directly Observed Therapy: 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.Viral Load: 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.Denial (Psychology): Refusal to admit the truth or reality of a situation or experience.Drug Administration Schedule: Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.Behavioral Medicine: 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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Diabetes Mellitus: A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.Behavior Therapy: The application of modern theories of learning and conditioning in the treatment of behavior disorders.Hydroxymethylglutaryl-CoA Reductase Inhibitors: Compounds that inhibit HMG-CoA reductases. They have been shown to directly lower cholesterol synthesis.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Age Factors: 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.National Institute on Alcohol Abuse and Alcoholism (U.S.): 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.Secondary Prevention: The prevention of recurrences or exacerbations of a disease or complications of its therapy.Substance-Related Disorders: Disorders related to substance abuse.Comorbidity: 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.Adhesiveness: A property of the surface of an object that makes it stick to another surface.United States Department of Veterans Affairs: 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.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Text Messaging: Communication between CELL PHONE users via the Short Message Service protocol which allows the interchange of short written messages.Managed Care Programs: 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.Outcome Assessment (Health Care): 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).Psychotropic Drugs: 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).Pharmaceutical Services, Online: Pharmacy services accessed via electronic means.Directive Counseling: 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.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Hemoglobin A, Glycosylated: 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.Multivariate Analysis: 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.Transcultural Nursing: 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.Schizophrenia: A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.Intervention Studies: Epidemiologic investigations designed to test a hypothesized cause-effect relation by modifying the supposed causal factor(s) in the study population.Practice Guidelines as Topic: 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.Health Behavior: 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.Adaptation, Psychological: 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)Ambulatory Care: 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.Psychiatric Status Rating Scales: Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.Administration, Oral: The giving of drugs, chemicals, or other substances by mouth.Primary Health Care: 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)Regression Analysis: 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.LouisianaSocial Stigma: A perceived attribute that is deeply discrediting and is considered to be a violation of social norms.Quality of Life: 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.Mesalamine: 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)Medicaid: 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.Drug Utilization: The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.Psychometrics: Assessment of psychological variables by the application of mathematical procedures.IndianaModels, Psychological: Theoretical representations that simulate psychological processes and/or social processes. These include the use of mathematical equations, computers, and other electronic equipment.Caregivers: 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.Linear Models: 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.Psychology: The science dealing with the study of mental processes and behavior in man and animals.Veterans: Former members of the armed services.New York CityHealth Care Costs: 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.Patient Care Team: 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.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Adrenal Cortex HormonesDrug Users: 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.Cell Adhesion: Adherence of cells to surfaces or to other cells.Sex Factors: 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.Heart Failure: 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.Sulfonylurea CompoundsPatient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Schizophrenic Psychology: Study of mental processes and behavior of schizophrenics.Counseling: The giving of advice and assistance to individuals with educational or personal problems.Self Disclosure: A willingness to reveal information about oneself to others.Nonprescription Drugs: Medicines that can be sold legally without a DRUG PRESCRIPTION.Angiotensin-Converting Enzyme Inhibitors: 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.Research Design: 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.Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.Confidence Intervals: 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.Administration, Inhalation: The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.ChicagoNaltrexone: 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.European Continental Ancestry Group: Individuals whose ancestral origins are in the continent of Europe.Continental Population Groups: Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.Cardiovascular Diseases: Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.Disease Management: 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)Databases, Factual: 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 Participation: Patient involvement in the decision-making process in matters pertaining to health.Power (Psychology): The exertion of a strong influence or control over others in a variety of settings--administrative, social, academic, etc.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Educational Status: Educational attainment or level of education of individuals.Randomized Controlled Trials as Topic: 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.Leukocyte Adherence Inhibition Test: 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.Inflammatory Bowel Diseases: Chronic, non-specific inflammation of the GASTROINTESTINAL TRACT. Etiology may be genetic or environmental. This term includes CROHN DISEASE and ULCERATIVE COLITIS.Stereotyping: An oversimplified perception or conception especially of persons, social groups, etc.Rwanda: 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.Cognition Disorders: Disturbances in mental processes related to learning, thinking, reasoning, and judgment.Drug Therapy, Combination: Therapy with two or more separate preparations given for a combined effect.Patient-Centered Care: 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)Depressive Disorder: 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.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.FloridaHealth Benefit Plans, Employee: 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.Glaucoma: 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, Veterans: Hospitals providing medical care to veterans of wars.Data Collection: 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.Hypolipidemic Agents: Substances that lower the levels of certain LIPIDS in the BLOOD. They are used to treat HYPERLIPIDEMIAS.Immune Adherence Reaction: 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.Qualitative Research: 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)Odds Ratio: 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.Neuropsychological Tests: 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.Cognitive Therapy: 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.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Drug Therapy, Computer-Assisted: Adjunctive computer programs in providing drug treatment to patients.Focus Groups: 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.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Blood Glucose Self-Monitoring: 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.Metformin: 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)Adrenergic beta-Antagonists: 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.Acquired Immunodeficiency Syndrome: 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.

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)

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

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

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Impact of initial medication non-adherence on use of healthcare services and sick leave: a longitudinal study in a large...Impact of initial medication non-adherence on use of healthcare services and sick leave: a longitudinal study in a large...
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 ...
