Medication beliefs and self-reported adherence-results of a pharmacist's consultation: a pilot study
(2014) In European Journal of Hospital Pharmacy: Science and Practice 21(2). p.102-107- Abstract
- 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 pharmacist's 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... (More)
- 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 pharmacist's 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4559366
- author
- Ostbring, Malin Johansson ; Eriksson, Tommy LU ; Petersson, Goran and Hellstrom, Lina
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Hospital Pharmacy: Science and Practice
- volume
- 21
- issue
- 2
- pages
- 102 - 107
- publisher
- BMJ Publishing Group
- external identifiers
-
- wos:000336518600010
- scopus:84895447658
- ISSN
- 2047-9964
- DOI
- 10.1136/ejhpharm-2013-000402
- language
- English
- LU publication?
- yes
- id
- b81a553a-f1ee-43dc-93c2-ee8008e19bd4 (old id 4559366)
- date added to LUP
- 2016-04-01 10:50:11
- date last changed
- 2022-03-12 17:28:32
@article{b81a553a-f1ee-43dc-93c2-ee8008e19bd4,
abstract = {{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 pharmacist's 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.}},
author = {{Ostbring, Malin Johansson and Eriksson, Tommy and Petersson, Goran and Hellstrom, Lina}},
issn = {{2047-9964}},
language = {{eng}},
number = {{2}},
pages = {{102--107}},
publisher = {{BMJ Publishing Group}},
series = {{European Journal of Hospital Pharmacy: Science and Practice}},
title = {{Medication beliefs and self-reported adherence-results of a pharmacist's consultation: a pilot study}},
url = {{http://dx.doi.org/10.1136/ejhpharm-2013-000402}},
doi = {{10.1136/ejhpharm-2013-000402}},
volume = {{21}},
year = {{2014}},
}