The RxHL study: community-responsive research to explore barriers to medication adherence
| Autor: | Molly S Totman, Josephine D. Korchmaros, Susan J. Shaw, Cristina Huebner Torres, Jeannie K Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male media_common.quotation_subject MEDLINE Health literacy Literacy Medication Adherence Education Interviews as Topic Young Adult 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Poverty Referral and Consultation Qualitative Research Aged Social influence media_common Aged 80 and over Medical education 030505 public health Data collection Public Health Environmental and Occupational Health Original Articles Middle Aged Health Literacy Pill Chronic Disease Female Self Report 0305 other medical science Psychology Qualitative research |
| Zdroj: | Health Educ Res |
| ISSN: | 1465-3648 0268-1153 |
| DOI: | 10.1093/her/cyz029 |
| Popis: | This study aims to contribute to the development of community-responsive research approaches by describing the research methods used in the RxHL study and the interprofessional and community-based collaboration that produced them. The mixed-method RxHL study was developed in close consultation with staff and providers at our research site, a federally qualified health center in Springfield, MA. We utilized quantitative methods including chart review, manual pill counts and self-report surveys to assess factors associated with medication adherence in a diverse population of low-income patients with chronic disease. We triangulated these results with findings from qualitative methods that included in-depth interviews, home visits and chronic disease diaries. We used the constant comparison method and interdisciplinary, participatory team meetings to integrate quantitative and qualitative findings. A community-responsive approach facilitated the recruitment and retention of a diverse sample of patients. Self-report surveys revealed the widespread scope of barriers to care such as medication costs and transportation, and limited health literacy among diverse groups. Qualitative research methods offered a deeper understanding of the social and environmental contexts in which medication adherence takes place. Prioritizing the needs of community partners and research participants facilitates rigorous data collection in clinical settings with maximum participation from community partners. |
| Databáze: | OpenAIRE |
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