Assessing the Impact of Lower Prescription Drug Cost-Sharing on Medication Adherence, Clinical Outcomes, and Health Care Costs ...Assessing the Impact of Lower Prescription Drug Cost-Sharing on Medication Adherence, Clinical Outcomes, and Health Care Costs ...
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.. ...
Abstract P342: Predicting Low Pharmacy Refill Adherence in Elderly Patients with Uncontrolled Blood Pressure | CirculationAbstract P342: Predicting Low Pharmacy Refill Adherence in Elderly Patients with Uncontrolled Blood Pressure | Circulation
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) ...
Via Sapientiae - Grace Peterson Nursing Research Colloquium: Medication Adherence in Adult Patients with Bipolar Disorder: An...Via Sapientiae - Grace Peterson Nursing Research Colloquium: Medication Adherence in Adult Patients with Bipolar Disorder: An...
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
Prospective Study Fines Multidisciplinary Management Improves Anxiety, Depression, Medication Adherence, and Quality of Life...Prospective Study Fines Multidisciplinary Management Improves Anxiety, Depression, Medication Adherence, and Quality of Life...
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 ...
Nurse Delivered Cell Phone Adherence Intervention (Pick It UP) - Full Text View - ClinicalTrials.govNurse Delivered Cell Phone Adherence Intervention (Pick It UP) - Full Text View - ClinicalTrials.gov
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 ...
Nurse Delivered Cell Phone Adherence Intervention (Pick It UP) - Full Text View - ClinicalTrials.govNurse Delivered Cell Phone Adherence Intervention (Pick It UP) - Full Text View - ClinicalTrials.gov
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 ...
The Effect of Partner Serostatus and Relationship Duration on HIV Medication Adherence<...The Effect of Partner Serostatus and Relationship Duration on HIV Medication Adherence<...
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 ...
Non-adherence to antihypertensive pharmacotherapy in Buea, Cameroon: a cross-sectional community-based study | BMC...Non-adherence to antihypertensive pharmacotherapy in Buea, Cameroon: a cross-sectional community-based study | BMC...
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.
Relationship between the Stages of Change and Medication Adherence in Patients with Type 2 Diabetes Mellitus in a Primary...Relationship between the Stages of Change and Medication Adherence in Patients with Type 2 Diabetes Mellitus in a Primary...
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 ...
Treatment patterns and medication adherence of patients with glaucoma in South Korea | British Journal of OphthalmologyTreatment patterns and medication adherence of patients with glaucoma in South Korea | British Journal of Ophthalmology
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 ...
Psychiatry | R G Kar Medical College and HospitalPsychiatry | R G Kar Medical College and Hospital
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 ...
Antihypertensive medication adherence in cancer survivors and its affecting factors: Results of a Korean population-based study...Antihypertensive medication adherence in cancer survivors and its affecting factors: Results of a Korean population-based study...
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 ...
Mental Health Update: Risk factors for medication non-adherenceMental Health Update: Risk factors for medication non-adherence
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 | CirculationMedication Adherence | Circulation
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.. ...
Apoyo social percibido en pacientes con Hipertensión Arterial y Diabetes Mellitus tipo II en Atención Primaria y su relación...Apoyo social percibido en pacientes con Hipertensión Arterial y Diabetes Mellitus tipo II en Atención Primaria y su relación...
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). ...
J Clin Psychiatry/Prevalence of and Risk Factors for Medication Nonadherence in Patients With Schizophrenia: A Comprehensive...J Clin Psychiatry/Prevalence of and Risk Factors for Medication Nonadherence in Patients With Schizophrenia: A Comprehensive...
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 Medication Non-Adherence Healthcare Epidemic - Potential Med Tech Solutions - LexologyThe Medication Non-Adherence Healthcare Epidemic - Potential Med Tech Solutions - Lexology
The New York Times has described American's nonadherence to prescribed medications as an "out-of-control epidemic that costs more and affects more…
Optimizing measurement of self-reported adherence with the ACTG Adherence Questionnaire: a cross-protocol analysis. | AIDS...Optimizing measurement of self-reported adherence with the ACTG Adherence Questionnaire: a cross-protocol analysis. | AIDS...
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 From A Licensed Medical ProviderPrescription Refill Online. Request A Medication Refill From A Licensed Medical Provider
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Frontiers | Current Situation of Medication Adherence in Hypertension | PharmacologyFrontiers | Current Situation of Medication Adherence in Hypertension | Pharmacology
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.
Journal of Clinical and Preventive CardiologyJournal of Clinical and Preventive Cardiology
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 ...
Utilization of osteoporosis medicines, medication adherence and the trend in osteoporosis related hip fractures in EstoniaUtilization of osteoporosis medicines, medication adherence and the trend in osteoporosis related hip fractures in Estonia
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 ...
Benchmarks in Improving Medication AdherenceBenchmarks in Improving Medication Adherence
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 ...
Benchmarks in Improving Medication AdherenceBenchmarks in Improving Medication Adherence
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 ...
Depression associated with poor medication adherence in patients with chronic illnessesDepression associated with poor medication adherence in patients with chronic illnesses
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.
Adherence to Medication Under Mandatory and Voluntary Mail Benefit Designs - American College of CardiologyAdherence to Medication Under Mandatory and Voluntary Mail Benefit Designs - American College of Cardiology
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.. ...
A programme of symptom management for improving quality of life and drug adherence in AIDS/HIV patients<...A programme of symptom management for improving quality of life and drug adherence in AIDS/HIV patients<...
