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Patient Preference and Adherence

Young-Mi Ah, Jaekyu Shin, Ju-Yeun Lee
Purpose: We compared treatment adherence and persistence during treatment with an angiotensin receptor blocker (ARB)-based single pill combination (SPC) and free equivalent combination (FEC) and between SPCs of an ARB with a thiazide diuretic (TD) and an ARB with a calcium channel blocker (CCB) as initial treatment in uncomplicated hypertensive patients who received pre-packaged medications from the pharmacy. Patients and methods: Uncomplicated hypertensive patients who started combination treatment consisting of ARB and either TD or CCB were identified from a Korean national claims database...
2019: Patient Preference and Adherence
Giovanni Di Minno, Elena Santagostino, Massimo Morfini, Cosimo Ettorre, Dorina Cultrera, Erminia Baldacci, Eleonora Russo, Cristiano Gallucci
Background: FuseNGO is a relatively new device consisting of a prefilled dual-chamber syringe (DCS) that was recently introduced for the reconstitution of recombinant factor VIII. Herein, the DCS device was assessed using five questionnaires with the primary aim of evaluating patient perceptions and preferences. Methods: An observational, non-interventional, longitudinal study on 86 patients with a confirmed diagnosis of hemophilia A was carried out at 21 sites in Italy...
2019: Patient Preference and Adherence
Ewelina Bąk, Czesław Marcisz, Adriana Borodzicz, Danuta Sternal, Sylwia Krzemińska
Purpose: The main purpose of this study was to compare the level of health-related quality of life (HRQoL) using Nottingham Health Profile (NHP) in Polish patients with rheumatoid arthritis (RA) during therapy applying disease-modifying antirheumatic drugs (DMARDs) with conventional synthetics (csDMARDs) or with csDMARDs in combination with biological drugs (bDMARDs). The second purpose was to analyze the correlation between the domain values of NHP and the demographic and clinical parameters, functional efficiency, and mood...
2019: Patient Preference and Adherence
Marine Zebina, Bénédicte Melot, Blandine Binachon, Rachida Ouissa, Isabelle Lamaury, Bruno Hoen
Objective: By the end of 2014, 23% of people living with HIV (PWHIV) who had had a scheduled appointment at our outpatient clinic had not attended. We implemented an SMS reminder service and assessed its impact on medical consultation-attendance rate. Methods: The intervention was directed at all PWHIV with a scheduled appointment between March and April 2015 at our infectious diseases department. Two days before the scheduled visit, an appointment reminder SMS was sent to every other patient at random...
2019: Patient Preference and Adherence
Glaube R Riegel, Giulia B Martins, Afonso G Schmidt, Marcela P Rodrigues, Gerson S Nunes, Vicente Correa, Sandra C Fuchs, Flavio D Fuchs, Paula Ab Ribeiro, Leila B Moreira
Background: Physical activity (PA) is recommended as adjuvant therapy to control blood pressure (BP). The effectiveness of simple recommendations is not clear. We aimed to assess the agreement between self-report of adherence to PA in clinical routine and International Physical Activity Questionnaire (IPAQ) interview and its association with BP control. Methods: A cross-sectional study was conducted with hypertensive outpatients. Adherence to recommendation to PA was assessed by the physician and IPAQ interview...
2019: Patient Preference and Adherence
Elizabeth Yie-Chuen Chong, Uma Devi Palanisamy, Sabrina Anne Jacob
Purpose: This study prepares the groundwork on the potential design and development of a mobile health (mHealth) app that will be able to bridge the communication gap between pharmacists and patients who are Deaf and Hard of Hearing (DHoH). Patients and methods: A focus group discussion was conducted with 12 community pharmacists. Participants were recruited using snowball sampling. Audio-recordings were transcribed verbatim, and analyzed using a thematic approach...
2019: Patient Preference and Adherence
L Degli Esposti, V Perrone, D Sangiorgi, D Alessandrini, S Buda, F Cantini, E Mazzini, C Toma, F De Solda
Purpose: The purpose of this study was to analyze the therapeutic strategies and estimate the health care resource consumption in patients with psoriatic arthritis (PsA). Patients and methods: An observational retrospective cohort analysis of administrative databases of six Italian Local Health Units was performed. Patients ≥18 years with a hospitalization discharge diagnosis of PsA (International Classification of Diseases, Ninth Revision code: 696.0) or exemption code (045...
