Do you take your pills

D

Risk Factors for Suboptimal Medication Adherence in Persons with Multiple Sclerosis: Development of an Electronic Health Record-Based Explanatory Model for Disease-Modifying Therapy Use.Gromisch ES, Turner AP, Leipertz SL, Beauvais J, Haselkorn JK. Arch Phys Med Rehabil. 2019 Dec 3. pii: S0003-9993(19)31430-3.

OBJECTIVE:To determine which factors are associated with suboptimal disease-modifying therapy (DMT) adherence, and to develop an explanatory model that could be used to identify individuals at risk and potentially inform interventions.

DESIGN:Cross-sectional cohort study using electronic health records.

PARTICIPANTS:Veterans with multiple sclerosis (MS; N = 2,939; 79.69% men) who received care through the VA and were included in the VA MS Center of Excellence Data Repository.

MAIN OUTCOME MEASURES: Suboptimal DMT adherence (<80%), demographics, co-occurring conditions, and healthcare utilization.

RESULTS:Nearly 31% of participants had suboptimal adherence. Flags for suboptimal adherence included >20% missed appointments (odds ratio [OR]: 3.78, 95% CI: 2.45, 2.82), age less than 59 (OR: 1.47, 95% CI: 1.23, 1.74), one or more emergency room visits (OR: 1.40, 95% CI: 1.18, 1.67), mood disorders (i.e., depressive and bipolar disorders; OR: 1.40, 95% CI: 1.18, 1,66), and service connection (OR: 1.22, 95% CI: 1.01, 1.47).

Hyperlipidemia (OR: 0.77, 95% CI: 0.65, 0.92) and being issued a wheelchair (OR: 0.83, 95% CI: 0.70, 1.00) were associated with lower risk.

CONCLUSIONS: Suboptimal adherence to DMTs continues to be an issue. Interventions that focus on person-level barriers should be urgently explored to increase adherence and improve self-management abilities.

I have some pills to take and I know how difficult it is to remember to take them. This study looks at Ex-soldiers from the US and sees a number of issues. What tips do you have, to remember to take your medication?

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MouseDoctor

4 comments

  • i keep my tablets in a brightly coloured zipped bag which sits on the kitchen worktop. It’s the first thing that catches my eye when I reach for the kettle.

  • Several factors affect adherence to any prescribed medical treatment.
    Financial /Obtaining
    Patient Understanding.Buy in.Consequences.Goals defined.
    Sharing decision making.
    Writing info or best media for patient.
    Address physical/psychological barriers
    Refer to nurses. Hotline.
    Encourage
    Reward
    Discuss alternatives
    Ask about sharing responsibility with loved One.
    Don’t cop an attitude about adherence.
    Accept them and again go through the process.
    😎

  • All the dmts I have taken cause fatigue and flu like symptoms. If I have an event the day after a scheduled medication I am likely to miss that dose.

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