Patient Prefer Adher
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Patient Prefer Adher · Jan 2019
The impact of short message services and personal consultation by pharmacy students on medication adherence and blood pressure control: study protocol for a cluster randomized trial.
Purpose: Hypertension prevalence is mounting at a great pace in the People's Republic of China and poses a serious threat to health care systems. Medication nonadherence is one of the key factors in controlling high blood pressure. Our study uses two-arm cluster randomized controlled trial to investigate whether personal consultation by postgraduate pharmacy students and short message services (SMS) is effective in improving medication adherence and blood pressure control. ⋯ The primary clinical outcome is the change in mean blood pressure and medication adherence measured at baseline, months 3 and 6. Secondary outcome is the proportion of patients reaching controlled blood pressure at months 3 and 6. Discussion: Pharmacy students led consultation will be conducted in the process of physical examination and SMS reminders which is at low cost, may be a feasible way to address the high prevalence of hypertension in the People's Republic of China.
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Patient Prefer Adher · Jan 2019
Older adults' suggestions to engage other older adults in health and healthcare: a qualitative study conducted in western Canada.
This qualitative study reports identified themes from suggestions made by 533 Canadian older adults, aged ≥65 years in response to the open-ended question contained in a Saskatchewan Telephone Survey: "What suggestions can you make to engage someone in their health and healthcare?". ⋯ This study reveals facilitators and challenges that currently face seniors. Seniors want equitable access to professional healthcare services and an environment that fosters self-care actions in everyday living. There is a gap in supports that would assist seniors to engage in their health and healthcare. Additional research on this issue could further inform health and human service providers to develop patient-centered strategies for promoting self-care among seniors.
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Patient Prefer Adher · Jan 2019
The relationship between patient engagement and health-related quality of life in patients: a cross-sectional study in general outpatient clinic in Hong Kong SAR, China.
Patient engagement (PE) helps healthcare professionals to collaborate with patients to work together to improve health outcomes. However, the studies of PE and its relationship with health-related quality of life (HRQoL) is very rare in Hong Kong (HK) and China. The aim of this study was to assess the PE level and its association with HRQoL in the general outpatient clinic (GOPC) in Hong Kong. ⋯ This is the first study in HK to assess the PE level and its relationship with HRQoL in the primary care setting. The result indicated that improve PE could bring a positive influence on the HRQoL. However, the PE-HRQoL relationship might be deeply influenced by an individual's physical, psychological or social characteristics.
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Patient Prefer Adher · Jan 2019
Exploring stroke survivors' self-efficacy in understanding and taking medication and determining associated factors: a cross-sectional study in a neurology clinic in Malaysia.
Evidence-based prescribing practices for stroke-preventive medication have benefited stroke survivors; however, medication-nonadherence rates remain high. Medication understanding and use self-efficacy (MUSE) has shown great importance in medication-taking behavior, but its relationship with medication nonadherence in stroke-preventive regimens lacks exploration. The aim of this study was to determine the prevalence of MUSE and its association with nonadherence causes and other potential factors among stroke survivors in Malaysia. ⋯ The relatively poor learning about medication and medication-taking self-efficacy in this study was highly associated with health literacy and modifiable behavioral issues related to nonadherence, such as medication management, beliefs about medicine, and forgetfulness/convenience. Further research ought to explore these underlying reasons using vigorous techniques to enhance medication understanding and use self-efficacy among stroke survivors to determine cause-effect relationships.
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Patient Prefer Adher · Jan 2019
Perceptions of insulin therapy in people with type 2 diabetes and physicians: a cross-sectional survey conducted in France.
To evaluate perceptions of people with type 2 diabetes (T2D) and treating physicians living in France toward insulin therapy. ⋯ Most people with T2D reported that transitioning to insulin therapy was less difficult than they had feared. People with T2D and physicians exhibited differing perceptions regarding the transition. Reasons for the apprehension surrounding the transition to insulin therapy in people with T2D need to be better identified. Support from insulin-treated peers may enable this transition to occur with fewer anxieties in insulin-naïve people with T2D.