2019: Patient Preference and Adherence
Sara Fernandes, Guillaume Fond, Xavier Zendjidjian, Pierre Michel, Karine Baumstarck, Christophe Lancon, Fabrice Berna, Franck Schurhoff, Bruno Aouizerate, Chantal Henry, Bruno Etain, Ludovic Samalin, Marion Leboyer, Pierre-Michel Llorca, Magali Coldefy, Pascal Auquier, Laurent Boyer
Background: Measuring the quality and performance of health care is a major challenge in improving the efficiency of a health system. Patient experience is one important measure of the quality of health care, and the use of patient-reported experience measures (PREMs) is recommended. The aims of this project are 1) to develop item banks of PREMs that assess the quality of health care for adult patients with psychiatric disorders (schizophrenia, bipolar disorder, and depression) and to validate computerized adaptive testing (CAT) to support the routine use of PREMs; and 2) to analyze the implementation and acceptability of the CAT among patients, professionals, and health authorities...
2019: Patient Preference and Adherence
Cristina Bucchi, Massimo Del Fabbro, Alain Arias, Ramón Fuentes, José Manuel Mendes, Marie Ordonneau, Valérie Orti, María-Cristina Manzanares-Céspedes
Purpose: Bone graft materials can be obtained from the patient's own body (autologous graft), animals (xenograft), human cadavers (allograft) and synthetic materials (alloplastic bone graft). Patients may have ethical, religious or medical concerns about the origin of bone grafts, which could lead them to reject the use of certain types of bone graft in their treatments. The aim of this multicenter study, which surveyed patients from five university clinics in Portugal, France, Italy, Spain and Chile, was to analyze patients' opinions regarding the source of bone grafts...
2019: Patient Preference and Adherence
Peter Takacs, Urja Lathia, Janey Shin, Francois Nantel
Background: The aim of the study was to compare drug survival rate of subcutaneous tumor necrosis factor alpha inhibitors in rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis patients in Hungary. Methods: This was a retrospective analysis using data collected from 5,647 patients over a period of 10 years who were treated with any of the following drugs: adalimumab (ADA), etanercept, certolizumab pegol (CZP), and golimumab (GLM). National Health Insurance Fund's hospital, drug reimbursement, and special reimbursement registry data have been used in this study...
2019: Patient Preference and Adherence
Tino Prell, Denise Schaller, Caroline Perner, Gabriele Helga Franke, Otto W Witte, Albrecht Kunze, Julian Grosskreutz
Purpose: Adherence to medication can be assessed by various self-report questionnaires. One could hypothesize that survey respondents tend to answer questions in a manner that will be viewed favorably by others. We aimed to answer if anonymous and nonanonymous responses to a questionnaire on medication adherence differ. Patients and methods: Adherence was assessed with the German Stendal Adherence with Medication Score (SAMS), which includes 18 questions with responses based on a 5-point Likert scale...
2019: Patient Preference and Adherence
Erminia Ridolo, Irene Pellicelli, Bruna Gritti, Cristoforo Incorvaia
Dual bronchodilation with long-acting beta-2 agonists and muscarinic antagonists is recommended in patients with severe to very severe COPD. Among dual bronchodilator combinations, indacaterol/glycopyrronium combination (IGC) received evidence of higher efficacy and good safety compared with monotherapy with either drug as well as with tiotropium. In randomized controlled trials, the primary outcome is usually the change in mean FEV1 resulting from treatment. However, the functional aspects that influence the physician's choice of the type of management may not be considered important by the patient, based on his perception of the disease...
2019: Patient Preference and Adherence
Kate J Lifford, Adrian Edwards, Maria Burton, Helena Harder, Fiona Armitage, Jenna L Morgan, Lisa Caldon, Kirsty Balachandran, Alistair Ring, Karen Collins, Malcolm Reed, Lynda Wyld, Kate Brain
Background: Around one-third of breast cancers diagnosed every year in the UK are in women aged ≥70 years. However, there are currently no decision support interventions (DESIs) for older women who have a choice between primary endocrine therapy and surgery followed by adjuvant endocrine therapy (surgery+endocrine therapy), or who can choose whether or not to have chemotherapy following surgery. There is also little evidence-based guidance specifically on the management of these older patients...
