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University of Illinois – Urbana-Champaign
1.
Tan, Pei-Hsiu.
Effects of scheduling order in a collaborative medication scheduling task.
Degree: MS, 3530, 2014, University of Illinois – Urbana-Champaign
URL: http://hdl.handle.net/2142/50671
► The importance of self-care management was increasing, posting more responsibility to patients, especially for older adults. Successful self-health management often included taking medication as prescribed…
(more)
▼ The importance of self-care management was increasing, posting more responsibility to patients, especially for older adults. Successful self-health management often included taking
medication as prescribed with good
medication regimen. Taking
medication as prescribed requires developing
medication plans and prospective memory to execute the plan accordingly. This process would especially post challenges to older adults, who typically took multiple medications because of age-related cognitive declines and inadequate collaboration and communication with providers. The e-MedTable provided a common ground to assist patient-provider collaborative planning by integrating patient’s daily routine and
medication information on the tool. The validity and usability of e-Medtable was also tested in previous researches.
The authors used the tool e-MedTable to investigate simulated patient and providers’ problem solving strategies to solve
medication scheduling tasks. The first experiment explored users’ interface interactions with e-MedTable by mouse click data. Four medications were presented on the tool from the top to bottom. The results revealed that two thirds of pairs followed the order on the tool from the top to the bottom and one third of pairs used alternative orders to solve the problem.
Advisors/Committee Members: Morrow, Daniel G. (advisor).
Subjects/Keywords: Medication scheduling; adherence
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APA ·
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APA (6th Edition):
Tan, P. (2014). Effects of scheduling order in a collaborative medication scheduling task. (Thesis). University of Illinois – Urbana-Champaign. Retrieved from http://hdl.handle.net/2142/50671
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tan, Pei-Hsiu. “Effects of scheduling order in a collaborative medication scheduling task.” 2014. Thesis, University of Illinois – Urbana-Champaign. Accessed January 22, 2021.
http://hdl.handle.net/2142/50671.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tan, Pei-Hsiu. “Effects of scheduling order in a collaborative medication scheduling task.” 2014. Web. 22 Jan 2021.
Vancouver:
Tan P. Effects of scheduling order in a collaborative medication scheduling task. [Internet] [Thesis]. University of Illinois – Urbana-Champaign; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2142/50671.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tan P. Effects of scheduling order in a collaborative medication scheduling task. [Thesis]. University of Illinois – Urbana-Champaign; 2014. Available from: http://hdl.handle.net/2142/50671
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht
2.
Klop, E.
Information needs concerning medication of cardiovascular patients.
Degree: 2012, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/252473
► Background: The number of patients with chronic cardiovascular diseases is increasing. Nurses frequently coach these patients, with medication as an important topic. Providing patients with…
(more)
▼ Background: The number of patients with chronic cardiovascular diseases is increasing. Nurses frequently coach these patients, with
medication as an important topic. Providing patients with information can improve satisfaction, which can result in higher
medication adherence. The information currently given, may not be in accordance with patients’ needs.
Aim: To gain insight in the information need concerning
medication of patients with chronic cardiovascular diseases who are coached by nurses at an outpatient clinic of a general hospital.
Research questions: 1)What is the satisfaction of patients with provided information? 2)What is the extent of information desired? 3)How and by whom should information be presented?
Method: A descriptive, cross-sectional study. Participants were recruited through convenience sampling, at one out-patient clinic of a Dutch general hospital. Participants were diagnosed with coronary heart disease, cerebrovascular disease or peripheral arterial disease in the last year, aged ≥ 18 years and using ≥ one cardiovascular
medication(s). The ‘Satisfaction with Information about Medicines Scale’ and the ‘Extent of Information Desired Scale’ were used to answer the questions.
Results: A sample of 36 patients was available. Twenty-five patients participated, 48% was non-satisfied with provided information and about 50% was tended to want more information. The hospital (doctor) and the general practitioner were preferred to present information.
