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Medication beliefs and self-reported adherence - results of a pharmacist’s consultation: A pilot study
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0001-7550-5706
Lund University.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-4295-7201
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (eHälsoinstitutet ; eHealth Institute)
2014 (English)In: European Journal of Hospital Pharmacy: Science and Practice, ISSN 2047-9956, Vol. 21, no 2, p. 102-107Article in journal (Refereed) Published
Abstract [en]

ObjectivesClinical outcomes in the secondary prevention of cardiovascular disease depend on the patients’ adherence to prescribed medicines. Motivational interviewing (MI) is a patient-centered approach used to change different health behaviors. 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).

MethodsCHD-patients participating in a prevention program at the Kalmar County Hospital were randomized to control or intervention. The intervention consisted of a medication review focused on cardiovascular drugs, and a semi-structured interview based on MI-approach, with a follow-up phone call two weeks later. The intervention was conducted by a clinical pharmacist at the cardiology unit three months post-discharge.

Primary outcome measures were the results from the Beliefs about medicines-Specific (BMQ-S) and the 8-Item Morisky Medication Adherence Scale (MMAS-8) two weeks after intervention.

Results21 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 to two control patients.

ConclusionNo difference was found in adherence and beliefs at follow-up. However, after consultation a larger proportion of patients changed towards more positive beliefs compared to control.

Place, publisher, year, edition, pages
2014. Vol. 21, no 2, p. 102-107
National Category
Pharmaceutical Sciences
Research subject
Biomedical Sciences, Pharmacology
Identifiers
URN: urn:nbn:se:lnu:diva-31179DOI: 10.1136/ejhpharm-2013-000402ISI: 000336518600010Scopus ID: 2-s2.0-84895447658OAI: oai:DiVA.org:lnu-31179DiVA, id: diva2:678100
Available from: 2013-12-11 Created: 2013-12-11 Last updated: 2018-01-11Bibliographically approved

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Johansson Östbring, MalinPetersson, GöranHellström, Lina

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