Medication adherence and health care use in people with diabetes, chronic kidney disease and cardiovascular disease
View File(s)
- Author(s)
- Details
-
Williams, Allison, BNurs, PhD; Manias, Elizabeth, RN, MPharm, PhD; Gorelik, Alexandra, MSciQualAssur
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Williams, Allison Fiona by View
Title | Page Views |
---|
Popular Works for Williams, Allison Fiona by Download
Title | Downloads |
---|
View Citations
Citations
Purpose: To examine medication adherence and health care use in people with co-existing diabetes, chronic kidney disease and cardiovascular disease.
Methods: Patients aged > 18 years with these comorbid conditions were recruited from nephrology and diabetes outpatients' clinics of two Australian metropolitan hospitals between 2008 and 2009. Participants were surveyed face-to-face by a research assistant (with interpreter assistance as required) using the 4-item Morisky Medicine Adherence scale (Morisky et al., 1986) and the 4-item Health Care Utilization scale (Lorig et al., 1996).
Results: There were 128 participants with 30 (23.4%) born either in Australia or the UK, 38 (29.7%) born in Italy, and 17 (13.3%) born in Greece. Forty one (32.1%) participants indicated English as their first language and 90 participants (70.3%) spoke English well or very well. Based on the Morisky Medicine Adherence scale, those born in Australia or the UK were more likely to forget to take their medications (60.7%) compared to participants born in other countries (23.3%), (p=0.001), and also more likely to have a problem remembering to take their medications (56.6% vs 25.5%, p=0.001). Based on the Health Care Utilization scale, they also had less reported visits to their general practitioner (median 2 (IQR: 1-3) vs 3(IQR: 2-4), p=0.027). However this did not reach statistical significance when adjusted for participants' age, gender, level of education or English proficiency.
Conclusion: Why English-speaking patients are more likely to self-report forgetting to take their medications requires deeper investigation. We cannot assume that English-speaking patients are able to manage their medications better than patients with non-English speaking backgrounds. It is possible that patients with Non-English speaking backgrounds report higher levels of medication adherence and medical consultations due to compliant behaviour and overt family concern. Nurses caring for people requiring multiple medications need to be aware of cultural issues affecting medication adherence.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Health Care Use; Medication Adherence; Multiple Chronic Conditions |
Name | 23rd International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Brisbane, Australia |
Date | 2012 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Communicating with hospitalised children and families in managing medications: Examining possibilities for engagement
Manias, Elizabeth; Kinney, Sharon B.; Newall, Fiona H.; Cranswick, Noel E.; Williams, Allison Fiona; Wong, Ian C. K.; Rosenfeld, Ellie; Weiner, Carlye; Borrott, Narelle (2018-06-04)Children are very vulnerable and particularly susceptible to experiencing medication errors. Engaging with children and their families has been recognised as an important way of promoting patient safety. This paper reports ... -
The carers of people with dementia in the sub-acute facility: A qualitative study
Williams, Allison Fiona; Crawford, Kimberley; Bloomer, Melissa; Digby, Robin (2014-11-17)Session presented on Saturday, July 26, 2014: Purpose: When a person with dementia is receiving in-hospital treatment, transitioning through the hospital system and subsequently assessed as requiring residential care, ... -
Applying Orem's Self-care Deficit Nursing Theory to promoting diabetic kidney disease outcomes in interprofessional collaboration
Helou, Nancy; Zumstein-Shaha, MayaInterprofessional collaboration can influence self-care and is one way to improve outcomes of individuals with chronic conditions. The integration of Orem’s theory in the nursing care as part of an interprofessional ... -
The executive order to transform American kidney health: How nursing should respond
Reid, Kimone R. Y.; Queheillalt, Suzanne; Martin, TamaraAmerican kidney health is at the forefront of health policymaking to improve quality of kidney care and reduce costs. This abstract describes immediate and future actions that the nursing profession may take in response ... -
Nursing and midwifery students' self-medication practices in Victoria, Australia
Williams, Allison Fiona; Crawford, Kimberley; Puy, Katherina (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: Self-medication is a global phenomenon and a major form of self-care with increasing numbers of people taking greater responsibility for their own health (Jain et al. ...