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 ...
Elyssa Wiecek | University of Technology SydneyElyssa Wiecek | University of Technology Sydney
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 ...
Most recent papers with the keyword Hba1c cardiovascular risk | Read by QxMDMost recent papers with the keyword Hba1c cardiovascular risk | Read by QxMD
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 ...
Negative wealth shock and short-term changes in depressive symptoms and medication adherence among late middle-aged adults |...Negative wealth shock and short-term changes in depressive symptoms and medication adherence among late middle-aged adults |...
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. ...
Cultural Diversity and Medication Safety: CULTURAL PREFERENCES AND THEIR EFFECT ON MEDICATION ADHERENCECultural Diversity and Medication Safety: CULTURAL PREFERENCES AND THEIR EFFECT ON MEDICATION ADHERENCE
Women from Islamic and African cultures who have vaginal yeast infections may prefer oral drugs to vaginally inserted medications. Latin Americans expect
Impact of Workplace Wellness-Program Participation on Medication Adherence, and Differences in Out-of-Pocket Health Care..."Impact of Workplace Wellness-Program Participation on Medication Adherence," and "Differences in Out-of-Pocket Health Care...
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 ...
Beyond the Data: Overcoming Barriers to Medication Adherence for Chronic Diseases Be part of the knowledge - ReachMDBeyond the Data: Overcoming Barriers to Medication Adherence for Chronic Diseases Be part of the knowledge - ReachMD
In this session of Beyond the Data carrying forward ideas discussed at CDCs Public Health Grand Rounds, Dr. Phoebe Thorpe and Dr. Larry Garber expand on the reasons for medication non-adherence by patients, and priority considerations for helping reduce this risk.
Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot study<...Relationship between medication adherence and health beliefs among patients with hypertension in Oman: Pilot 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 ...
NACDS stance on medication adherence emphasized in NYT article - Drug Store NewsNACDS' stance on medication adherence emphasized in NYT article - Drug Store News
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 ...
ISPOR MEDICATION COMPlIANCE AND PERSISTENCE SPECIAL INTEREST GROUPISPOR MEDICATION COMPlIANCE AND PERSISTENCE SPECIAL INTEREST GROUP
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.. ...
Adherence to insulin pump treatment declines with increasing age in adolescents with type 1 diabetes mellitus - Research...Adherence to insulin pump treatment declines with increasing age in adolescents with type 1 diabetes mellitus - Research...
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 ...
Long-term adherence to antiretroviral therapy in a South African adult patient cohort: a retrospective study | BMC Infectious...Long-term adherence to antiretroviral therapy in a South African adult patient cohort: a retrospective study | BMC Infectious...
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
OP0101-HPR Action Plannings Parameters for Effectiveness in Increasing Exercise Adherence Behaviour | Annals of the Rheumatic...OP0101-HPR Action Planning's Parameters for Effectiveness in Increasing Exercise Adherence Behaviour | Annals of the Rheumatic...
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 da | PPASecondary analysis of electronically monitored medication adherence da | PPA
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
An Investigation of Dialysis Patients Medication Compliance and the R by Adele Curtis"An Investigation of Dialysis Patients' Medication Compliance and the R" by Adele Curtis
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 delive | NBHIVBaseline medication adherence and response to an electronically delive | NBHIV
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
Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in Ismailia, Egypt: a cross section...Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in Ismailia, Egypt: a cross section...
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.
CVS Caremark Medication Adherence Report Identifies Significant Opportunities for Health Care Cost-Savings Across All 50 U.S....CVS Caremark Medication Adherence Report Identifies Significant Opportunities for Health Care Cost-Savings Across All 50 U.S....
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 ...
Frontiers | Combining Non-Pharmacological Treatments with Pharmacotherapies for Neurological Disorders: A Unique Interface of...Frontiers | Combining Non-Pharmacological Treatments with Pharmacotherapies for Neurological Disorders: A Unique Interface of...
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
PPT - The Role of Medication Compliance in Improving Outcomes of Pharmaceutical Care PowerPoint presentation | free to view -...PPT - The Role of Medication Compliance in Improving Outcomes of Pharmaceutical Care PowerPoint presentation | free to view -...
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
Self-Reported Medication Adherence and Cardiovascular Events in Patients with Stable Coronary Heart Disease - RWJFSelf-Reported Medication Adherence and Cardiovascular Events in Patients with Stable Coronary Heart Disease - RWJF
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:. ...
Daily Medication | Treat Gerd & HeartburnDaily Medication | Treat Gerd & Heartburn
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 ...
Seeking Value: Managing Specialty Medications and Medication Adherence - The AllianceSeeking Value: Managing Specialty Medications and Medication Adherence - The Alliance
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 ...
AB0822 Adherence to Bisphosphonates Treatment of Osteoporosis | Annals of the Rheumatic DiseasesAB0822 Adherence to Bisphosphonates Treatment of Osteoporosis | Annals of the Rheumatic Diseases
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.. ...
Vaccine Development against the Renin-Angiotensin System for the Treatment of Hypertension<...Vaccine Development against the Renin-Angiotensin System for the Treatment of Hypertension<...
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 ...
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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 ...
Patient Adherence: Initiating the Journey toward Collaboration - PM360Patient Adherence: Initiating the Journey toward Collaboration - PM360
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 ...
