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The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study
BACKGROUND: Stroke is one of the top 10 leading diseases worldwide, with high mortality and morbidity rates. There is an incomplete understanding of the various types of self-efficacy involved in the prevention of recurrent stroke, and one of them is medication-taking self-efficacy. OBJECTIVE: This...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279437/ https://www.ncbi.nlm.nih.gov/pubmed/34345772 http://dx.doi.org/10.2196/14399 |
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author | Appalasamy, Jamuna Rani Subramanian, Pathmavathi Tan, Kit Mun Seeta Ramaiah, Siva Joseph, Joyce Pauline Chua, Siew Siang |
author_facet | Appalasamy, Jamuna Rani Subramanian, Pathmavathi Tan, Kit Mun Seeta Ramaiah, Siva Joseph, Joyce Pauline Chua, Siew Siang |
author_sort | Appalasamy, Jamuna Rani |
collection | PubMed |
description | BACKGROUND: Stroke is one of the top 10 leading diseases worldwide, with high mortality and morbidity rates. There is an incomplete understanding of the various types of self-efficacy involved in the prevention of recurrent stroke, and one of them is medication-taking self-efficacy. OBJECTIVE: This study aimed to explore the fundamental needs and barriers of medication-taking self-efficacy in poststroke patients in Malaysia. METHODS: We performed in-depth individual interviews with poststroke patients (N=10) from the Outpatient Neurology Clinic, Hospital Kuala Lumpur. All interviews were transcribed verbatim, and an inductive thematic analysis was performed on the data collected from the interviews. RESULTS: Two key themes were identified: (1) self-efficacy in taking the effort to understand stroke and its preventative treatment for recurrent stroke and (2) self-efficacy in taking prescribed medication to prevent stroke. Patients needed to be proactive in seeking reliable information about stroke and the perceived benefits of preventative treatment for stroke. The discussion was focused on eliciting the needs and barriers related to medication-taking self-efficacy. Patients needed to develop independence and self-reliance to overcome barriers such as dependency and low motivation. External factors such as limited information resources, low perceived severity, poor social environment, and poor communication add to the challenges of poststroke patients to improve their self-efficacy of managing their medications. CONCLUSIONS: The study identified potential key findings related to the needs of patients in a localized setting, which are also related to several health behavioral concepts and constructs, indicating the importance of overcoming barriers to improve the quality of life in poststroke patients. We anticipate that the results will be taken into consideration for future personalized patient education interventions. |
format | Online Article Text |
id | pubmed-8279437 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82794372021-08-02 The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study Appalasamy, Jamuna Rani Subramanian, Pathmavathi Tan, Kit Mun Seeta Ramaiah, Siva Joseph, Joyce Pauline Chua, Siew Siang JMIR Nurs Original Paper BACKGROUND: Stroke is one of the top 10 leading diseases worldwide, with high mortality and morbidity rates. There is an incomplete understanding of the various types of self-efficacy involved in the prevention of recurrent stroke, and one of them is medication-taking self-efficacy. OBJECTIVE: This study aimed to explore the fundamental needs and barriers of medication-taking self-efficacy in poststroke patients in Malaysia. METHODS: We performed in-depth individual interviews with poststroke patients (N=10) from the Outpatient Neurology Clinic, Hospital Kuala Lumpur. All interviews were transcribed verbatim, and an inductive thematic analysis was performed on the data collected from the interviews. RESULTS: Two key themes were identified: (1) self-efficacy in taking the effort to understand stroke and its preventative treatment for recurrent stroke and (2) self-efficacy in taking prescribed medication to prevent stroke. Patients needed to be proactive in seeking reliable information about stroke and the perceived benefits of preventative treatment for stroke. The discussion was focused on eliciting the needs and barriers related to medication-taking self-efficacy. Patients needed to develop independence and self-reliance to overcome barriers such as dependency and low motivation. External factors such as limited information resources, low perceived severity, poor social environment, and poor communication add to the challenges of poststroke patients to improve their self-efficacy of managing their medications. CONCLUSIONS: The study identified potential key findings related to the needs of patients in a localized setting, which are also related to several health behavioral concepts and constructs, indicating the importance of overcoming barriers to improve the quality of life in poststroke patients. We anticipate that the results will be taken into consideration for future personalized patient education interventions. JMIR Publications 2019-07-22 /pmc/articles/PMC8279437/ /pubmed/34345772 http://dx.doi.org/10.2196/14399 Text en ©Jamuna Rani Appalasamy, Pathmavathi Subramanian, Kit Mun Tan, Siva Seeta Ramaiah, Joyce Pauline Joseph, Siew Siang Chua. Originally published in JMIR Nursing Informatics (https://nursing.jmir.org), 22.07.2019. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Appalasamy, Jamuna Rani Subramanian, Pathmavathi Tan, Kit Mun Seeta Ramaiah, Siva Joseph, Joyce Pauline Chua, Siew Siang The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title | The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title_full | The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title_fullStr | The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title_full_unstemmed | The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title_short | The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study |
title_sort | needs and barriers of medication-taking self-efficacy among poststroke patients: qualitative study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279437/ https://www.ncbi.nlm.nih.gov/pubmed/34345772 http://dx.doi.org/10.2196/14399 |
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