Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department
Objectives Today, the involvement of patients in their care is essential. As the population ages increases, the number of patients with chronic diseases is increasing. In the vascular medicine and surgery departments, patients are polymedicated and mostly suffer from several chronic diseases. Approx...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e073250.full |
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| author | Sonia Prot-Labarthe Christelle Volteau Dounia Kotry Justine Saillard Marion Bonsergent Antoine Benichou Jean-François Huon |
| author_facet | Sonia Prot-Labarthe Christelle Volteau Dounia Kotry Justine Saillard Marion Bonsergent Antoine Benichou Jean-François Huon |
| author_sort | Sonia Prot-Labarthe |
| collection | DOAJ |
| description | Objectives Today, the involvement of patients in their care is essential. As the population ages increases, the number of patients with chronic diseases is increasing. In the vascular medicine and surgery departments, patients are polymedicated and mostly suffer from several chronic diseases. Approximately 50% of patients with a chronic disease are not adherent. Among the factors that can influence therapeutic adherence are the beliefs and representations of patients.To evaluate the beliefs and representations of chronic treatments in patients with multiple medications and hospitalised in a vascular medicine and surgery department, and to evaluate the medication adherence, the knowledge and the importance patients attach to their treatments.Design Observational, prospective and a single-centre study.Setting The study was conducted in a French tertiary hospital centre of around 3000 beds in 9 institutions.Participants Adult polymedicated (ie, minimum of five chronic treatments) patients hospitalised in a vascular medicine and surgery department were included after application of the exclusion criteria.Methods Patient interviews were carried out in the department and were based on three interviewer-administered questionnaires (a global questionnaire, the Belief Medical Questionnaire and the GIRERD questionnaire).Results Our study showed that patients perceived their treatments as beneficial rather than worrying. A correlation between medication adherence and beliefs was observed. ‘Non-adherent’patients had a more negative overall view of medication than ‘adherent’ patients. The level of compliance and knowledge of our patients was low. Only 11% of the patients were ‘good adherent’, 16% of the patients could perfectly name their treatment and 36% knew all the indications.Conclusion Knowledge of treatment representation and beliefs are central to understanding patient behaviour. Considering patients’ representations will allow the identification of levers, and the development of actions and educational tools adapted to improve their adherence, their knowledge and therefore their drug management. |
| first_indexed | 2024-03-08T18:17:41Z |
| format | Article |
| id | doaj.art-817821ee9635472bb8c724aa62c68423 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-08T18:17:41Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-817821ee9635472bb8c724aa62c684232023-12-31T09:10:07ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-073250Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery departmentSonia Prot-Labarthe0Christelle Volteau1Dounia Kotry2Justine Saillard3Marion Bonsergent4Antoine Benichou5Jean-François Huon6Nantes Université, CHU Nantes, Pharmacie, F-44000, FranceNantes Université, CHU Nantes, DRCI, Département Promotion, Nantes, Cedex, FranceNantes Université, CHU Nantes, Pharmacie, F-44000, FranceNantes Université, CHU Nantes, Pharmacie, F-44000, FranceNantes Université, CHU Nantes, Pharmacie, F-44000, FranceNantes Université, CHU Nantes, Médecine Interne, F-44000, FranceNantes Université, CHU Nantes, Pharmacie, F-44000, FranceObjectives Today, the involvement of patients in their care is essential. As the population ages increases, the number of patients with chronic diseases is increasing. In the vascular medicine and surgery departments, patients are polymedicated and mostly suffer from several chronic diseases. Approximately 50% of patients with a chronic disease are not adherent. Among the factors that can influence therapeutic adherence are the beliefs and representations of patients.To evaluate the beliefs and representations of chronic treatments in patients with multiple medications and hospitalised in a vascular medicine and surgery department, and to evaluate the medication adherence, the knowledge and the importance patients attach to their treatments.Design Observational, prospective and a single-centre study.Setting The study was conducted in a French tertiary hospital centre of around 3000 beds in 9 institutions.Participants Adult polymedicated (ie, minimum of five chronic treatments) patients hospitalised in a vascular medicine and surgery department were included after application of the exclusion criteria.Methods Patient interviews were carried out in the department and were based on three interviewer-administered questionnaires (a global questionnaire, the Belief Medical Questionnaire and the GIRERD questionnaire).Results Our study showed that patients perceived their treatments as beneficial rather than worrying. A correlation between medication adherence and beliefs was observed. ‘Non-adherent’patients had a more negative overall view of medication than ‘adherent’ patients. The level of compliance and knowledge of our patients was low. Only 11% of the patients were ‘good adherent’, 16% of the patients could perfectly name their treatment and 36% knew all the indications.Conclusion Knowledge of treatment representation and beliefs are central to understanding patient behaviour. Considering patients’ representations will allow the identification of levers, and the development of actions and educational tools adapted to improve their adherence, their knowledge and therefore their drug management.https://bmjopen.bmj.com/content/13/12/e073250.full |
| spellingShingle | Sonia Prot-Labarthe Christelle Volteau Dounia Kotry Justine Saillard Marion Bonsergent Antoine Benichou Jean-François Huon Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department BMJ Open |
| title | Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| title_full | Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| title_fullStr | Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| title_full_unstemmed | Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| title_short | Observational and prospective study: evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| title_sort | observational and prospective study evaluation of beliefs and representations of chronic treatments of polymedicated patients hospitalised in a vascular medicine and surgery department |
| url | https://bmjopen.bmj.com/content/13/12/e073250.full |
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