FDA approves Novartis drug for high blood pressure treatment - Drug Store NewsFDA approves Novartis drug for high blood pressure treatment - Drug Store News
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 ...
Predictors of non-adherence to antiretroviral therapy among HIV infected patients in northern Tanzania.Predictors of non-adherence to antiretroviral therapy among HIV infected patients in northern Tanzania.
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.
Factors associated with patients self-reported adherence to prescribed physical activity in routine primary health care | BMC...Factors associated with patients self-reported adherence to prescribed physical activity in routine primary health care | BMC...
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
Association of refill adherence and health care use among adults with hypertension in an urban health care system<...Association of refill adherence and health care use among adults with hypertension in an urban health care system<...
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 ...
Interim Guidance: Preexposure Prophylaxis for the Prevention of HIV Infection in Men Who Have Sex with MenInterim Guidance: Preexposure Prophylaxis for the Prevention of HIV Infection in Men Who Have Sex with Men
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 ...
Development and validation of an immunosuppressant therapy adherence barrier instrument<...Development and validation of an immunosuppressant therapy adherence barrier instrument<...
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 ...
Plus itPlus it
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 ...
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Medication AdherencePatient ComplianceMedication ErrorsAntihypertensive AgentsGuideline AdherenceDrug MonitoringMedication SystemsHIV InfectionsReminder SystemsSelf CarePatient Education as TopicAnti-HIV AgentsTreatment RefusalUnited StatesDrug PackagingDrug PrescriptionsQuestionnairesPolypharmacyTreatment OutcomePharmaceutical ServicesHealth Knowledge, Attitudes, PracticeElectronics, MedicalPrescription DrugsPharmacistsAnti-Retroviral AgentsMedication ReconciliationAnti-Asthmatic AgentsHealth LiteracyClinical Pharmacy Information SystemsBacterial AdhesionHypertensionMedication Systems, HospitalCommunity Pharmacy ServicesSelf EfficacyCross-Sectional StudiesAntipsychotic AgentsOccupational Health NursingSelf AdministrationDrug TherapyHypoglycemic AgentsMedication Therapy ManagementPrescription FeesAntiretroviral Therapy, Highly ActiveSelf ReportPharmaciesNursing Methodology ResearchPhysician-Patient RelationsRelief WorkSocial SupportCohort StudiesCardiovascular AgentsRetrospective StudiesDepressionInsurance, Pharmaceutical ServicesElectronicsInsurance Claim ReviewMotivationMedicare Part DAntidepressive AgentsTelephoneCellular PhoneCost SharingSoutheastern United StatesProspective StudiesFollow-Up StudiesAttitude to HealthAfrican AmericansPilot ProjectsChronic DiseasePharmaceutical PreparationsAlcohol DeterrentsLogistic ModelsFees, PharmaceuticalDrug CostsDiabetes Mellitus, Type 2AsthmaTelemedicineInterviews as TopicRisk FactorsMobile ApplicationsOutpatientsLongitudinal StudiesPatient SatisfactionTape RecordingProfessional-Patient RelationsDrug-Related Side Effects and Adverse ReactionsSelf MedicationDrugs, GenericHIV SeropositivityDirectly Observed TherapyViral LoadDenial (Psychology)Drug Administration ScheduleBehavioral MedicineTime FactorsDiabetes MellitusBehavior TherapyHydroxymethylglutaryl-CoA Reductase InhibitorsClinical ProtocolsAge FactorsNational Institute on Alcohol Abuse and Alcoholism (U.S.)Secondary PreventionSubstance-Related DisordersComorbidityAdhesivenessUnited States Department of Veterans AffairsSocioeconomic FactorsSeverity of Illness IndexText MessagingManaged Care ProgramsOutcome Assessment (Health Care)Psychotropic DrugsPharmaceutical Services, OnlineDirective CounselingPhysician's Practice PatternsHemoglobin A, GlycosylatedMultivariate AnalysisTranscultural NursingSchizophreniaIntervention StudiesPractice Guidelines as TopicHealth BehaviorAdaptation, PsychologicalAmbulatory CarePsychiatric Status Rating ScalesAdministration, OralPrimary Health CareRegression AnalysisLouisianaSocial StigmaQuality of LifeMesalamineMedicaidDrug UtilizationPsychometricsIndianaModels, PsychologicalCaregiversLinear ModelsPsychologyVeteransNew York CityHealth Care CostsPatient Care TeamCommunicationAdrenal Cortex HormonesDrug UsersCell AdhesionSex FactorsHeart FailureSulfonylurea CompoundsPatient DischargeSchizophrenic PsychologyCounselingSelf DisclosureNonprescription DrugsAngiotensin-Converting Enzyme InhibitorsResearch DesignBipolar DisorderConfidence IntervalsAdministration, InhalationChicagoNaltrexoneEuropean Continental Ancestry GroupContinental Population GroupsCardiovascular DiseasesDisease ManagementDatabases, FactualPatient ParticipationPower (Psychology)Costs and Cost AnalysisEducational StatusRandomized Controlled Trials as TopicLeukocyte Adherence Inhibition TestInflammatory Bowel DiseasesStereotypingRwandaCognition DisordersDrug Therapy, CombinationPatient-Centered CareDepressive DisorderCost SavingsFloridaHealth Benefit Plans, EmployeeGlaucomaHospitals, VeteransData CollectionHypolipidemic AgentsImmune Adherence ReactionQualitative ResearchOdds RatioNeuropsychological TestsCognitive TherapyContinuity of Patient CareDrug Therapy, Computer-AssistedFocus GroupsFeasibility StudiesBlood Glucose Self-MonitoringMetforminAdrenergic beta-AntagonistsAcquired Immunodeficiency Syndrome
Medication Adherence | CirculationMedication Adherence | Circulation
