Medication nonadherence in Korean patients with rheumatoid arthritis: the importance of belief about medication and illness perception
نویسندگان
چکیده
BACKGROUND/AIMS To investigate medication nonadherence in Korean patients with rheumatoid arthritis (RA) and analyze related factors. METHODS A total of 292 patients with RA participated in this study. Medication nonadherence, intentional or unintentional, was gauged via self-reported questionnaire. Patient perceptions of illness, treatment beliefs, and moods were measured via Brief Illness Perception Questionnaire, Beliefs about Medicines Questionnaire, and Patient Health Questionnaire-2, respectively. Demographic and clinical data were also collected. Multinomial regression analysis was used to assess the impact of demographic, clinical, and psychological factors on medication nonadherence. RESULTS The medication nonadherence rate was 54.1% (intentional, 21.6%; unintentional, 32.5%). Intentional nonadherence was reported most often in patients treated daily drugs (nonsteroidal anti-inflammatory drugs and/or disease-modifying antirheumatic drugs) (24.2%), and unintentional nonadherence was highest in patients receiving methotrexate (33.3%) (p = 0.872). In univariate analysis, beliefs in necessity and concerns of medication differed significantly in adherent and nonadherent patients (intentional or unintentional). When controlling for other factors that may impact medication nonadherence, less belief in necessity of medication (odds ratio [OR], 0.81; 95% confidence interval [CI], 0.68 to 0.95) and greater emotional response to disease (OR, 1.19; 95% CI, 1.01 to 1.40) were important predictors of intentional nonadherence. CONCLUSIONS Medication nonadherence is common in Korean patients with RA. Less belief in necessity of medication and greater emotional response to disease were identified as key factors prompting intentional nonadherence. These factors may be strategically targeted to improve medication adherence rates and subsequent clinical outcomes.
منابع مشابه
Exploring Illness Causal Beliefs and its Relationship with Medication Adherence and Demographic Characteristics among a Sample of Patients with Type 2 Diabetes in Isfahan-Iran
Abstract Objective: There is some evidence that causal beliefs are related with adherence behaviors. The aim of the present study was to explore the relationship between illness causal beliefs, demographic factors and medication adherence among a group of patients with type 2 diabetes. Materials and Methods: Ninety-three patients with type 2 diabetes participated in this study using convenien...
متن کاملThe impact of using musculoskeletal ultrasound imaging and other influencing factors on medication adherence in patients with rheumatoid arthritis: a qualitative study
BACKGROUND Medication can ease symptoms and limit disease progression in rheumatoid arthritis (RA). Despite this, nonadherence to medication is common in RA. We explored the determinants of high and low adherence to disease-modifying antirheumatic drugs (DMARDs) in patients with RA and provide suggestions on approaches to improving adherence to DMARDs. METHODS Patients with RA were identified...
متن کاملThe roles of sex, Perceived Pain and illness Perceptions on Disease Activity in Rheumatoid Arthritis
Background: In the “treating to target” strategy to rheumatoid arthritis (RA) management, “cognitive” beyond “physical” measures allow a more comprehensive assessment. This study reports a predictive analysis of patient properties on Disease Activity, and the degree to which these predictions could be uniquely attributable to Illness perception (IP), pain, and sex differences. Methods: This cr...
متن کاملThe Role of Perception of Pain and Functional Disability in Predicting Ruminant Intellectual Women with Rheumatoid Arthritis
Introduction Rheumatoid arthritis is the most common inflammatory disease of the joints and in addition to physical disability, mental disorders are very common in these patients. mental rumination is one of the problems that patients with rheumatoid arthritis face, and one of the factors that has a great impact on it is the perception of pain and functional dysfunction of patients. Therefore,...
متن کاملEvaluation Medication-Related Beliefs and Treatment in patients with diabetes Typ2 in Hamadan in 2021
Background: Despite the existence of very effective drugs in controlling blood sugar in diabetic patients, unfortunately, a small proportion of patients follow their medication. Several factors may affect in drug adherence. In this study, the effect of drug-related beliefs on medication adherence in diabetes was investigated. Methods: In a cross-sectional study using available sampling method,...
متن کامل