Cargando…
Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study
OBJECTIVES: The aim of this study was to determine if strategies for coping with illnesses, demographic factors, and clinical factors were associated with medication adherence among patients with rheumatoid arthritis (RA). METHODS: This cross-sectional study was conducted at a Viennese rheumatology...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425297/ https://www.ncbi.nlm.nih.gov/pubmed/30949207 http://dx.doi.org/10.1155/2019/4709645 |
_version_ | 1783404814354350080 |
---|---|
author | Berner, Carolin Erlacher, Ludwig Fenzl, Karl H. Dorner, Thomas E. |
author_facet | Berner, Carolin Erlacher, Ludwig Fenzl, Karl H. Dorner, Thomas E. |
author_sort | Berner, Carolin |
collection | PubMed |
description | OBJECTIVES: The aim of this study was to determine if strategies for coping with illnesses, demographic factors, and clinical factors were associated with medication adherence among patients with rheumatoid arthritis (RA). METHODS: This cross-sectional study was conducted at a Viennese rheumatology outpatient clinic on RA patients. Medication adherence was assessed using the Medication Adherence Report Scale. Strategies for coping with illness were assessed using the Freiburg Questionnaire for Coping with Illness. RESULTS: Half (N=63, 52.5%) of the 120 patients included in the study were considered completely medication adherent. Female sex (odds ratio [OR]: 4.57, 95% confidence interval [CI]: 1.14 – 18.42), older age (54-65 yr vs. <45 yr OR: 9.2, CI:2.0-40.70; >65 yr vs. <45 yr OR 6.93, CI:1,17 – 40.87), middle average income (middle average income vs. lowest income class OR= 0.06, CI= 0.01-0.43), and shorter disease duration (5-10 yr vs. >10 yr OR= 3.53, CI= 1.04-11.95; 1-4 yr vs. >10 yr OR=3.71, CI= 1.02-13.52) were associated with higher medication adherence. Levels of active coping (15.57 vs. 13.47, p=0.01) or diversion and self-encouragement (16.10 vs. 14.37, p=0.04) were significantly higher among adherent as opposed to less adherent participants. However, in multivariate regression models, coping strategies were not significantly associated with adherence. CONCLUSIONS: Age, sex, monthly net income, and disease duration were found to be associated with an increased risk for medication nonadherence among patients with RA. Coping strategies such as active coping, diversion, and self-encouragement were associated with adherence in univariate models, but not when adjusted for demographic and clinical factors. |
format | Online Article Text |
id | pubmed-6425297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-64252972019-04-04 Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study Berner, Carolin Erlacher, Ludwig Fenzl, Karl H. Dorner, Thomas E. Int J Rheumatol Research Article OBJECTIVES: The aim of this study was to determine if strategies for coping with illnesses, demographic factors, and clinical factors were associated with medication adherence among patients with rheumatoid arthritis (RA). METHODS: This cross-sectional study was conducted at a Viennese rheumatology outpatient clinic on RA patients. Medication adherence was assessed using the Medication Adherence Report Scale. Strategies for coping with illness were assessed using the Freiburg Questionnaire for Coping with Illness. RESULTS: Half (N=63, 52.5%) of the 120 patients included in the study were considered completely medication adherent. Female sex (odds ratio [OR]: 4.57, 95% confidence interval [CI]: 1.14 – 18.42), older age (54-65 yr vs. <45 yr OR: 9.2, CI:2.0-40.70; >65 yr vs. <45 yr OR 6.93, CI:1,17 – 40.87), middle average income (middle average income vs. lowest income class OR= 0.06, CI= 0.01-0.43), and shorter disease duration (5-10 yr vs. >10 yr OR= 3.53, CI= 1.04-11.95; 1-4 yr vs. >10 yr OR=3.71, CI= 1.02-13.52) were associated with higher medication adherence. Levels of active coping (15.57 vs. 13.47, p=0.01) or diversion and self-encouragement (16.10 vs. 14.37, p=0.04) were significantly higher among adherent as opposed to less adherent participants. However, in multivariate regression models, coping strategies were not significantly associated with adherence. CONCLUSIONS: Age, sex, monthly net income, and disease duration were found to be associated with an increased risk for medication nonadherence among patients with RA. Coping strategies such as active coping, diversion, and self-encouragement were associated with adherence in univariate models, but not when adjusted for demographic and clinical factors. Hindawi 2019-03-04 /pmc/articles/PMC6425297/ /pubmed/30949207 http://dx.doi.org/10.1155/2019/4709645 Text en Copyright © 2019 Carolin Berner et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Berner, Carolin Erlacher, Ludwig Fenzl, Karl H. Dorner, Thomas E. Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title | Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title_full | Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title_fullStr | Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title_full_unstemmed | Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title_short | Medication Adherence and Coping Strategies in Patients with Rheumatoid Arthritis: A Cross-Sectional Study |
title_sort | medication adherence and coping strategies in patients with rheumatoid arthritis: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425297/ https://www.ncbi.nlm.nih.gov/pubmed/30949207 http://dx.doi.org/10.1155/2019/4709645 |
work_keys_str_mv | AT bernercarolin medicationadherenceandcopingstrategiesinpatientswithrheumatoidarthritisacrosssectionalstudy AT erlacherludwig medicationadherenceandcopingstrategiesinpatientswithrheumatoidarthritisacrosssectionalstudy AT fenzlkarlh medicationadherenceandcopingstrategiesinpatientswithrheumatoidarthritisacrosssectionalstudy AT dornerthomase medicationadherenceandcopingstrategiesinpatientswithrheumatoidarthritisacrosssectionalstudy |