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Medicatie-therapietrouw bij patiënten met reumatoïde artritis: de rol van ziektepercepties & health literacy.

Ribbrock, Yvonne (2015) Medicatie-therapietrouw bij patiënten met reumatoïde artritis: de rol van ziektepercepties & health literacy.

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Abstract:Purpose: The goal of this study was to gain insight in factors that are related to the medication adherence of patients with rheumatoid arthritis (RA). By this, significant risk factors of nonadherence could be identified, which in turn could contribute to the development of interventions aimed at promoting adherence. This research was directed at two patient-related factors: illness perceptions and health literacy. It was tested to which extent there is a relation between these factors and the medication adherence of patients with RA. Method: A secondary analysis of data from a previous study was conducted. In that study, the respondents were selected from the patient-database of the Arthritis Centre Enschede, Netherlands. In total, 260 respondents have participated in a paper-and-pen survey. In this context, the Dutch translations of the MMAS (medication adherence), of the FCCHL (health literacy) and of the IPQ-R (illness perceptions) were used. Of the IPQ-R, only the three scales personal control, treatment control and illness coherence were administered. Results: Health literacy as well as the illness perceptions personal control and illness coherence did not contribute to the medication-adherence of patients with RA. Their perceptions about treatment control were significantly related with their adherence: The more that patients belief their illness to be treatable, the more adherent they are. The relation between illness perceptions and adherence was by no means dependent on the health literacy of patients. At last, there was a significant relation between adherence and age: Older patients are generally more often adherent than younger patients. Discussion: Further research is needed to improve the foundation of the relation between adherence and treatment control. It is suggested that one possible option to promote adherence would be to enhance the treatment control of patients. It is recommended to direct such interventions mainly on younger patients. Suggestions are given for follow-up research, concerning the way in which treatment control could be enhanced: It could be investigated if interventions can influence the critical HL of patients in such a way, that their treatment control and thereby the adherence of patients would be improved.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/68487
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