Medication beliefs and self-reported adherence–results of a pharmacist's consultation: a pilot study

Autor:	Göran Petersson, Lina Hellström, Malin Johansson Östbring, Tommy Eriksson
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry Pharmacist Motivational interviewing Alternative medicine Medication adherence Disease Clinical pharmacy Health promotion Intervention (counseling) Physical therapy Medicine General Pharmacology Toxicology and Pharmaceutics business
Zdroj:	European Journal of Hospital Pharmacy. 21:102-107
ISSN:	2047-9964 2047-9956
Popis:	Objectives Clinical outcomes in the secondary prevention of cardiovascular disease depend on the patients’ adherence to prescribed medicines. Motivational interviewing (MI) is a patient-centred approach used to change different health behaviours. The objective of this pilot study was to explore the impact of a clinical pharmacist9s consultation on beliefs about medicines and self-reported medication adherence among patients with coronary heart disease (CHD). Methods CHD-patients participating in a prevention programme at the Kalmar County Hospital were randomised to control or intervention. The intervention consisted of a medication review focused on cardiovascular drugs, and a semistructured interview based on MI-approach, with a follow-up phone call 2 weeks later. The intervention was conducted by a clinical pharmacist at the cardiology unit 3 months postdischarge. Primary outcome measures were the results from the Beliefs about Medicines-Specific (BMQ-S) and the 8-Item Morisky Medication Adherence Scale (MMAS-8) 2 weeks after intervention. Results 21 enrolled patients (11 intervention) all completed to follow-up. MMAS-8 was very similar in the intervention and control groups. In BMQ-S the intervention group had a mean (SD) necessity score of 21 (4) and a concern score of 12 (6), corresponding results in the control group were 21 (3) and 10 (5). However, since there was a difference in BMQ-S at baseline, seven intervention patients shifted towards more positive beliefs compared with two control patients. Conclusions No difference was found in adherence and beliefs at follow-up. However, after consultation, a larger proportion of patients changed towards more positive beliefs compared with control.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::934a6ec9acd2a8f6bd2fbcc4860cdd35 https://doi.org/10.1136/ejhpharm-2013-000402 Zobrazit plný text záznamu