2 JAMA Ophthalmology studies focus on glaucoma medication adherence | EurekAlert! Science News2 JAMA Ophthalmology studies focus on glaucoma medication adherence | EurekAlert! Science News
Electronic Intervention for HIV Medication Adherence - Full Text View - ClinicalTrials.govElectronic Intervention for HIV Medication Adherence - Full Text View - ClinicalTrials.gov
Frontiers | Current Situation of Medication Adherence in Hypertension | PharmacologyFrontiers | Current Situation of Medication Adherence in Hypertension | Pharmacology
The Medication Non-Adherence Healthcare Epidemic - Potential Med Tech Solutions - LexologyThe Medication Non-Adherence Healthcare Epidemic - Potential Med Tech Solutions - Lexology
Impact of Medication Adherence on Hospitalization Risk and Healthcare CostImpact of Medication Adherence on Hospitalization Risk and Healthcare Cost
Benchmarks in Improving Medication AdherenceBenchmarks in Improving Medication Adherence
Distress, Medication Adherence and Care Needs in Patients With CML and GIST Receiving Oral Targeted Therapy - Full Text View -...Distress, Medication Adherence and Care Needs in Patients With CML and GIST Receiving Oral Targeted Therapy - Full Text View -...
Assessing the Impact of Lower Prescription Drug Cost-Sharing on Medication Adherence, Clinical Outcomes, and Health Care Costs ...Assessing the Impact of Lower Prescription Drug Cost-Sharing on Medication Adherence, Clinical Outcomes, and Health Care Costs ...
Depression associated with poor medication adherence in patients with chronic illnessesDepression associated with poor medication adherence in patients with chronic illnesses
Treatment patterns and medication adherence of patients with glaucoma in South Korea | British Journal of OphthalmologyTreatment patterns and medication adherence of patients with glaucoma in South Korea | British Journal of Ophthalmology
2013 Benchmarks in Medication Adherence2013 Benchmarks in Medication Adherence
Medication adherence to multidrug regimens. - PubMed - NCBIMedication adherence to multidrug regimens. - PubMed - NCBI
Automated reminders improve medication adherence and cholesterol controlAutomated reminders improve medication adherence and cholesterol control
Antihypertensive Medication Adherence and Out-of-Pocket CostsAntihypertensive Medication Adherence and Out-of-Pocket Costs
Medication Adherence Chapter | Compendium | Intervention Research | Research | HIV/AIDS | CDCMedication Adherence Chapter | Compendium | Intervention Research | Research | HIV/AIDS | CDC
Medication Adherence Chapter | Compendium | Intervention Research | Research | HIV/AIDS | CDCMedication Adherence Chapter | Compendium | Intervention Research | Research | HIV/AIDS | CDC
Schools in for asthma medication adherence | EurekAlert! Science NewsSchool's in for asthma medication adherence | EurekAlert! Science News
PCMH Tied to Better Adherence for Chronic Disease MedicationPCMH Tied to Better Adherence for Chronic Disease Medication
Medication Adherence Changes Following Value-Based Insurance Design - RWJFMedication Adherence Changes Following Value-Based Insurance Design - RWJF
Adherence with Preventive Medication in Childhood AsthmaAdherence with Preventive Medication in Childhood Asthma
Advancing Interventions to Improve Medication Adherence (R21)Advancing Interventions to Improve Medication Adherence (R21)
Express Scripts Research Shows Significant Benefit of Adherence to Diabetes MedicationsExpress Scripts Research Shows Significant Benefit of Adherence to Diabetes Medications
Medication adherence - National Consumers LeagueMedication adherence - National Consumers League
Survey Aims to Improve Medication Adherence with the Help of Pediatricians NationwideSurvey Aims to Improve Medication Adherence with the Help of Pediatricians Nationwide
ADHD Medication Adherence Needs Clinician CollaborationADHD Medication Adherence Needs Clinician Collaboration
NIMH » Innovative Measures of Medication Adherence for HIV Treatment and PreventionNIMH » Innovative Measures of Medication Adherence for HIV Treatment and Prevention
Heart Attack Patients - Eliminating Co-Payments Improves Outcomes, Costs And Medication AdherenceHeart Attack Patients - Eliminating Co-Payments Improves Outcomes, Costs And Medication Adherence
Primary Medication Non-Adherence: Analysis of 195,930 Electronic Prescriptions | SpringerLinkPrimary Medication Non-Adherence: Analysis of 195,930 Electronic Prescriptions | SpringerLink
Text Messages Improve Medication Adherence | The Community GuideText Messages Improve Medication Adherence | The Community Guide
Smart Devices for Driving Patient Medication Adherence |TCSSmart Devices for Driving Patient Medication Adherence |TCS
A Systematic Review of Adherence With Medications for Diabetes | Diabetes CareA Systematic Review of Adherence With Medications for Diabetes | Diabetes Care
Understanding Medication Adherence Among HIV Patients - Full Text View - ClinicalTrials.govUnderstanding Medication Adherence Among HIV Patients - Full Text View - ClinicalTrials.gov
Blood Pressure Medication AdherenceBlood Pressure Medication Adherence
medication adherence app | MobiHealthNewsmedication adherence app | MobiHealthNews
Medication non-adherence: 75 percent non-compliant on prescriptionsMedication non-adherence: 75 percent non-compliant on prescriptions
Analytical chemistry for assessing medication adherence, 1st edition | RTIAnalytical chemistry for assessing medication adherence, 1st edition | RTI
