Using the necessity-concern framework for predicting medication adherence in older adults with heart failure
Keywords:
Necessity-concern framework, Belief about medication, Medication adherence, Elderly, Heart failureAbstract
This cross-sectional analytical research aimed to determine the necessity-concern conceptual framework for predicting medication adherence in older adults with heart failure. The subjects were 107 older adults aged 60-79 years who had been diagnosed with heart failure and received outpatient services in Phrapokklao Hospital, Chanthaburi Province. Systematic random sampling was used to select samples from the samples list. The research instruments were a questionnaire on necessity beliefs and concerns about medication adherence with a reliability was 0.91 and 0.81, respectively, and a medication adherence questionnaire with a reliability was 0.90. The data were collected via telephone from September to December 2022. The data were analyzed by descriptive statistics and multiple logistic regression analysis.
The results found that most of the subjects had a high level of medication adherence (86.9%). Both necessity beliefs of medication adherence (AOR = 1.30; 95% CI = 1.01-1.67) and concern beliefs of medication adherence (AOR = 0.76; 95% CI = 0.62-0.92), together, could predict medication adherence of 17.8%. Therefore, nurses or healthcare professionals treating older adults with heart failure should assess beliefs in the necessity and concern of medicine in the low adherence groups and provide the knowledge to patients with inappropriate beliefs to increase medication adherence further.
References
Amininasab, S. S., Lolaty, H. A., Moosazadeh, M., & Shafipour, V. (2022). Medication adherence and its predictors among patients with heart failure. Nursing and Midwifery Studies, 19, 81-86.
Bai, H.-H., Nie, X.-J., Chen, X.-L., Liang, N.-J., Peng, L.-R., & Yao, Y.-Q. (2022). Beliefs about medication and their association with adherence in Chinese patients with nondialysis chronic kidney disease stages 3-5. Medicine, 10(2), 1-8.
Bozkurt, B., Coats, A. J. S., Tsutsui, H., Abdelhamid, C. M., Adamopoulos, S., et al. (2021). Universal definition and classification of heart failure: A report of the heart failure society of America, Heart failure association of the European society of cardiology, Japanese heart failure society and writing committee of the universal definition of heart failure. European Journal of Heart Failure, 23, 352-380.
Clatworthy, J., Bowskill, R., Parham, R., Rank, T., Scott, J., & Horne, R. (2009). Understanding medication non - adherence in bipolar disorders using a necessity-concern framework. Journal of Affective Disorders, 116, 51-55.
Clyne, B., Cooper, J. A., Boland, F., Hughes, C. M., Fahey.T, & Smith, S. M. (2017). Beliefs about prescribed medication among older patients with polypharmacy: A mixed methods study in primary care. British Journal of General Practice, e507-e518.
Diez-Villanueva, P., Jimenez-Mendez, C., & Alfonso, F. (2021). Heart failure in the elderly. Journal of Geriatric Cardiology, 18(3), 219-232.
Foot, H., Caze, A. L., Gujral, G., & Cottrell, N. (2016). The necessity-concerns framework predicts adherence to medication in multiple illness conditions: A meta-analysis. Patient Education and Counseling. 99(5),706-17. doi: 10.1016/j.pec.2015.11.004.
Horne, R. (1997a). Representations of medication and treatment: Advances in theory and measurement. In K. J. Petrie & J. Weinman (Eds.), Perceptions of Health and I llness: Current Research and Applications (pp. 155-188). London: Harwood Academic.
Horne, R. (2003b). Treatment perceptions and self regulation. In L. D. Cameron & H. Leventhal (Eds.), The Self-Regulation of Health and Il lness Behavior (pp. 138-153). London: Routledge.
Horne, R., Albert, A., & Boone, C. (2018). Relationship between beliefs about medicines, adherence to treatment, and disease activity in patients with rheumatoid arthritis under subcutaneous anti-TnFα therapy. Patient Preference and Adherence, 12, 1099-1111.