Conclusion: Information must be improved to reach higher satisfaction rates. The extent of information and the preferred presentation differed within the population and confirmed that needs are a personally issue. More cooperation among healthcare workers and a constant dialogue with patients is recommended.
Recommendations: Research is recommend to investigate the information need after the first year of sickness and of patients with different cardiovascular diseases. The use of measurement scales, to describe individual needs, can be investigated.
Advisors/Committee Members: Sol, B.G.M..
Subjects/Keywords: (Cardio)vascular; information need; medication; medication adherence
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APA (6th Edition):
Klop, E. (2012). Information needs concerning medication of cardiovascular patients. (Masters Thesis). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/252473
Chicago Manual of Style (16th Edition):
Klop, E. “Information needs concerning medication of cardiovascular patients.” 2012. Masters Thesis, Universiteit Utrecht. Accessed January 22, 2021.
http://dspace.library.uu.nl:8080/handle/1874/252473.
MLA Handbook (7th Edition):
Klop, E. “Information needs concerning medication of cardiovascular patients.” 2012. Web. 22 Jan 2021.
Vancouver:
Klop E. Information needs concerning medication of cardiovascular patients. [Internet] [Masters thesis]. Universiteit Utrecht; 2012. [cited 2021 Jan 22].
Available from: http://dspace.library.uu.nl:8080/handle/1874/252473.
Council of Science Editors:
Klop E. Information needs concerning medication of cardiovascular patients. [Masters Thesis]. Universiteit Utrecht; 2012. Available from: http://dspace.library.uu.nl:8080/handle/1874/252473

Uppsala University
3.
Höglund, Kristin.
Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård.
Degree: Public Health and Caring Sciences, 2012, Uppsala University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176175
► SAMMANFATTNING Bakgrund: Antipsykotika utgör grunden i behandling av psykossjukdomar. Bristande följsamhet till läkemedelsbehandlingen är dock vanligt förekommande och en stor anledning till att patienter…
(more)
▼ SAMMANFATTNING Bakgrund: Antipsykotika utgör grunden i behandling av psykossjukdomar. Bristande följsamhet till läkemedelsbehandlingen är dock vanligt förekommande och en stor anledning till att patienter återinsjuknar i psykos och behöver vårdas inom slutenvård. Syfte: Dels att beskriva hur patienter som vårdas inom sluten psykiatrisk psykosvård uppfattar läkemedelsadministrering och dels att beskriva om patienterna uppfattar att sjuksköterskors bemötande i samband med läkemedelsadministrering har betydelse för deras inställning till att medicinera. Metod: Kvalitativ ansats. Intervjustudie med fenomenografi som metod i datainsamling och analys. Resultat: Tio beskrivningskategorier identifierades: Läkemedel befogat och bra, tar läkemedel trots ambivalens/motstånd, läkemedelsadministrationen – ett odramatiskt moment, tvångsmedicinering, behov av information om läkemedel, att vilja ha kontroll eller överlåta ansvar, en stressig situation, belöning för medverkan i medicinering, bemötandet spelar ingen roll och bemötandet spelar stor/viss roll. Slutsats: Patienter som vårdas inom sluten psykiatrisk psykosvård uppfattar medicinering med antipsykotika och momentet läkemedelsadministration olika. Dessa individuella uppfattningar skulle troligtvis kunna identifieras om rutiner för samtal med patienter kring dessa frågor utarbetas på avdelningar där sådan vård bedrivs. Sannolikheten för att frivilliga lösningar och en bättre individuellt anpassad vård lättare skulle kunna bedrivas borde då öka. Strävan måste vara att så långt det är möjligt undvika tvångsmedicinering och situationer och bemötande som i denna studie identifierats som mindre positiva då de kan utgöra en risk att patienter blir negativt inställda till att medicinera. Ambitionen måste vara att hitta arbetssätt som syftar till långvarig följsamhet.