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Medication AdherencePatient ComplianceMedication ErrorsAntihypertensive AgentsGuideline AdherenceDrug MonitoringMedication SystemsHIV InfectionsReminder SystemsSelf CarePatient Education as TopicAnti-HIV AgentsTreatment RefusalUnited StatesDrug PackagingDrug PrescriptionsQuestionnairesPolypharmacyTreatment OutcomePharmaceutical ServicesHealth Knowledge, Attitudes, PracticeElectronics, MedicalPrescription DrugsPharmacistsAnti-Retroviral AgentsMedication ReconciliationAnti-Asthmatic AgentsHealth LiteracyClinical Pharmacy Information SystemsBacterial AdhesionHypertensionMedication Systems, HospitalCommunity Pharmacy ServicesSelf EfficacyCross-Sectional StudiesAntipsychotic AgentsOccupational Health NursingSelf AdministrationDrug TherapyHypoglycemic AgentsMedication Therapy ManagementPrescription FeesAntiretroviral Therapy, Highly ActiveSelf ReportPharmaciesNursing Methodology ResearchPhysician-Patient RelationsRelief WorkSocial SupportCohort StudiesCardiovascular AgentsRetrospective StudiesDepressionInsurance, Pharmaceutical ServicesElectronicsInsurance Claim ReviewMotivationMedicare Part DAntidepressive AgentsTelephoneCellular PhoneCost SharingSoutheastern United StatesProspective StudiesFollow-Up StudiesAttitude to HealthAfrican AmericansPilot ProjectsChronic DiseasePharmaceutical PreparationsAlcohol DeterrentsLogistic ModelsFees, PharmaceuticalDrug CostsDiabetes Mellitus, Type 2AsthmaTelemedicineInterviews as TopicRisk FactorsMobile ApplicationsOutpatientsLongitudinal StudiesPatient SatisfactionTape RecordingProfessional-Patient RelationsDrug-Related Side Effects and Adverse ReactionsSelf MedicationDrugs, GenericHIV SeropositivityDirectly Observed TherapyViral LoadDenial (Psychology)Drug Administration ScheduleBehavioral MedicineTime FactorsDiabetes MellitusBehavior TherapyHydroxymethylglutaryl-CoA Reductase InhibitorsClinical ProtocolsAge FactorsNational Institute on Alcohol Abuse and Alcoholism (U.S.)Secondary PreventionSubstance-Related DisordersComorbidityAdhesivenessUnited States Department of Veterans AffairsSocioeconomic FactorsSeverity of Illness IndexText MessagingManaged Care ProgramsOutcome Assessment (Health Care)Psychotropic DrugsPharmaceutical Services, OnlineDirective CounselingPhysician's Practice PatternsHemoglobin A, GlycosylatedMultivariate AnalysisTranscultural NursingSchizophreniaIntervention StudiesPractice Guidelines as TopicHealth BehaviorAdaptation, PsychologicalAmbulatory CarePsychiatric Status Rating ScalesAdministration, OralPrimary Health CareRegression AnalysisLouisianaSocial StigmaQuality of LifeMesalamineMedicaidDrug UtilizationPsychometricsIndianaModels, PsychologicalCaregiversLinear ModelsPsychologyVeteransNew York CityHealth Care CostsPatient Care TeamCommunicationAdrenal Cortex HormonesDrug UsersCell AdhesionSex FactorsHeart FailureSulfonylurea CompoundsPatient DischargeSchizophrenic PsychologyCounselingSelf DisclosureNonprescription DrugsAngiotensin-Converting Enzyme InhibitorsResearch DesignBipolar DisorderConfidence IntervalsAdministration, InhalationChicagoNaltrexoneEuropean Continental Ancestry GroupContinental Population GroupsCardiovascular DiseasesDisease ManagementDatabases, FactualPatient ParticipationPower (Psychology)Costs and Cost AnalysisEducational StatusRandomized Controlled Trials as TopicLeukocyte Adherence Inhibition TestInflammatory Bowel DiseasesStereotypingRwandaCognition DisordersDrug Therapy, CombinationPatient-Centered CareDepressive DisorderCost SavingsFloridaHealth Benefit Plans, EmployeeGlaucomaHospitals, VeteransData CollectionHypolipidemic AgentsImmune Adherence ReactionQualitative ResearchOdds RatioNeuropsychological TestsCognitive TherapyContinuity of Patient CareDrug Therapy, Computer-AssistedFocus GroupsFeasibility StudiesBlood Glucose Self-MonitoringMetforminAdrenergic beta-AntagonistsAcquired Immunodeficiency Syndrome
OutcomesAntiretroviralTreatment adherenceRegimensHypertensionMethodsChronicIncrease adherenceConclusionsMorisky Medication Adherence ScaleMeasure of adherenceDifferences in adherenceLogisticConclusionHigh adherenceInterventionBarriersHealthcareLevels of medication adherenceContribute to improved adherenceNonadherenceAssessAdherentReasons for medication non-adherenceQuestionnaireMeasuresPrescription medicationsBetter medication adherencePatient medication adherenceBehavioralPredictorsPatients with glaucomaDiabetesImproving AdherenceStatistically significantFindingsSuboptimal adherenceSelf-efficacyGlaucomaFactorsStudyAssessment
Outcomes7
Antiretroviral3
Treatment adherence1
Regimens5
Hypertension5
Methods2
Chronic13
Increase adherence1
Conclusions1
Morisky Medication Adherence Scale3
Measure of adherence3
Differences in adherence1
Logistic2
  • Two separate multiple logistic regressions were developed to compare the proportion of appropriate adherence between two populations and to identify factors affecting medication adherence in cancer survivors. (elsevier.com)
  • Logistic regression models were fitted to investigate the influence of different factors on adherence. (cmladvocates.net)
Conclusion3
  • Conclusion Approximately, one-third of the patients were non-adherent, and males and increased daily number of administration were associated with non-adherence. (bmj.com)
  • CONCLUSION: The 12-month multidisciplinary program offers an effective management strategy in improving psychiatric comorbidities, medication adherence, and quality of life in patients with epilepsy in eastern China. (cureepilepsy.org)
  • Conclusion Initial medication non-adherence seems to have a short-term impact on productivity losses and costs. (bjgp.org)
High adherence1
  • Factors increasing the probability of being in the high adherence group are older age, male sex, management of side effects, only one tablet per day and feeling well informed about CML by the doctor. (cmladvocates.net)
