Exploring the beliefs of heart failure patients towards their heart failure medicines and self care activities

Percival, Matthew, Cottrell, W. Neil and Jayasinghe, Rohan (2012) Exploring the beliefs of heart failure patients towards their heart failure medicines and self care activities. International Journal of Clinical Pharmacy, 34 4: 618-625. doi:10.1007/s11096-012-9655-x

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Author Percival, Matthew
Cottrell, W. Neil
Jayasinghe, Rohan
Title Exploring the beliefs of heart failure patients towards their heart failure medicines and self care activities
Journal name International Journal of Clinical Pharmacy   Check publisher's open access policy
ISSN 2210-7703
2210-7711
Publication date 2012-08
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s11096-012-9655-x
Volume 34
Issue 4
Start page 618
End page 625
Total pages 8
Place of publication Dordrecht, The Netherlands
Publisher Springer Netherlands
Collection year 2013
Language eng
Formatted abstract
Aim: To identify Heart Failure patients' beliefs towards their medications and how these beliefs relate to adherence.

Method: Patients attending a multi-disciplinary, community based heart failure clinic on the Gold Coast, Australia were interviewed using a questionnaire composed of fours parts: repertory grid technique; Beliefs About Medicines Questionnaire (BMQ); Medicines Adherence Reporting Scale (MARS); demographic details. Patients were divided into those categorised as adherent (MARS score ≥ 23) and those categorised as non-adherent (MARS score < 23). Necessity beliefs scores from BMQ and the frequency of statements generated from the repertory grid portion of the questionnaire were compared between these two groups.

Results:
Forty-three patients were interviewed with a mean age (±SD) of 64 (±17) years and thirty-six (83.7 %) were male. Thirty-seven (86.0 %) patients were categorised as adherent; the remaining six (14.0 %) as nonadherent. The 43 patients generated a total of 262 statements about their medicines. The three most common themes identified were Related to fluid (36.6 %), Helps the heart (31.7 %) and Related to weight (13.7 %). There was a significantly higher median necessity score in the adherent group compared to the non adherent group (22.0 vs. 19.5, p = 0.0272). Patients with a strong necessity score also had significantly higher self reported adherence compared to patients with a strong concerns score (21.5 vs. 18.0, p = 0.006).

Conclusion:
This study suggests that patients with heart failure possessing a strong belief in the necessity of their treatment regimen are more likely to demonstrate better adherence.
Keyword Adherence
Australia
Beliefs
Heart failure
Medications
Repertory grid
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Pharmacy Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
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Created: Mon, 18 Feb 2013, 14:52:14 EST by Neil Cottrell on behalf of School of Pharmacy