Horne, R., & Weinman, J. (2002). Self-regulation and self - management in asthma: Exploring the role of illness perceptions and treatment beliefs in explaning non-adherence to preventer medication. Psychology and Health, 17(1), 17-32.
Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The developments and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14, 1-24.
Huber, C., Kunz, M., Artelt, C., & Lautenbacher, S. (2010). Attentional and emotional mechanism of pain processing and their related factors: A structural equations approach. Pain Research and Management, 15(4), 229-237.
Leaungsomnapa, Y., Promproh, S., Leaungsomnapa, S., & Sourthao, Y. (2013). Influence of belief about medication on high group of medication adherence in hypertensive patients. Journal of Prapokklao Hospital Clinical Medical Education Center, 30(2), 146-157. (in Thai)
Leaungsomnapa, Y., Promproh, S., Leaungsomnapa, S., Thasirasawad, P., Keawchaum, R., & Suraworawathanakul, W. (2014). Confirmatory factor analysis of beliefs about medicine questionnaire in Thai version. Journal of Prapokklao Hospital Clinical Medical Education Center, 2014, 297-310. (in Thai)
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Bo..hm, M., . . . Butler, J. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 42, 3599-3726.
Miot, H. A. (2011). Sample size in clinical and experimental trials. Jornal Vascular Brasileiro, 10(4), 275-278.
Park, H. Y., Seo, S. A., Yoo, H., & Lee, K. (2018). Medication adherence and beliefs about medication in elderly patients living alone with chronic diseases. Patient Preference and Adherence, 12, 175-181.
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S., Meer, P. V. D. (2016). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC): developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 18, 891-975.
Ruangthip, T., Wattanakitkrileart, D., Charoenkitkarn, V., & Dumavibhat, C. (2017). Factors influencing medication adherence in patients with chronic heart failure. Royal Thai Navy Medical Journal, 44(3), 51-65. (in Thai)
Schuling, J., Gebben, H., Veehof, L. J., & Haaijer-Ruskamp, F. (2012). Deprescribing medication in very elderly patients with multimorbidity: the view of Dutch GPs. A qualitative study. BMC Family Practice, 13(1), 56.
Schwinger, R. (2021). Pathophysiology of heart failure. Cardiovascular Diagnosis and Therapy, 11(1), 263-276.
Silavanich, V., Nathisuwan, S., Phrommintikul, A., & Permsuwan, U. (2019). Relationship of medication adherence and quality of life among heart failure patients. Heart & lung : the journal of critical care, 48(2), 105–110.
Sipos, M., Farcas, A., Prodan, N., & Mogosan, C. (2021). Relationship between beliefs about medicines and adherence in elderly patients with cardiovascular and respiratory diseases: A cross-sectional study in Romania. Patient education and counseling, 104(4), 911–918.
Suresh, C. P., & Chandrashekara, S. (2012). Sample size estimation and power analysis for clinical research studies. Journal of Human Reproductive Sciences, 5(1), 7-13.
Umashankar, M.S. & Kumar, A.B. (2020). Heart failure. Pharmacotherapeutic Management of CVD Complications: A textbook for medical students. (pp 124-145). India: Bentham Books imprint.
Unni, E., & Bae, S. (2022). Exploring a new theoretical model to explain the behavior of medication adherence Pharmacy, 10(4), 1-10.
Van der Wal, M. H. L., & Jaarsma, T. (2008). Adherence in heart failure in the elderly: Problem and possible solutions. International Journal of Cardiology, 125, 203-208.
WHO. (2003). Towards the solution. In Adherence to Long-Term Therapies Evidence for Action (pp. 27-38). Geneva: World Health Organization.
Wu, J.-R., & Moser, D. K. (2018). Medication adherence mediates the relationship between heart failure symptoms and cardiac event-free survival in patients with Heart Failure. Journal of Cardiovascular Nursing, 33(1), 40-46.
Zhang, Z. (2016). Model building strategy for logistic regression: purposeful selection. Annals of Translational Medicine, 4(6), 1-7.
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