University of Twente Student Theses
Using the theory of reasoned action to explain medication adherence among patients with fracture diagnosed with osteopenia and osteoporosis
Gijsbers, M (2022) Using the theory of reasoned action to explain medication adherence among patients with fracture diagnosed with osteopenia and osteoporosis.
|
PDF
1MB |
| Abstract: | Osteoporosis a disease which affects the density of the bones. In 2020, approximately 23,900 females and 7,000 males were diagnosed with osteoporosis. Due to the lower bone mineral density, patients have a higher risk of fracture. The use of medication reduces the fracture rate among patients with osteoporosis. However, previous studies report that medication adherence decreases over time after the medication is first prescribed. The objective of this study is to evaluate the current medication adherence and reasons why patients are not adherent in the population of patients treated at the Ziekenhuis Groep Twente Almelo. The Theory of Reasoned Action (TRA) in combination with the Unified Theory of Acceptance and Use of Technology (UTAUT) is used to evaluate the behavior of the osteopenia and osteoporosis patients in ZGT Almelo. Interviews with patients were performed to validate the reasons for (non-)adherence, which were identified from literature. Results of interviews and literature are applied to the TRA/UTAUT framework. The constructs of this framework are used to develop an on-paper, postal survey. Multiple regression analysis is used to measure the effect of the TRA/UTAUT constructs on the ADEOS score. A 44.6% response rate (n = 162) is reached in this study. Of these 162 respondents, 19.8% were males. There is a significant difference between the mean medication adherence of the people who are prescribed vitamin D and calcium, and the people who are prescribed bisphosphonates. In future appointments on the Fracture Prevention outpatient clinic, the specialized nurse and the physician needs to be aware of the influence on medication adherence of the following topics: gender, education level, frequency of taking (other) medication, difficulty altering lifestyle, the benefit of the medication, and pain. |
| Item Type: | Essay (Master) |
| Clients: | Ziekenhuis Groep Twente Almelo |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/90461 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
Show download statistics for this publication
Show download statistics for this publicationRepository Staff Only: item control page