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Beliefs about medication

Celia B Fisher, Adam L Fried, Kathryn Macapagal, Brian Mustanski
Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14-17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth do not receive equitable treatment in health care settings...
March 15, 2018: AIDS and Behavior
Mohan Paudel, Sara Javanparast, Gouranga Dasvarma, Lareen Newman
OBJECTIVE AND THE CONTEXT: This paper examines the beliefs and experiences of women and their families in remote mountain villages of Nepal about perinatal sickness and death and considers the implications of these beliefs for future healthcare provision. METHODS: Two mountain villages were chosen for this qualitative study to provide diversity of context within a highly disadvantaged region. Individual in-depth interviews were conducted with 42 women of childbearing age and their family members, 15 health service providers, and 5 stakeholders...
2018: PloS One
Paul Dillon, L Alison Phillips, Paul Gallagher, Susan M Smith, Derek Stewart, Gráinne Cousins
Background: The Necessity-Concerns Framework (NCF) is a multidimensional theory describing the relationship between patients' positive and negative evaluations of their medication which interplay to influence adherence. Most studies evaluating the NCF have failed to account for the multidimensional nature of the theory, placing the separate dimensions of medication "necessity beliefs" and "concerns" onto a single dimension (e.g., the Beliefs about Medicines Questionnaire-difference score model)...
February 5, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
Anna Karla de Oliveira Tito Borba, Ana Paula de Oliveira Marques, Vânia Pinheiro Ramos, Márcia Carrera Campos Leal, Ilma Kruze Grande de Arruda, Roberta Souza Pereira da Silva Ramos
This study aimed to investigate factors associated with the treatment adherence of 150 elderly diabetics assisted in gerontogeriatric outpatient service in northeastern Brazil. Full adherence to therapy was self-reported by 27.3% of the elderly. In the bivariate analysis, adherence was associated with self-perceived health, beliefs in the use of medication, understanding explanations about diabetes and professional responsible for treatment guidance. After analysis adjustment, only beliefs in medicine were significant when comparing non-adherence with full adherence (OR = 9...
March 2018: Ciência & Saúde Coletiva
Annemarie Jutel
BACKGROUND: Contemporary medicine has expressed concern about lay incursions into the diagnostic process buttressed by commonly available medical information on line. Even while the world wide web is a new structure, there is a long historical precedent for this concern. With the emergence of scientific medicine in the late 19th century came a strong belief in the role of diagnosis, not only to explain disease symptoms but also to differentiate the physician from a range of other unreliable practitioners...
June 27, 2017: Diagnosis
Patrick S C D'Haese, Marc De Bodt, Vincent Van Rompaey, Paul Van de Heyning
The objectives of this study were to assess the factors which contribute to individuals' health motivation to address hearing loss and to gather baseline data that could then be used to measure the impact of an awareness campaign. An online questionnaire with 13 closed set questions was completed by 100 subjects in each country including Austria, Germany, France, Sweden, and the United Kingdom. The questionnaire was based around the Health Belief Model, which describes how, in order to take action to address a medical problem, the individual must perceive that the condition presents a threat to their well-being that exceeds any barriers to treatment...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Wendy N Gray, Bonney Reed-Knight, Pamela J Morgan, Erin Holbrook, Subra Kugathasan, Shehzad A Saeed, Lee A Denson, Kevin A Hommel
PURPOSE: This multi-site study examines patient, parent, and pediatric provider perspectives on what is most important for successful transition. DESIGN AND METHODS: Using the Transition Readiness Assessment Questionnaire, 190 participants recruited from two pediatric IBD centers selected the top five skills they considered "most important for successful transition." Rankings were summarized and compared by group. RESULTS: While patients, parents, and clinicians all identified "calling the doctor about unusual changes in health" and "taking medications correctly and independently" as being important, each stakeholder group qualitatively and statistically differed in terms of transition readiness skills emphasized...