2019: Patient Preference and Adherence
Nichapa Taibanguay, Sumapa Chaiamnuay, Paijit Asavatanabodee, Pongthorn Narongroeknawin
Purpose: There is a general understanding that patient educational interventions for enhancing medication adherence are important. However, their success at improving adherence is debatable. This study aimed to assess the influence of different modes of patient education on medication adherence in patients with rheumatoid arthritis (RA). Materials and methods: One hundred and twenty RA patients with non-adherence, defined as pill count ≥80% or medication-taking behavior questionnaire for Thai patient ≥23, were randomized by block randomization and assigned in a 1:1 allocation ratio to two study arms: multi-component intervention group or single intervention group...
2019: Patient Preference and Adherence
Jing Ren, Quanlei Li, Tianhua Zhang, Xiaomei Li, Shaoru Zhang, Jiaojiao Wright, Haini Liu, Zhongqiu Hua
Purpose: Adherence to treatment is cited as a key challenge in fighting tuberculosis (TB). Treatment of TB requires patients to actively engage in their care. The purpose of this study was to explore the perceptions of patients with TB regarding their engagement in health care. Patients and methods: The study was conducted in three medical wards in one hospital. Purposive sampling was used to recruit participants. Semi-structured, audiotaped interviews were conducted and analyzed using thematic analysis...
2019: Patient Preference and Adherence
Jose M García-Domínguez, María L Martínez-Ginés, Olga Carmona, Ana B Caminero, Daniel Prefasi, Jorge Maurino, Javier Ballesteros
Background: Understanding caregiver strain may be crucial to determine which interventions are most needed to mitigate the negative impact of caring for people with multiple sclerosis (MS). The Caregiver Strain Index (CSI) is a brief self-assessment tool for measuring the caregivers' perceived level of burden. Limited information is available on the psychometric performance of the CSI in MS. Objective: The objective of this study was to assess the factor structure and construct validity of the CSI in MS...
2019: Patient Preference and Adherence
Nigatu Regassa, Yelena Bird, John Moraros
Background: Immunizations represent a successful and cost-effective public health strategy in preventing common childhood diseases. Ethiopia has made remarkable progress in increasing its full immunization coverage, but significant gaps remain. This study aims to measure the preference in the use of full immunizations for children aged 12-23 months in Ethiopia and examine the role of key maternal health services. Methods: This is a cross-sectional study and uses data from a nationally generalizable survey, the Ethiopian Demographic and Health Survey, 2016...
2019: Patient Preference and Adherence
Cen Lin, Emma Cohen, Patricia M Livingston, Mohammadreza Mohebbi, Mari Botti
Purpose: The subjectivity of symptom experience and the recognized role of patients in symptom management highlight the need to understand cancer patients' participation in symptom management and to identify the associations between patient participation and quality of care. However, research on patient participation has focused mostly on general healthcare activities, rather than symptom management, especially in cancer-care settings. This study aimed to compare the congruence between cancer patients' preference for and actual perceived experience of participation in symptom management and identify the relationships between preferred and actual patient participation and perceived quality of care...
2019: Patient Preference and Adherence
Heidi A van Vugt, Anne Meike Boels, Inge de Weerdt, Eelco Jp de Koning, Guy Ehm Rutten
Aim: This study explored the relationship between insulin use and patient activation (a person's internal readiness and capabilities to undertake health-promoting actions) in individuals with type 2 diabetes mellitus and aimed to identify demographic, clinical and psychosocial factors involved in patient activation. Methods: In this cross-sectional study, baseline data from a Dutch nationwide study were analyzed. Patient activation was assessed with the Patient Activation Measure 13...
2019: Patient Preference and Adherence
Abdullah M Alqarni, Tahani Alrahbeni, Ayidh Al Qarni, Hassan M Al Qarni
Background: Patients' non-adherence to diabetes medication is associated with poor glycemic control and suboptimal benefits from their prescribed medication, which can lead to worsening of medical condition, development of comorbidities, reduced quality of life, elevated health care costs, and increased mortality. Objective: This study aimed to assess medication adherence among patients with diabetes and associated factors in Bisha primary health care centers (PHCCs) in Saudi Arabia...
2019: Patient Preference and Adherence
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