Abstract
Objectives: (1) To identify any demographic characteristics, which predict medicines adherence by reporting Necessity-Concern Differential (NCD) and Self-Reported Health (SRH) scores among Hong Kong hospital outpatients. (ii) To investigate any association between SRH and NCD in this cultural group. Methods: A total of 709 outpatients completed a questionnaire consisting demographic information, SRH and Belief about Medicines Questionnaire. Findings were analysed statistically. Key findings: Descriptive statistics suggested that older participants (mean age > 64 years) tended to report low SRH, but high NCD compared to younger respondents (mean age < 53 years). Males were more likely to return high SRH and NCD scores than females (56.9 versus 42.2% and 74.8 versus 64.6%, respectively). Chi-squared tests demonstrated that socio-economic status was not significantly associated with SRH and NCD reporting (P > 0.05). Logistic regressions indicated gender and age groups (young-old and old-old) were significant predictors of SRH reporting (P < 0.001). Moreover, patients with high SRH were more likely to report high NCD than those with low SRH (P = 0.02; OR = 1.53; 95%CI 1.07–2.20). This indicates that regular administration of the SRH item followed by specific questioning could enhance early identification of potential medicine non-believers and, subsequently, non-adherent patients who may require urgent interventions or monitoring. Conclusions: Demographic characteristics and significant association between SRH and NCD reporting support our claim that SRH opens new opportunities for prompt identification of potentially non-adherent patients. However, further interviews to determine the cause(s) of non-adherence are necessary to validate such findings.
| Original language | English |
|---|---|
| Pages (from-to) | 451-458 |
| Number of pages | 8 |
| Journal | International Journal of Pharmacy Practice |
| Volume | 27 |
| Issue number | 5 |
| Early online date | 20 Feb 2019 |
| DOIs | |
| Publication status | Published - Oct 2019 |
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Self-rated health and medicine beliefs among older hospital outpatients in Hong Kong. / Wan, Bosco; Ball, Patrick; Jackson, David; Maynard, Gregg.
In: International Journal of Pharmacy Practice, Vol. 27, No. 5, 10.2019, p. 451-458.Research output: Contribution to journal › Article
TY - JOUR
T1 - Self-rated health and medicine beliefs among older hospital outpatients in Hong Kong
AU - Wan, Bosco
AU - Ball, Patrick
AU - Jackson, David
AU - Maynard, Gregg
PY - 2019/10
Y1 - 2019/10
N2 - Objectives: (1) To identify any demographic characteristics, which predict medicines adherence by reporting Necessity-Concern Differential (NCD) and Self-Reported Health (SRH) scores among Hong Kong hospital outpatients. (ii) To investigate any association between SRH and NCD in this cultural group. Methods: A total of 709 outpatients completed a questionnaire consisting demographic information, SRH and Belief about Medicines Questionnaire. Findings were analysed statistically. Key findings: Descriptive statistics suggested that older participants (mean age > 64 years) tended to report low SRH, but high NCD compared to younger respondents (mean age < 53 years). Males were more likely to return high SRH and NCD scores than females (56.9 versus 42.2% and 74.8 versus 64.6%, respectively). Chi-squared tests demonstrated that socio-economic status was not significantly associated with SRH and NCD reporting (P > 0.05). Logistic regressions indicated gender and age groups (young-old and old-old) were significant predictors of SRH reporting (P < 0.001). Moreover, patients with high SRH were more likely to report high NCD than those with low SRH (P = 0.02; OR = 1.53; 95%CI 1.07–2.20). This indicates that regular administration of the SRH item followed by specific questioning could enhance early identification of potential medicine non-believers and, subsequently, non-adherent patients who may require urgent interventions or monitoring. Conclusions: Demographic characteristics and significant association between SRH and NCD reporting support our claim that SRH opens new opportunities for prompt identification of potentially non-adherent patients. However, further interviews to determine the cause(s) of non-adherence are necessary to validate such findings.
AB - Objectives: (1) To identify any demographic characteristics, which predict medicines adherence by reporting Necessity-Concern Differential (NCD) and Self-Reported Health (SRH) scores among Hong Kong hospital outpatients. (ii) To investigate any association between SRH and NCD in this cultural group. Methods: A total of 709 outpatients completed a questionnaire consisting demographic information, SRH and Belief about Medicines Questionnaire. Findings were analysed statistically. Key findings: Descriptive statistics suggested that older participants (mean age > 64 years) tended to report low SRH, but high NCD compared to younger respondents (mean age < 53 years). Males were more likely to return high SRH and NCD scores than females (56.9 versus 42.2% and 74.8 versus 64.6%, respectively). Chi-squared tests demonstrated that socio-economic status was not significantly associated with SRH and NCD reporting (P > 0.05). Logistic regressions indicated gender and age groups (young-old and old-old) were significant predictors of SRH reporting (P < 0.001). Moreover, patients with high SRH were more likely to report high NCD than those with low SRH (P = 0.02; OR = 1.53; 95%CI 1.07–2.20). This indicates that regular administration of the SRH item followed by specific questioning could enhance early identification of potential medicine non-believers and, subsequently, non-adherent patients who may require urgent interventions or monitoring. Conclusions: Demographic characteristics and significant association between SRH and NCD reporting support our claim that SRH opens new opportunities for prompt identification of potentially non-adherent patients. However, further interviews to determine the cause(s) of non-adherence are necessary to validate such findings.
KW - adherence
KW - chronic medications
KW - clinical pharmacy
KW - patient behaviour
UR - http://www.scopus.com/inward/record.url?scp=85071749740&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071749740&partnerID=8YFLogxK
U2 - 10.1111/ijpp.12524
DO - 10.1111/ijpp.12524
M3 - Article
C2 - 30790364
AN - SCOPUS:85071749740
VL - 27
SP - 451
EP - 458
JO - International Journal of Pharmacy Practice
JF - International Journal of Pharmacy Practice
SN - 0961-7671
IS - 5
ER -