ABSTRACT Background: Antipsychotics are the basis of the treatment of psychotic illnesses. Lack of adherence to medication is common and a major reason why patients recurrence of psychosis and need to be cared for in hospital. Purpose: To describe how patients with psychosis, cared for in inpatient psychiatric wards, understand medication administration and also to describe if the patients perceive that nurses treatment in the moment of medication administration has an impact on their attitudes to medicate. Method: Qualitative approach. An interview study with phenomenography as a method of data collection and analysis. Results: Ten categories were identified: medicines justified and well, take medicine despite ambivalence/resistance, administration of medicine – an undramatic moment, coerced medication, need for information about medicines, want to have control or assign responsibility, a stressful situation, reward for participation in the medication, treatment don´t matter and treatment play a major/some…
Subjects/Keywords: Compliance; adherence; antipsychotic medication; medication administration; psychiatry.
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Höglund, K. (2012). Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176175
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Höglund, Kristin. “Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård.” 2012. Thesis, Uppsala University. Accessed January 22, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176175.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Höglund, Kristin. “Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård.” 2012. Web. 22 Jan 2021.
Vancouver:
Höglund K. Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård. [Internet] [Thesis]. Uppsala University; 2012. [cited 2021 Jan 22].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176175.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Höglund K. Patienters uppfattning av läkemedelsadministrering inom sluten psykiatrisk psykosvård. [Thesis]. Uppsala University; 2012. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176175
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
4.
Pabbaraju, Akhila.
ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
.
Degree: 2015, California State University – San Marcos
URL: http://hdl.handle.net/10211.3/138830
► Mobile health describes the use of portable electronic devices with software applications to provide health services and manage patient information. With almost 5 billion mobile…
(more)
▼ Mobile health describes the use of portable electronic devices with software applications to provide health services and manage patient information. With almost 5 billion mobile phone users in the world, health care providers and researchers are realizing the potential of using mobile technologies for supporting the performance of clinical updates, reminders and health education. Today, mobile health information technologies are being distributed all over the world to endeavor
medication adherence. ThalPal is a
medication alarm based android application to enhance
medication adherence in adolescents with Thalassemia. This is a part of a large project started by Dr. Youwen Ouyang in the Computer Science and Information Systems department and Dr. Pamela Kohlbry from School of Nursing which focuses on supporting adolescent thalassemia patients. ThalPal application mainly focuses on
medication reminders specific to a patient and tracks the patient???s response to alarms about
medication intake. The main intent behind is to foster an effective transition while moving from parental reminders to self-care reminders.
Advisors/Committee Members: Ouyang, Youwen (advisor).
Subjects/Keywords: Thalassemia;
mHealth app;
Medication reminder;
Medication Adherence
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
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APA (6th Edition):
Pabbaraju, A. (2015). ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
. (Thesis). California State University – San Marcos. Retrieved from http://hdl.handle.net/10211.3/138830
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Pabbaraju, Akhila. “ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
.” 2015. Thesis, California State University – San Marcos. Accessed January 22, 2021.
http://hdl.handle.net/10211.3/138830.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Pabbaraju, Akhila. “ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
.” 2015. Web. 22 Jan 2021.
Vancouver:
Pabbaraju A. ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
. [Internet] [Thesis]. California State University – San Marcos; 2015. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10211.3/138830.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Pabbaraju A. ThalPal Android App - A medication alarm app to enhance medication adherence in adolescents with Thalassemia
. [Thesis]. California State University – San Marcos; 2015. Available from: http://hdl.handle.net/10211.3/138830
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Queensland University of Technology
5.
Al Solami, Fatmah.
Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia.
Degree: 2016, Queensland University of Technology
URL: https://eprints.qut.edu.au/100185/
► This research assessed factors affecting antihypertensive medication adherence among hypertensive patients in Saudi Arabia. It was a cross-sectional study that used a self-reporting method to…
(more)
▼ This research assessed factors affecting antihypertensive medication adherence among hypertensive patients in Saudi Arabia. It was a cross-sectional study that used a self-reporting method to identify the level of antihypertensive medication adherence and the contributing factors. The results of analysing the Hill-Bone Compliance scale revealed that 28% of the patients were optimal adherents and that 72% of the patients were suboptimal adherents to antihypertensive medications. The study has identified the following significant factors to be associated with antihypertensive medication adherence were patient’s concern about taking antihypertensive medication, their belief of the necessity of taking antihypertensive medications, and the patient-physician relationship. To our knowledge, this is the first study to identify the factors affecting antihypertensive treatment adherence in Saudi Arabia.