Intervention6
Barriers5
Healthcare4
Levels of medication adherence1
Contribute to improved adherence1
Nonadherence3
  • The New York Times has described American's nonadherence to prescribed medications as an "out-of-control epidemic that costs more and affects more people than any disease Americans currently worry about. (lexology.com)
  • The economic implications of medication nonadherence have driven the market to look for software/hardware tech-enabled solutions to address this complicated problem. (lexology.com)
  • The reasons for medication nonadherence (and therefore how to address the problem) are multifactorial and complex. (lexology.com)
Assess1
Adherent3
  • Of the total, 27.4% were non-adherent, and the medication adherence rates of the total, the adherent, and the non-adherent were 90.6±17.8%, 96.8±5.5% and 56.6±24.7%, respectively. (bmj.com)
  • 32.7% of participants were highly adherent, 46.5% were in the medium and 20.7% in the low adherence group. (cmladvocates.net)
  • Living arrangements, multiple medication and personal payment obligations increased the probability to be at least in the medium adherent group. (cmladvocates.net)
Reasons for medication non-adherence2
  • Dr. Phoebe Thorpe and Dr. Larry Garber expand on the reasons for medication non-adherence, and priority considerations for helping patients reduce it. (reachmd.com)
  • In this session of Beyond the Data carrying forward ideas discussed at CDC's Public Health Grand Rounds, Dr. Phoebe Thorpe and Dr. Larry Garber expand on the reasons for medication non-adherence by patients, and priority considerations for helping reduce this risk. (reachmd.com)
Questionnaire4
Measures2
Prescription medications1
Better medication adherence1
  • It highlights that more systematic treatment strategies should be considered for better medication adherence, leading to effective glaucoma management. (bmj.com)
Patient medication adherence1
Behavioral1
Predictors2
  • Data will be analyzed mainly by GEE to identify the predictors (independent variables) of the changes in medication adherence and unmet care needs overall the 12 months, 6 time points. (clinicaltrials.gov)
  • 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. (syr.edu)
Patients with glaucoma1
Diabetes3
  • 1 Studies of patients with asthma, 2 diabetes, 3 cystic fibrosis 4 and heart disease 5 have all demonstrated that patients with lower medication adherence are more likely to require emergency room visits or hospitalizations than those with better adherence. (lexology.com)
  • For diabetes and hypercholesterolemia, a high level of medication adherence was associated with lower disease-related medical costs. (ovid.com)
  • A phenomenological study was conducted to determine the use of non-prescribable medicines in treating Type 2 diabetes in the specific population for the purpose of achieving greater adherence (Moss & McDowell, 2005). (paperdue.com)
Improving Adherence2
Statistically significant1
Findings2
  • These findings provide the best evidence to date that depression is an important risk factor that may influence whether patients adhere to their medications," said Dr. Walid F. Gellad, the study's senior author and a natural scientist at RAND, a nonprofit research organization. (medicalxpress.com)
  • 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. (edu.au)
Suboptimal adherence1
Self-efficacy2
Glaucoma3
Factors7
  • In a recent blog published by Boston-based venture capital firm Flare Capital Partners, the authors identified over 25 medical adherence tech companies addressing one or more of these factors. (lexology.com)
  • and second, to identify factors related to the changes of patients' medication adherence and unmet care needs by generalized estimating equation (GEE). (clinicaltrials.gov)
  • It also identified key factors associated with non-adherence. (bmj.com)
  • The present study was performed to examine cancer survivors' adherence to antihypertensive medication and factors associated with it, compared to the general population. (elsevier.com)
  • Several other factors, such as older age, low income, living in a rural area, and antihypertensive medication duration, also affected antihypertensive medication adherence. (elsevier.com)
  • Our publication "Factors influencing adherence in CML and ways to improvement: Results of a patient-driven survey of 2546 patients in 63 countries" has been a tough ride for us non-scientists over the past three years, given we needed support to do the data analysis and write a scientific paper. (cmladvocates.net)
  • This is the most comprehensive study conducted to date to gain knowledge about factors causing non-adherence in CML . (cmladvocates.net)
Study6
Assessment2
2018 Main Advanced GIS Training | CDC
2018 Main Advanced GIS Training | CDC (cdc.gov)
2017 Minnesota Advanced GIS Training | CDC
2017 Minnesota Advanced GIS Training | CDC (cdc.gov)
2018 Vermont Advanced GIS Training | CDC
2018 Vermont Advanced GIS Training | CDC (cdc.gov)
2018 South Dakota Advanced GIS Training | CDC
2018 South Dakota Advanced GIS Training | CDC (cdc.gov)
GIS Training Program Highlights for California | CDC
GIS Training Program Highlights for California | CDC (cdc.gov)
Partnership for Health - Medication Adherence | Treat | Effective Interventions | HIV/AIDS | CDC
Partnership for Health - Medication Adherence | Treat | Effective Interventions | HIV/AIDS | CDC (cdc.gov)
Behavioral and Clinical Characteristics of Persons Receiving Medical Care for HIV Infection - Medical Monitoring Project,...
