Treatment burden and chronic illness: who is at most risk?

Sav, Adem, Whitty, Jennifer A., McMillan, Sara S., Kendall, Elizabeth, Kelly, Fiona, King, Michelle A. and Wheeler, Amanda J. (2016) Treatment burden and chronic illness: who is at most risk?. Patient, 1-11. doi:10.1007/s40271-016-0175-y


Author Sav, Adem
Whitty, Jennifer A.
McMillan, Sara S.
Kendall, Elizabeth
Kelly, Fiona
King, Michelle A.
Wheeler, Amanda J.
Title Treatment burden and chronic illness: who is at most risk?
Journal name Patient   Check publisher's open access policy
ISSN 1178-1661
1178-1653
Publication date 2016
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s40271-016-0175-y
Open Access Status Not Open Access
Start page 1
End page 11
Total pages 11
Place of publication Auckland, New Zealand
Publisher Adis International
Collection year 2017
Language eng
Formatted abstract
Background

There is a need to ascertain the type and level of treatment burden experienced by people with co-morbidities. This is important to identify the characteristics of participants who are at most risk of treatment burden.

Objective

The aim of this study is to identify the characteristics of participants who are at most risk of treatment burden.

Methods

This cross-sectional study was part of a larger project and recruitment was conducted across four Australian regions: rural, semi-rural and metropolitan. Participants were asked about their treatment burden using an adapted version of a measure, which included the following five dimensions: medication, time and administrative, lifestyle change, social life and financial burden.

Results

In total, 581 participants with various chronic health conditions reported a mean global treatment burden of 56.5 out of 150 (standard deviation = 34.5). Number of chronic conditions (β = .34, p < 0.01), age, (β = −.27, p < 0.01), the presence of an unpaid carer (β = .22, p < 0.001) and the presence of diabetes mellitus and other endocrine conditions (β = .13, p < 0.01) were significant predictors of overall treatment burden. For the five dimensions of treatment burden, social, medicine and administrative burden were predicted by the same cluster of variables: number of conditions, age, presence of an unpaid carer and diabetes. However, in addition to these variables, financial dimensions were also predicted by education level, ethnicity and health insurance. Educational level also influenced lifestyle burden.

Conclusion

A substantial proportion of community-dwelling adults with chronic conditions have considerable levels of treatment burden. Specifically, health professionals should provide greater focus on managing overall treatment burden for persons who are of young age, have an endocrine condition or an unpaid carer, or a combination of these factors.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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