Subjects/Keywords: Adherence; antihypertensive; hypertension; medication adherence; factors
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Al Solami, F. (2016). Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia. (Thesis). Queensland University of Technology. Retrieved from https://eprints.qut.edu.au/100185/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Al Solami, Fatmah. “Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia.” 2016. Thesis, Queensland University of Technology. Accessed January 22, 2021.
https://eprints.qut.edu.au/100185/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Al Solami, Fatmah. “Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia.” 2016. Web. 22 Jan 2021.
Vancouver:
Al Solami F. Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia. [Internet] [Thesis]. Queensland University of Technology; 2016. [cited 2021 Jan 22].
Available from: https://eprints.qut.edu.au/100185/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Al Solami F. Factors affecting antihypertensive medications adherence among hypertensive patients attending a general hospital in Jeddah City, Saudi Arabia. [Thesis]. Queensland University of Technology; 2016. Available from: https://eprints.qut.edu.au/100185/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Vanderbilt University
6.
McNaughton, Candace Dorothy.
Blood Pressure and Medication Adherence Among Patients in the Emergency Department.
Degree: PhD, Epidemiology, 2016, Vanderbilt University
URL: http://hdl.handle.net/1803/12401
► Hypertension is one of the most important modifiable risk factors for stroke, cardiovascular disease, and renal failure, and it affects more than 30% of all…
(more)
▼ Hypertension is one of the most important modifiable risk factors for stroke, cardiovascular disease, and renal failure, and it affects more than 30% of all adult Americans. The prevalence of hypertension is increasing, as is the proportion of Americans who seek care in the emergency department (ED). Despite the growing importance of ED care in management of chronic conditions such as hypertension, the relationship between ED and post-ED BP is not well understood, nor is the contribution of
medication non-
adherence to elevated BP among patients who seek ED care. This dissertation addresses these evidence gaps by 1) examining the relationship between ED BP and follow up BP within the subsequent year among patients with a single Adult ED visit, 2) evaluating test characteristics of a mass spectrometry blood assay that detects 19 antihypertensive medications as a direct measure of antihypertensive
adherence, comparing the assay to previously validated
medication adherence measures in two patient populations, and 3) determining the relationship between
medication adherence and systolic BP to determine the predictive validity of the assay as a measure of antihypertensive
adherence.
Advisors/Committee Members: Edmond K. Kabagambe, DVM, MS, PhD (committee member), Phillip Levy, MD MPH (committee member), Dandan Liu, PhD (committee member), Christianne L. Roumie, MD MPH (Committee Chair).
Subjects/Keywords: hypertension; medication adherence; emergency department
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
McNaughton, C. D. (2016). Blood Pressure and Medication Adherence Among Patients in the Emergency Department. (Doctoral Dissertation). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/12401
Chicago Manual of Style (16th Edition):
McNaughton, Candace Dorothy. “Blood Pressure and Medication Adherence Among Patients in the Emergency Department.” 2016. Doctoral Dissertation, Vanderbilt University. Accessed January 22, 2021.
http://hdl.handle.net/1803/12401.
MLA Handbook (7th Edition):
McNaughton, Candace Dorothy. “Blood Pressure and Medication Adherence Among Patients in the Emergency Department.” 2016. Web. 22 Jan 2021.
Vancouver:
McNaughton CD. Blood Pressure and Medication Adherence Among Patients in the Emergency Department. [Internet] [Doctoral dissertation]. Vanderbilt University; 2016. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1803/12401.
Council of Science Editors:
McNaughton CD. Blood Pressure and Medication Adherence Among Patients in the Emergency Department. [Doctoral Dissertation]. Vanderbilt University; 2016. Available from: http://hdl.handle.net/1803/12401

University of Tennessee – Knoxville
7.
Bierma, Shannon.
