Medication adherence in patients with juvenile idiopathic arthritis
ABSTRACT Objective: The aim of this study was to investigate pharmacological treatment adherence of patients with juvenile idiopathic arthritis, attended in an outpatient pharmacy at a tertiary hospital in northeastern Brazil. Methods: The analysis of adherence was performed along with caregivers,...
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Sociedade Brasileira de Reumatologia
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doaj-ad1a85ac88974f2d8a20e5262087d7852020-11-25T00:12:32ZengSociedade Brasileira de Reumatologia Revista Brasileira de Reumatologia1809-4570571232910.1016/j.rbre.2016.05.004S0482-50042017000100023Medication adherence in patients with juvenile idiopathic arthritisLiana Silveira AdrianoMarta Maria de França FontelesMaria de Fátima Menezes AzevedoMilena Pontes Portela BeserraNirla Rodrigues RomeroABSTRACT Objective: The aim of this study was to investigate pharmacological treatment adherence of patients with juvenile idiopathic arthritis, attended in an outpatient pharmacy at a tertiary hospital in northeastern Brazil. Methods: The analysis of adherence was performed along with caregivers, through a structured questionnaire based on Morisky, Green and Levine, which enabled the categorization of adherence in “highest”, “moderate” or “low” grades, and through evaluating medication dispensing registers, which classified the act of getting medications at the pharmacy as “regular” or “irregular”. Drug Related Problems (DRP) were identified through the narrative of caregivers and classified according to the Second Granada Consensus. Then, a pharmaceutical orientation chart with information about the therapeutic regimen was applied, in order to function as a guide for issues that influenced adherence. Results: A total of 43 patients was included, with a mean age of 11.12 years, and 65.1% (n = 28) were female. Applying the questionnaire, it was found “highest” adherence in 46.5% (n = 20) patients, “moderate” adherence in 48.8% (n = 21), and “low” adherence in 4.7% (n = 2). Through an analysis of the medication dispensing registers, a lower level of adherence was observed: only 25.6% (n = 11) of the participants received “regularly” the medications. Twenty-six DRP was identified, and 84.6% (n = 22) were classified as real. There were no significant associations between socio-demographic variables and adherence, although some caregivers have reported difficulty in accessing the medicines and in understanding the treatment. Conclusion: Our findings showed problems in the adherence process related to inattention, forgetfulness and irregularity in getting medicines, reinforcing the need for the development of strategies to facilitate a better understanding of treatment and to ensure adherence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000100023&lng=en&tlng=enAdesão ao tratamento farmacológicoArtrite juvenil idiopáticaAtenção farmacêutica |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Liana Silveira Adriano Marta Maria de França Fonteles Maria de Fátima Menezes Azevedo Milena Pontes Portela Beserra Nirla Rodrigues Romero |
spellingShingle |
Liana Silveira Adriano Marta Maria de França Fonteles Maria de Fátima Menezes Azevedo Milena Pontes Portela Beserra Nirla Rodrigues Romero Medication adherence in patients with juvenile idiopathic arthritis Revista Brasileira de Reumatologia Adesão ao tratamento farmacológico Artrite juvenil idiopática Atenção farmacêutica |
author_facet |
Liana Silveira Adriano Marta Maria de França Fonteles Maria de Fátima Menezes Azevedo Milena Pontes Portela Beserra Nirla Rodrigues Romero |
author_sort |
Liana Silveira Adriano |
title |
Medication adherence in patients with juvenile idiopathic arthritis |
title_short |
Medication adherence in patients with juvenile idiopathic arthritis |
title_full |
Medication adherence in patients with juvenile idiopathic arthritis |
title_fullStr |
Medication adherence in patients with juvenile idiopathic arthritis |
title_full_unstemmed |
Medication adherence in patients with juvenile idiopathic arthritis |
title_sort |
medication adherence in patients with juvenile idiopathic arthritis |
publisher |
Sociedade Brasileira de Reumatologia |
series |
Revista Brasileira de Reumatologia |
issn |
1809-4570 |
description |
ABSTRACT Objective: The aim of this study was to investigate pharmacological treatment adherence of patients with juvenile idiopathic arthritis, attended in an outpatient pharmacy at a tertiary hospital in northeastern Brazil. Methods: The analysis of adherence was performed along with caregivers, through a structured questionnaire based on Morisky, Green and Levine, which enabled the categorization of adherence in “highest”, “moderate” or “low” grades, and through evaluating medication dispensing registers, which classified the act of getting medications at the pharmacy as “regular” or “irregular”. Drug Related Problems (DRP) were identified through the narrative of caregivers and classified according to the Second Granada Consensus. Then, a pharmaceutical orientation chart with information about the therapeutic regimen was applied, in order to function as a guide for issues that influenced adherence. Results: A total of 43 patients was included, with a mean age of 11.12 years, and 65.1% (n = 28) were female. Applying the questionnaire, it was found “highest” adherence in 46.5% (n = 20) patients, “moderate” adherence in 48.8% (n = 21), and “low” adherence in 4.7% (n = 2). Through an analysis of the medication dispensing registers, a lower level of adherence was observed: only 25.6% (n = 11) of the participants received “regularly” the medications. Twenty-six DRP was identified, and 84.6% (n = 22) were classified as real. There were no significant associations between socio-demographic variables and adherence, although some caregivers have reported difficulty in accessing the medicines and in understanding the treatment. Conclusion: Our findings showed problems in the adherence process related to inattention, forgetfulness and irregularity in getting medicines, reinforcing the need for the development of strategies to facilitate a better understanding of treatment and to ensure adherence. |
topic |
Adesão ao tratamento farmacológico Artrite juvenil idiopática Atenção farmacêutica |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000100023&lng=en&tlng=en |
work_keys_str_mv |
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