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Measuring medication adherence in asthma: Development of a novel self-report tool.
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- Author(s): Dima, Alexandra L. (AUTHOR); van Ganse, Eric (AUTHOR); Laforest, Laurent (AUTHOR); Texier, Nathalie (AUTHOR); de Bruin, Marijn (AUTHOR); the ASTRO-LAB group (AUTHOR)
- Source:
Psychology & Health. Oct2017, Vol. 32 Issue 10, p1288-1307. 20p. - Source:
- Additional Information
- Subject Terms: CLINICAL drug trials; DRUG therapy for asthma; EXPERIMENTAL design; INTERVIEWING; LONGITUDINAL method; RESEARCH methodology; PATIENT compliance; PROBABILITY theory; QUESTIONNAIRES; SELF-evaluation; SAMPLE size (Statistics); RESEARCH methodology evaluation; DATA analysis software; DESCRIPTIVE statistics
- Subject Terms:
- Abstract: Objective: This study presents the development and validation of MIS-A (Medication Intake Survey-Asthma), a new self-report instrument measuring key adherence properties during long-term asthma treatment. Design: Within a longitudinal asthma cohort study in France and the United Kingdom, adult patients and caregivers of children responded to computer-assisted telephone interviews. Main outcome measures: Scores for distinct adherence properties (taking adherence, correct dosing, therapeutic coverage, drug holidays, overuse) and composite measures were computed for several time intervals. We examined distributions, longitudinal variation, associations between adherence scores and concordance with adherence calculated from medication prescribing or dispensing records. Results: Nine hundred and two participants reported on adherence to 4481 medications on 4140 occasions. About 59.47 and 70.36% revealed < 100% taking adherence in the last week and month; 42.76% had a drug holiday of > 1 week in the last 4 months. Adherence varied within patients during the follow-up (intra-class correlation = . 41-.71). Correlations between adherence scores were moderate to strong (p = .51-.85, p = .001), except medication overuse (p = .04-.19, p =.05). Four-month taking adherence was associated with dispensing adherence, but not with prescribing adherence (p = .33, p < .001; and .12, p = .26). Conclusion: MIS-A is a promising, easy-to-use self-report tool that can capture accurately different adherence properties over a long time period. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Psychology & Health is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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