Factors related to medication adherence and viral variability in HIV+ individuals.
Degree: 2019, University of Tennessee – Knoxville
URL: https://trace.tennessee.edu/utk_graddiss/5678
► Research on HIV treatment has indicated there are numerous factors that contribute to medication nonadherence, and therefore, risk of transmission. Mental health issues, substance abuse,…
(more)
▼ Research on HIV treatment has indicated there are numerous factors that contribute to medication nonadherence, and therefore, risk of transmission. Mental health issues, substance abuse, and co-occurring physical health issues have shown to have negative impacts on HIV medication adherence. Additionally, living in a rural area compared to an urban region negatively impacts adherence. African American males fare the worst in HIV treatment, having the least engagement with HIV care resulting in late stage HIV upon diagnosis, and are within a group that are at the highest risk of infection. Gender role socialization theory and research on male help-seeking behavior guides the current study that aims to investigate predictive factors and the intersection of these factors on HIV medication adherence. This theory states that males are less likely to seek medical and mental health care, or underreport symptoms. Participants were 133 Ryan White Part B clients who have received support and treatment for HIV for at least two years. A retrospective longitudinal design examined how intersecting factors predicted viral variability and CD4 counts in HIV-positive (HIV+) individuals. It was hypothesized that mental health issues, substance abuse, physical health comorbidities, region (e.g., South versus North), and race (e.g., African American/Black versus White counterparts) would impact viral variability and CD4 counts. Results showed that substance abuse, changes in urban/rural residence, and physical health comorbidities impacted viral variability or CD4 counts, and ultimately, substance abuse had the greatest negative impact. Implications of these findings can guide future research and clinical interventions for co-treating substance abuse and HIV.
Subjects/Keywords: HIV; medication adherence; substance abuse
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Bierma, S. (2019). Factors related to medication adherence and viral variability in HIV+ individuals. (Doctoral Dissertation). University of Tennessee – Knoxville. Retrieved from https://trace.tennessee.edu/utk_graddiss/5678
Chicago Manual of Style (16th Edition):
Bierma, Shannon. “Factors related to medication adherence and viral variability in HIV+ individuals.” 2019. Doctoral Dissertation, University of Tennessee – Knoxville. Accessed January 22, 2021.
https://trace.tennessee.edu/utk_graddiss/5678.
MLA Handbook (7th Edition):
Bierma, Shannon. “Factors related to medication adherence and viral variability in HIV+ individuals.” 2019. Web. 22 Jan 2021.
Vancouver:
Bierma S. Factors related to medication adherence and viral variability in HIV+ individuals. [Internet] [Doctoral dissertation]. University of Tennessee – Knoxville; 2019. [cited 2021 Jan 22].
Available from: https://trace.tennessee.edu/utk_graddiss/5678.
Council of Science Editors:
Bierma S. Factors related to medication adherence and viral variability in HIV+ individuals. [Doctoral Dissertation]. University of Tennessee – Knoxville; 2019. Available from: https://trace.tennessee.edu/utk_graddiss/5678

University of Ottawa
8.
Schwalm, Jon-David.
Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
.
Degree: 2015, University of Ottawa
URL: http://hdl.handle.net/10393/32110
► ST-segment elevation myocardial infarction (STEMI) is a common presentation of acute myocardial infarction, constituting approximately 30% of all cases. Based on the highest level of…
(more)
▼ ST-segment elevation myocardial infarction (STEMI) is a common presentation of acute myocardial infarction, constituting approximately 30% of all cases. Based on the highest level of evidence for improvement in both morbidity and mortality in these patients, clinical guidelines from around the world support the prolonged use of secondary preventative medications (e.g., acetylsalicylic acid, second antiplatelet [clopidogrel, prasugrel, and ticagrelor], statin, beta-blocker, and angiotensin blocker). While in-hospital and discharge prescription rates for these essential life-saving medications is excellent, adherence is known to decline within weeks of hospital discharge. This decline in evidence-based medication use was confirmed in a population of patients with coronary artery disease in Ontario (Chapter 3). Furthermore, it was demonstrated that this decline was consistent across all medication classes and subgroups of patients. We developed a protocol (Chapter 4) for a cluster-randomized controlled trial evaluating the impact of repeated reminders sent by mail to the family physician and the patient, starting one month after the STEMI. The fifth chapter highlights the results of the cluster-randomized controlled trial, which demonstrates suboptimal persistence to all 4 of 4 cardiac medication classes at 12-months. There was no significant difference compared to usual care in the use of guideline-recommended medications post-STEMI when participants (and their family physicians) receive repeated postal reminders.
