The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

(1) Background: Medication adherence is a key determinant of patient health outcomes in chronic illnesses. However, adherence to long-term therapy remains poor. General beliefs about medicine are considered factors influencing medication adherence. It is essential to address the gap in the literatur...

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Main Authors: Wejdan Shahin, Gerard A. Kennedy, Ieva Stupans
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/8/3/147
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author Wejdan Shahin
Gerard A. Kennedy
Ieva Stupans
author_facet Wejdan Shahin
Gerard A. Kennedy
Ieva Stupans
author_sort Wejdan Shahin
collection DOAJ
description (1) Background: Medication adherence is a key determinant of patient health outcomes in chronic illnesses. However, adherence to long-term therapy remains poor. General beliefs about medicine are considered factors influencing medication adherence. It is essential to address the gap in the literature regarding understanding the impact of general beliefs about medicine on medication adherence to promote adherence in chronic illnesses. (2) Methods: PubMed, CINHAL, and EMBASE databases were searched. Studies were included if they examined medication beliefs using the Beliefs about Medicine Questionnaire in one of four chronic illnesses: hypertension, diabetes, chronic obstructive pulmonary disease, and/or asthma. (3) Results: From 1799 articles obtained by the search, only 11 met the inclusion criteria. Hypertension and diabetes represented 91% of included studies, while asthma represented 9%. Higher medication adherence was associated with negative general medication beliefs; 65% of the included studies found a negative association between harm beliefs and adherence, while 30% of studies found a negative association with overuse beliefs. (4) Conclusions: This review evaluated the impact of harm and overuse beliefs about medicines on medication adherence, highlighting the gap in literature regarding the impact of harm and overuse beliefs on adherence. Further research is needed to fully identify the association between general beliefs and medication adherence in people with different cultural backgrounds, and to explore these beliefs in patients diagnosed with chronic illnesses, particularly asthma and chronic obstructive pulmonary disease (COPD). Healthcare providers need to be aware of the impact of patients’ cultural backgrounds on general medication beliefs and adherence.
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spelling doaj.art-416a4f2cfd8b42a791ac9e67a16cdeab2023-11-20T10:23:32ZengMDPI AGPharmacy2226-47872020-08-018314710.3390/pharmacy8030147The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic ReviewWejdan Shahin0Gerard A. Kennedy1Ieva Stupans2School of Health and Biomedical Sciences, RMIT University, PO Box 71, Bundoora, VIC 3083, AustraliaSchool of Science, Psychology and Sport, Federation University, Ballarat, VIC 3083, AustraliaSchool of Health and Biomedical Sciences, RMIT University, PO Box 71, Bundoora, VIC 3083, Australia(1) Background: Medication adherence is a key determinant of patient health outcomes in chronic illnesses. However, adherence to long-term therapy remains poor. General beliefs about medicine are considered factors influencing medication adherence. It is essential to address the gap in the literature regarding understanding the impact of general beliefs about medicine on medication adherence to promote adherence in chronic illnesses. (2) Methods: PubMed, CINHAL, and EMBASE databases were searched. Studies were included if they examined medication beliefs using the Beliefs about Medicine Questionnaire in one of four chronic illnesses: hypertension, diabetes, chronic obstructive pulmonary disease, and/or asthma. (3) Results: From 1799 articles obtained by the search, only 11 met the inclusion criteria. Hypertension and diabetes represented 91% of included studies, while asthma represented 9%. Higher medication adherence was associated with negative general medication beliefs; 65% of the included studies found a negative association between harm beliefs and adherence, while 30% of studies found a negative association with overuse beliefs. (4) Conclusions: This review evaluated the impact of harm and overuse beliefs about medicines on medication adherence, highlighting the gap in literature regarding the impact of harm and overuse beliefs on adherence. Further research is needed to fully identify the association between general beliefs and medication adherence in people with different cultural backgrounds, and to explore these beliefs in patients diagnosed with chronic illnesses, particularly asthma and chronic obstructive pulmonary disease (COPD). Healthcare providers need to be aware of the impact of patients’ cultural backgrounds on general medication beliefs and adherence.https://www.mdpi.com/2226-4787/8/3/147medication adherencegeneral beliefs about medicinehypertensiondiabetes mellitusasthmachronic obstructive pulmonary disease
spellingShingle Wejdan Shahin
Gerard A. Kennedy
Ieva Stupans
The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
Pharmacy
medication adherence
general beliefs about medicine
hypertension
diabetes mellitus
asthma
chronic obstructive pulmonary disease
title The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
title_full The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
title_fullStr The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
title_full_unstemmed The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
title_short The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review
title_sort consequences of general medication beliefs measured by the beliefs about medicine questionnaire on medication adherence a systematic review
topic medication adherence
general beliefs about medicine
hypertension
diabetes mellitus
asthma
chronic obstructive pulmonary disease
url https://www.mdpi.com/2226-4787/8/3/147
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