Beliefs about medicines among older hospital outpatients in Hong Kong

Kin Fai Wan, Walter Cheung, Patrick Ball, David Jackson, Greggory Maynard

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: (1) To identify demographic characteristics associated with different patients' belief attitudes and assess any correlation between medication beliefs and adherence among older Hong Kong hospital outpatients. (2) To identify important implementation criteria for developing a more effective adherence-improving intervention. Methods: Six hundred and ninety-eight patients completed a questionnaire consisting of demographic information, Morisky Medications Adherence Scale-8 (MMAS-8) and Belief about Medicines Questionnaire. Findings were statistically analysed. Key findings: Among respondents, 56.9% were either in the hesitant (Mixed-feelings and Indifferent) or negative (Distrustful) medication belief constructs. The majority of these patients were younger females, with better education, taking fewer regular medications and for shorter duration. Rheumatoid and gout accounted for 46.1% of cases in the Distrustful construct, while cardiovascular and diabetic conditions accounted for 63.8% of cases in the positive (In-favour) construct. Patients' concerns about medications were reaffirmed to be a predominant factor affecting medication beliefs. The mean Necessity-Concern Differential and MMAS-8 scores in the two hesitant constructs illustrated that patients within these two constructs were more pliant towards medicines and, therefore, were predicted to be more subject to modification. Conclusions: Our results identified the demographic characteristics of patients with negative or hesitant belief attitudes about medicines. In order to effectively achieve improvement in long-term beliefs about medications, the design of interventions should target positively modifying belief attitudes in these two patient groups. Furthermore, addressing patients' concern about their medicines was reaffirmed to be an important criterion for researchers to focus on when designing effective medication adherence-improving interventions in the future.

Original languageEnglish
Pages (from-to)447-453
Number of pages7
JournalInternational Journal of Pharmacy Practice
Volume25
Issue number6
Early online date16 Mar 2017
DOIs
Publication statusPublished - Dec 2017

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Hong Kong
Medicine
Outpatients
Medication Adherence
Demography
Education
Gout
Emotions
Research Personnel
Surveys and Questionnaires

Cite this

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title = "Beliefs about medicines among older hospital outpatients in Hong Kong",
abstract = "Objectives: (1) To identify demographic characteristics associated with different patients' belief attitudes and assess any correlation between medication beliefs and adherence among older Hong Kong hospital outpatients. (2) To identify important implementation criteria for developing a more effective adherence-improving intervention. Methods: Six hundred and ninety-eight patients completed a questionnaire consisting of demographic information, Morisky Medications Adherence Scale-8 (MMAS-8) and Belief about Medicines Questionnaire. Findings were statistically analysed. Key findings: Among respondents, 56.9{\%} were either in the hesitant (Mixed-feelings and Indifferent) or negative (Distrustful) medication belief constructs. The majority of these patients were younger females, with better education, taking fewer regular medications and for shorter duration. Rheumatoid and gout accounted for 46.1{\%} of cases in the Distrustful construct, while cardiovascular and diabetic conditions accounted for 63.8{\%} of cases in the positive (In-favour) construct. Patients' concerns about medications were reaffirmed to be a predominant factor affecting medication beliefs. The mean Necessity-Concern Differential and MMAS-8 scores in the two hesitant constructs illustrated that patients within these two constructs were more pliant towards medicines and, therefore, were predicted to be more subject to modification. Conclusions: Our results identified the demographic characteristics of patients with negative or hesitant belief attitudes about medicines. In order to effectively achieve improvement in long-term beliefs about medications, the design of interventions should target positively modifying belief attitudes in these two patient groups. Furthermore, addressing patients' concern about their medicines was reaffirmed to be an important criterion for researchers to focus on when designing effective medication adherence-improving interventions in the future.",
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Beliefs about medicines among older hospital outpatients in Hong Kong. / Wan, Kin Fai; Cheung, Walter; Ball, Patrick; Jackson, David; Maynard, Greggory.

In: International Journal of Pharmacy Practice, Vol. 25, No. 6, 12.2017, p. 447-453.

Research output: Contribution to journalArticle

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AU - Ball, Patrick

AU - Jackson, David

AU - Maynard, Greggory

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