Subjects/Keywords: Adherence;
Myocardial Infarction;
Medication
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Schwalm, J. (2015). Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
. (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/32110
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Schwalm, Jon-David. “Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
.” 2015. Thesis, University of Ottawa. Accessed January 22, 2021.
http://hdl.handle.net/10393/32110.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Schwalm, Jon-David. “Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
.” 2015. Web. 22 Jan 2021.
Vancouver:
Schwalm J. Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
. [Internet] [Thesis]. University of Ottawa; 2015. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10393/32110.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Schwalm J. Improving Medication Adherence Post-ST-Elevation Myocardial Infarction
. [Thesis]. University of Ottawa; 2015. Available from: http://hdl.handle.net/10393/32110
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
9.
-4025-5107.
Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial.
Degree: MS, Nursing, 2018, Texas Woman's University
URL: http://hdl.handle.net/11274/10148
► The purpose of this study was to determine if selected smartphone applications could improve medication adherence in women who live with unstable high blood pressure.…
(more)
▼ The purpose of this study was to determine if selected smartphone applications could improve
medication adherence in women who live with unstable high blood pressure. Participants in this study were African American and at least 18 years of age, who sought treatment for unstable high blood pressure in Harris, Fort Bend, or Waller counties in Texas.
The research question addressed in this study was, “Is there a difference in
medication adherence for African American women diagnosed with unstable high blood pressure from a community health clinic setting who monitor their blood pressure daily and use the OnTimeRx® smartphone application versus those who use the Omron BP786 monitor?” The theoretical framework for this two-group, posttest only, randomized control trial was an integration of the Technology Acceptance Model, Health Beliefs Model, and Bandura’s Self-Efficacy Theory.
The Stroop Color and Word Test was administered pretest to screen for cognitive deficits that may interfere with the participants’ ability to operate the equipment that was used in this research study. After achieving t-scores of 30 in all three test areas, participants were consented and randomized into one of two study conditions, the control or treatment group. Instructions on the operation of the equipment and software applications were made applicable to the participant’s treatment condition. Throughout the study, all participants were contacted on a weekly basis for follow-up and to answer study-related questions. Handouts were provided as a secondary measure to augment verbal instructions.
Medication adherence was measured, posttest, with the Morisky
Medication Adherence Scale-8. This posttest was administered after the 67 study participants completed 28 days of the study and submitted their blood-pressure values to the primary investigator.
The treatment group demonstrated significantly better
medication adherence than the control group (Mann-Whitney U=393, p-value=0.037). These findings suggested smartphone technology can have a positive influence on patients with unstable high blood pressure.
Advisors/Committee Members: DelloStritto, Rita A. (advisor), Langford, Rae W. (committee member), Young, Elizabeth Anne (committee member).
Subjects/Keywords: medication adherence; software application
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APA ·
Chicago ·
MLA ·
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APA (6th Edition):
-4025-5107. (2018). Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial. (Masters Thesis). Texas Woman's University. Retrieved from http://hdl.handle.net/11274/10148
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Chicago Manual of Style (16th Edition):
-4025-5107. “Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial.” 2018. Masters Thesis, Texas Woman's University. Accessed January 22, 2021.
http://hdl.handle.net/11274/10148.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
MLA Handbook (7th Edition):
-4025-5107. “Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial.” 2018. Web. 22 Jan 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
-4025-5107. Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial. [Internet] [Masters thesis]. Texas Woman's University; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11274/10148.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Council of Science Editors:
-4025-5107. Testing a smartphone application intervention to improve medication adherence in African American female clinic patients with unstable high blood pressure: A two-group randomized control trial. [Masters Thesis]. Texas Woman's University; 2018. Available from: http://hdl.handle.net/11274/10148
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
10.
