Navegando por Palavras-chave "Medication Adherence"

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    Factors associated with low adherence to medicine treatment for chronic diseases in brazil
    (Iop Publishing Ltd, 2016) Leao Tavares, Noemia Urruth; Bertoldi, Andres Damaso; Mengue, Sotero Serrate; Dourado Arrais, Paulo Sergio; Luiza, Vera Lucia; Oliveira, Maria Auxiliadora; Ramos, Luiz Roberto [UNIFESP]; Farias, Mareni Rocha; Dal Pizzol, Tatiane da Silva
    OBJECTIVE: To analyze factors associated with low adherence to drug treatment for chronic diseases in Brazil. METHODS: Analysis of data from Pesquisa Nacional sobre Acesso, Utilizacao e Promocao do Uso Racional de Medicamentos (PNAUM - Brazilian Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based cross-sectional household survey, based on a probabilistic sample of the Brazilian population. We analyzed the association between low adherence to drug treatment measured by the Brief Medication Questionnaire and demographic, socioeconomic, health, care and prescription factors. We used Poisson regression model to estimate crude and adjusted prevalence ratios, their respective 95% confidence interval (95% CI) and p-value (Wald test). RESULTS: The prevalence of low adherence to drug treatment for chronic diseases was 30.8% (95% CI 28.8-33.0). The highest prevalence of low adherence was associated with individuals: young adults
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    Qualidade de vida e adesão ao tratamento anti-retroviral de pacientes portadores de HIV
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2010-08-01) Geocze, Luciana [UNIFESP]; Mucci, Samantha [UNIFESP]; De Marco, Mario Alfredo [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    A review on adherence to highly active antiretroviral therapy and the quality of life of patients living with HIV in the scientific literature, indexed in MEDLINE between 1998 and 2008, was performed. Studies published in Portuguese, Spanish or English with patients over 18 years of age were included. Reviews, case reports and letters were excluded. Of the 21 studies found, 12 were included (three clinical trials, three prospective cohorts and six cross-sectional studies). The relationship between quality of life and treatment adherence remains controversial, despite descriptive studies indicating the possibility of a positive association. The results may have been influenced by the specific characteristics of the described clinical trials and do not show a consensus regarding the impact of treatment adherence on patients' quality of life.
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    Self-perception of knowledge and adherence reflecting the effectiveness of antiretroviral therapy
    (Brazilian Soc Urol, 2016) Dagli-Hernandez, Carolina; Lucchetta, Rosa Camila; de Nadai, Tales Rubens; Fernandez Galduroz, Jose Carlos [UNIFESP]; Mastroianni, Patricia de Carvalho
    Objectives: To evaluate which indirect method for assessing adherence best reflects highly active antiretroviral therapy (HAART) effectiveness and the factors related to adherence. Method: This descriptive, cross-sectional study was performed in 2012 at a reference center of the state of Sao Paulo. Self-report (simplified medication adherence questionnaire [SMAQ]) and drug refill parameters were compared to the viral load (clinical parameter of the effectiveness of pharmacotherapy [EP]) to evaluate the EP. The "Cuestionario para la Evaluacion de la Adhesion al Tratamiento Antiretroviral" (CEAT-VIH) was used to evaluate factors related to adherence and the EP and, complementarily, patient self-perception of adherence was compared to the clinical parameter of the EP. Results: Seventy-five patients were interviewed, 60 of whom were considered as adherent from the clinical parameter of the EP and ten were considered as adherent from all parameters. Patient self-perception about adherence was the instrument that best reflected the EP when compared to the standardized self-report questionnaire (SMAQ) and drug refill parameter. The level of education and the level of knowledge on HAART were positively correlated to the EP. Forgetfulness, alcohol use, and lack of knowledge about the medications were the factors most frequently reported as a cause of nonadherence. Conclusion: A new parameter of patient self-perception of adherence, which is a noninvasive, inexpensive instrument, could be applied and assessed as easily as self-report (SMAQ) during monthly drug refill, since it allows monitoring adherence through pharmaceutical assistance. Therefore, patient adherence to HAART could be evaluated using self-perception (CEAT-VIH) and the viral load test.