Behavioral and Clinical Characteristics of Persons Receiving Medical Care for HIV Infection - Medical Monitoring Project,... (cdc.gov)
School's in for asthma medication adherence | EurekAlert! Science News
School's in for asthma medication adherence | EurekAlert! Science News (eurekalert.org)
Tailored Pharmacy-Based Interventions to Improve Medication Adherence | cdc.gov
Tailored Pharmacy-Based Interventions to Improve Medication Adherence | cdc.gov (cdc.gov)
The Business of Health Care May 2017 | McKesson
The Business of Health Care May 2017 | McKesson (mckesson.com)
Frontiers | Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural...
Frontiers | Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural... (frontiersin.org)
Med students membership
Med students membership (ama-assn.org)
Team-based health care: A win for patients, staff and physicians | American Medical Association
Team-based health care: A win for patients, staff and physicians | American Medical Association (ama-assn.org)
High Blood Pressure / Hypertension Help - Forums and Discussions - MedHelp - Page 4
High Blood Pressure / Hypertension Help - Forums and Discussions - MedHelp - Page 4 (medhelp.org)
Plus it
Plus it (care.diabetesjournals.org)
January 2013 - Volume 19 - Issue 1 : Current Opinion in Pulmonary Medicine
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8 Reasons Why Your Depression May Not Be Getting Better
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Automated reminders improve medication adherence and cholesterol control
Automated reminders improve medication adherence and cholesterol control (medicalnewstoday.com)
Medication Adherence Changes Following Value-Based Insurance Design - RWJF
Medication Adherence Changes Following Value-Based Insurance Design - RWJF (rwjf.org)
List of Posts By Tag | Center for Advancing Health
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Frontiers | Regional White Matter Integrity Predicts Treatment Response to Escitalopram and Memantine in Geriatric Depression:...
Frontiers | Regional White Matter Integrity Predicts Treatment Response to Escitalopram and Memantine in Geriatric Depression:... (frontiersin.org)
Plus it
Plus it (jabfm.org)
A guide to prescribing anti-dementia medication | Clinical | Nursing Times
A guide to prescribing anti-dementia medication | Clinical | Nursing Times (nursingtimes.net)
PCMH Tied to Better Adherence for Chronic Disease Medication
PCMH Tied to Better Adherence for Chronic Disease Medication (medscape.com)
Pharmacy Solutions | Experian Health
Pharmacy Solutions | Experian Health (experian.com)
KESS Scholarships | Bangor University Doctoral School
KESS Scholarships | Bangor University Doctoral School (bangor.ac.uk)
SNAP Is Linked with Improved Nutritional Outcomes and Lower Health Care Costs | Center on Budget and Policy Priorities
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Reducing Disparities in Medication Adherence in SLE - Full Text View - ClinicalTrials.gov
Reducing Disparities in Medication Adherence in SLE - Full Text View - ClinicalTrials.gov (clinicaltrials.gov)
NIDA Notes Advanced Search | National Institute on Drug Abuse (NIDA)
NIDA Notes Advanced Search | National Institute on Drug Abuse (NIDA) (drugabuse.gov)
A Very Low-Carbohydrate, Low-Saturated Fat Diet for Type 2 Diabetes Management: A Randomized Trial | Diabetes Care
A Very Low-Carbohydrate, Low-Saturated Fat Diet for Type 2 Diabetes Management: A Randomized Trial | Diabetes Care (care.diabetesjournals.org)
Survey Aims to Improve Medication Adherence with the Help of Pediatricians Nationwide
Survey Aims to Improve Medication Adherence with the Help of Pediatricians Nationwide (prweb.com)
ESPACOMP Medication Adherence Reporting Guideline | Annals of Internal Medicine | American College of Physicians
ESPACOMP Medication Adherence Reporting Guideline | Annals of Internal Medicine | American College of Physicians (annals.org)