- Title
- Patient and caregiver priorities for medication adherence in gout, osteoporosis, and rheumatoid arthritis: nominal group technique
- Creator
- Kelly, Ayano; Tymms, Kathleen; de Wit, Maarten; Bartlett, Susan J.; Cross, Martia; Dawson, Therese; De Vera, Mary; Evans, Vicki; Gill, Michael; Hassett, Geraldine; Lim, Irwin; Manera, Karine; Major, Gabor; March, Lyn; O'Neill, Sean; Scholte-Voshaar, Marieke; Sinnathurai, Premarani; Sumpton, Daniel; Teixeira-Pinto, Armando; Tugwell, Peter; van den Bemt, Bart; Tong, Allison
- Relation
- Arthritis Care & Research Vol. 72, Issue 10, p. 1410-1419
- Publisher Link
- http://dx.doi.org/10.1002/acr.24032
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2020
- Description
- Objective: This study aimed to identify and prioritize factors important to patients and caregivers with regard to medication adherence in gout, osteoporosis (OP), and rheumatoid arthritis (RA) and to describe the reasons for their decisions. Methods: Patients with gout, OP, and RA and their caregivers, purposively sampled from 5 rheumatology clinics in Australia, identified and ranked factors that they considered important for medication adherence using nominal group technique and discussed their decisions. An importance score (IS; scale 0-1) was calculated, and qualitative data were analyzed thematically. Results: From 14 focus groups, 82 participants (67 patients and 15 caregivers) identified 49 factors. The top 5 factors based on the ranking of all participants were trust in doctor (IS 0.46), medication effectiveness (IS 0.31), doctor's knowledge (IS 0.25), side effects (IS 0.23), and medication-taking routine (IS 0.13). The order of the ranking varied by participant groupings, with patients ranking "trust in doctor" the highest, while caregivers ranked "side effects" the highest. The 5 themes reflecting the reasons for factors influencing adherence were as follows: motivation and certainty in supportive individualized care; living well and restoring function; fear of toxicity and cumulative harm; seeking control and involvement; and unnecessarily difficult and inaccessible. Conclusion: Factors related to the doctor, medication properties, and patients' medication knowledge and routine were important for adherence. Strengthening doctor-patient trust and partnership, managing side effects, and empowering patients with knowledge and skills for taking medication could enhance medication adherence in patients with rheumatic conditions.
- Subject
- medication adherence; gout; osteoporosis; rheumatoid arthritis
- Identifier
- http://hdl.handle.net/1959.13/1420694
- Identifier
- uon:37630
- Identifier
- ISSN:2151-464X
- Rights
- Kelly, Ayano; Tymms, Kathleen; de Wit, Maarten; Bartlett, Susan J.; Cross, Martia; Dawson, Therese; De Vera, Mary; Evans, Vicki; Gill, Michael; Hassett, Geraldine; Lim, Irwin; Manera, Karine; Major, Gabor; March, Lyn; O'Neill, Sean; Scholte-Voshaar, Marieke; Sinnathurai, Premarani; Sumpton, Daniel; Teixeira-Pinto, Armando; Tugwell, Peter; van den Bemt, Bart; Tong, Allison. “Patient and caregiver priorities for medication adherence in gout, osteoporosis, and rheumatoid arthritis: nominal group technique”. Arthritis Care & Research Vol. 72, Issue 10, p. 1410-1419 (2020), which has been published in final form at http://dx.doi.org/10.1002/acr.24032. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
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