Relationship between beliefs about medicines and adherence in elderly patients with cardiovascular and respiratory diseases: A cross-sectional study in Romania |
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| Authors: | Mariana Sipos Andreea Farcas Narcisa Prodan Cristina Mogosan |
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| Affiliation: | 1. Pharmacology, Physiology, Physiopathology, 2nd Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Pasteur 6A, Cluj-Napoca, Romania;2. Drug Information Research Center, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Pasteur 6A, Cluj-Napoca, Romania;3. RIDDLE Lab, Babe?-Bolyai University, Republicii 37, Cluj-Napoca, Romania;1. School of Public Health, University of Sydney, Sydney, Australia;2. Centre for Biostatistics, Division of Health Sciences, University of Otago, Dunedin, New Zealand;1. University of Houston College of Pharmacy, Department of Pharmaceutical Health Outcomes and Policy, United States;2. Duquesne University School of Pharmacy Graduate School of Pharmaceutical Sciences, 418A Mellon Hall, United States;3. CareAllies, Houston, Texas, United States;1. VA New York Harbor Healthcare System, New York, NY, USA;2. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;3. Northcentral University, La Jolla, CA, USA;4. New York University Grossman School of Medicine, New York, NY, USA;5. Medical University of South Carolina, Charleston, SC, USA;6. Ralph H. Johnson VA Medical Center, Charleston, SC, USA;7. Teachers College, Columbia University, New York, NY, USA;8. Mailman School of Public Health, Columbia University, New York, NY, USA;1. Nursing Academy (AKPER) Lapatau, Bone, Indonesia;2. Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia |
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| Abstract: | ObjectivesThe aim of this study was to explore elderly patients’ beliefs about medicines in general, and specific towards their treatment and the relationship between beliefs and adherence.MethodsA cross-sectional study was performed by administering a questionnaire developed to meet the study’s objectives. Elderly patients were recruited from three different settings.Results167 patients agreed to participate to our study, having a mean age of 73 years. Patients were aware of the necessity for treatment, but they also showed concern over the potential for the adverse outcomes. Only 15% of the patients were completely accepting their treatment having high necessity and low concerns, while 40% were ambivalent, having high necessity beliefs, but also high concerns, with 89% being adherent in this group. Overall, higher adherence was significantly correlated with higher necessity and with higher necessity-concern differential.ConclusionPatients beliefs have an impact on adherence, thus patients’ concerns and necessities should be addressed in order to improve adherence and treatment outcome.Practice implicationsHigher necessity positively influenced adherence to treatment, suggesting the fact that healthcare professionals could improve patients’ adherence by outlining and educating the patients on the necessity of the treatment, while also managing patients’ concerns. |
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| Keywords: | Elderly Adherence Medication beliefs Cardiovascular disease Respiratory disease |
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