March 2018: Journal of Pediatric Nursing
Norman Jones, D Whybrow, R Coetzee
INTRODUCTION: Studies suggest that medical doctors can suffer from substantial levels of mental ill-health. Little is known about military doctors' mental health and well-being; we therefore assessed attitudes to mental health, self-stigma, psychological distress and help-seeking among UK Armed Forces doctors. METHODS: Six hundred and seventy-eight military doctors (response rate 59%) completed an anonymous online survey. Comparisons were made with serving and ex-military personnel (n=1448, response rate 84...
March 9, 2018: Journal of the Royal Army Medical Corps
Smita C Banerjee, Chasity B Walters, Jessica M Staley, Koshy Alexander, Patricia A Parker
Delivery of culturally competent care toward lesbian, gay, bisexual, and transgender (LGBT) patients depends on how health-care providers (HCPs) communicate with them; however, research about knowledge, attitude, and behavior of HCPs toward LGBT patients is scant. The objectives of our study were to describe oncology HCPs' knowledge and examine if beliefs about LGB and transgender patients mediate the effects of LGBT health-care knowledge on open communication behaviors with LGB and transgender patients, respectively...
March 9, 2018: Journal of Health Communication
Heewon Im, Jisu Huh
One of the most frequent and strong arguments for supporting direct-to-consumer prescription drug advertising (DTCA) as a positive influence on individuals and society is that DTCA could contribute to improving patients' medication adherence, but systematic empirical research testing this proposed effect is scant. To address this gap and provide an answer to the unresolved question about DTCA effects, this study examined the relationship between overall DTCA exposure and patients' medication adherence through the mechanism of media priming effect increasing medication-related belief accessibility...
March 9, 2018: Health Communication
Jennifer Sonney, Kathleen C Insel
Asthma is one of the most common chronic diseases of childhood. For children with persistent asthma, asthma control is largely related to controller medication adherence. With increasing calls for children to be involved in their own asthma management, there is a gap in our knowledge about the executive functioning of children with asthma. OBJECTIVE: The purpose of this study was to explore the relationship between executive function, asthma, and medication adherence among school-age children with asthma...
March 7, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Alyssa T Brooks, Michael Krumlauf, Kenneth H Beck, Craig S Fryer, Li Yang, Vijay A Ramchandani, Gwenyth R Wallen
Sleep disturbances can accompany alcohol use disorders during various phases of the disease. This analysis utilized a mixed methods approach to assess whether sleep-related beliefs and/or behavior of individuals who are alcohol dependent were associated with sleep quality both pre- and postdischarge from a clinical research facility providing inpatient alcohol rehabilitation treatment. Individuals with higher self-efficacy for sleep (SE-S) reported better sleep quality at both time points. Individuals with fewer dysfunctional beliefs about sleep had poorer sleep quality at both time points...
March 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Carlos De Las Cuevas, Mariano Motuca, Trino Baptista, Jose de Leon
Background: Cultural differences in attitudes toward psychiatric medications influence medication adherence but transcultural studies are missing. The objective of this study was to investigate how attitudes and beliefs toward psychotropic medications influence treatment adherence in psychiatric outpatients in Spain, Argentina, and Venezuela. Methods: A cross-sectional, cross-cultural psychopharmacology study was designed to assess psychiatric outpatients' attitudes toward their prescribed medication...
2018: Patient Preference and Adherence
Wiebke Fischer, Susanne Brandstetter, Magdalena Brandl, Tamara Finger, Merle M Böhmer, Michael Pfeifer, Christian Apfelbacher
BACKGROUND: Beliefs about medicines are regarded as influencing factors on medication adherence (Horne, 1997). Adherence levels in patients with chronic pulmonary diseases are low (Bourbeau and Bartlett, 2008; Sumino and Cabana, 2013). A better understanding of the predictive role of patients' beliefs about medicines for adherence might be a crucial step to improve medication adherence. OBJECTIVE: This prospective study investigated the association between beliefs about medicines and medication adherence in patients with asthma and COPD...
April 2018: Journal of Psychosomatic Research
Gemma Via-Clavero, Marta Sanjuán-Naváis, Marta Romero-García, Laura de la Cueva-Ariza, Gemma Martínez-Estalella, Erika Plata-Menchaca, Pilar Delgado-Hito
BACKGROUND: Despite the reported harms and ethical concerns about physical restraint use in the critical care settings, nurses' intention to apply them is unequal across countries. According to the theory of planned behaviour, eliciting nurses' beliefs regarding the use of physical restraints would provide additional social information about nurses' intention to perform this practice. AIM: To explore the salient behavioural, normative and control beliefs underlying the intention of critical care nurses to use physical restraints from the theory of planned behaviour...
January 1, 2018: Nursing Ethics
Anders Broström, Amir H Pakpour, Per Nilsen, Benjamin Gardner, Martin Ulander
The benefits of continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea are well established, but adherence tends to be low. Research exploring CPAP practitioners' beliefs around determinants of CPAP adherence, and the actions they use in clinical practice to promote CPAP adherence is lacking. This study aimed to: (i) develop and validate a questionnaire to assess beliefs and current practices among CPAP practitioners; (ii) explore practitioners' beliefs regarding the main determinants of patient adherence, and the actions practitioners most commonly use to promote CPAP adherence; and (iii) explore the associations between perceived determinants and adherence-promotion actions...
March 1, 2018: Journal of Sleep Research
Rowan Hordijk, Kristin Hendrickx, Katja Lanting, Anne MacFarlane, Maaike Muntinga, Jeanine Suurmond
BACKGROUND: Medical students need to be trained in delivering diversity-responsive health care but unknown is what competencies teachers need. The aim of this study was to devise a framework of competencies for diversity teaching. METHODS: An open-ended questionnaire about essential diversity teaching competencies was sent to a panel. This resulted in a list of 74 teaching competencies, which was sent in a second round to the panel for rating. The final framework of competencies was approved by the panel...
February 28, 2018: Medical Teacher
Eliza Schioldann, Mohammad Afzal Mahmood, Mya Myitzu Kyaw, Dale Halliday, Khin Thida Thwin, Nyein Nyein Chit, Robert Cumming, David Bacon, Sam Alfred, Julian White, David Warrell, Chen Au Peh
BACKGROUND: Snakebite is a major public health problem in many developing countries. Farmers are particularly exposed to snakes, and due to their rural location often experience delays in accessing formal healthcare. The reasons to use traditional healers may include difficulties in accessing formal healthcare, certain beliefs about snakes and snake venom, tradition, and trust in the capacity of traditional healers. Traditional healing, however, may have serious consequences in terms of delays or added complications...
February 28, 2018: PLoS Neglected Tropical Diseases
Michael F Fialkow, Carrie M Snead, Jay Schulkin
Introduction: As the US health-care system has evolved over the past decade, access to obstetric care in rural communities has declined, and there has been a challenge in retaining obstetrics and gynecology (OB-GYN) providers to train the next generation of physicians. The current pilot study sought to identify the factors that influence faculty who train medical students within the field of OB-GYN with the hope of influencing recruitment and retention of providers for the future. Methods: Clinical OB-GYN faculty within the University of Washington School of Medicine regional medical education program were surveyed about practice patterns and beliefs regarding medical student training as part of a pilot study on provider recruitment and retention...
January 2018: Health Services Research and Managerial Epidemiology
Janneke P Bil, Elske Hoornenborg, Maria Prins, Arjan Hogewoning, Fernando Dias Goncalves Lima, Henry J C de Vries, Udi Davidovich
Background: Pre-exposure prophylaxis (PrEP) is highly effective for preventing HIV infections, but is not yet implemented in the Netherlands. As the attitudes of health-care professionals toward PrEP can influence future PrEP implementation, we studied PrEP knowledge and beliefs and their association with PrEP acceptability among professionals in clinics for sexually transmitted infection (STI professionals) and HIV treatment centers (HIV specialists). In addition, we examined preferred regimens, attitudes toward providing PrEP to key populations and to reimbursement of PrEP costs...
2018: Frontiers in Public Health
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