Moreno, Alejandra.
The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
Degree: 2015, California State University – San Marcos
URL: http://hdl.handle.net/10211.3/138637
► Schizophrenia is a chronic and devastating disorder. Individuals who suffer from schizophrenia struggle with adhering to their medication treatment plan. Non-adherence to their prescribed medication…
(more)
▼ Schizophrenia is a chronic and devastating disorder. Individuals who suffer from schizophrenia struggle with adhering to their
medication treatment plan. Non-
adherence to their prescribed
medication may cause individuals to decompensate; their symptoms may worsen and hospitalization may be needed.
Sources of Data
Three databases were searched to evaluate studies on the effectiveness of individual and family group psychoeducation on
medication adherence. PsycINFO, CINAHL, and PubMed were used for the systematic review of literature. The search terms used were: schizophrenia, psychoeducation, caregiver support, family support, and
medication adherence. Seven articles were retrieved from the literature search, and met the inclusion criteria for the systematic review. Inclusion criteria consisted of the studies testing the effectiveness of psychoeducation with families and patients. Individuals diagnosed with schizophrenia, schizoaffective disorder, or unspecified psychotic disorder was included. The studies selected were randomized control trials, systematic reviews and meta-analyses.
Conclusions Reached
Studies support patient and family psychoeducation as an effective intervention to improve the patient???s
adherence to the
medication adherence. The goal of psychoeducation is to help families identify negative and positive symptoms of schizophrenia, encourage the patient to seek psychiatric treatment, and adhere to the prescribed
medication regimen. In addition, the family and the patient learn how to cope with the symptoms of schizophrenia and have greater understanding of the patient???s illness. Overall, family and patient participation in psychoeducation improves understanding of the disease process and ultimately the patient???s quality of life.
Advisors/Committee Members: Coffin-Romig, Nancy (advisor).
Subjects/Keywords: Psychoeducation;
Schizophrenia;
Non-medication adherence
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APA ·
Chicago ·
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CSE |
Export
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APA (6th Edition):
Moreno, A. (2015). The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
(Thesis). California State University – San Marcos. Retrieved from http://hdl.handle.net/10211.3/138637
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Moreno, Alejandra. “The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
” 2015. Thesis, California State University – San Marcos. Accessed January 22, 2021.
http://hdl.handle.net/10211.3/138637.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Moreno, Alejandra. “The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
” 2015. Web. 22 Jan 2021.
Vancouver:
Moreno A. The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
[Internet] [Thesis]. California State University – San Marcos; 2015. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10211.3/138637.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Moreno A. The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.
[Thesis]. California State University – San Marcos; 2015. Available from: http://hdl.handle.net/10211.3/138637
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Louisiana State University
11.
Nittala, Archana.
Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana.
Degree: MSIE, Engineering, 2017, Louisiana State University
URL: https://digitalcommons.lsu.edu/gradschool_theses/4310
► Asthma is a chronic disease whose effects are controlled/ prevented using appropriate medication. Although benefits of asthma medication is well known, poor medication adherence…
(more)
▼ Asthma is a chronic disease whose effects are controlled/ prevented using appropriate medication. Although benefits of asthma medication is well known, poor medication adherence among asthma patients has been reported. Medication non-adherence is associated to increased healthcare costs, unnecessary hospital utilization, readmission and even death in few cases. The overarching goal of this research was to evaluate the impact of medication non-adherence on hospital admissions, and identify key factors that result in medication non-adherence for Medicaid insured asthma patients.
To achieve these objectives, Correlation analysis, T-tests, Multivariate logistic analysis and odds ratios were performed. Based on results of the study, the present study did not find significant relationships between control medication adherence and the different types of hospital visits (i.e. emergency department visits, inpatient admits, and readmission). However, patients with high rescue medication adherence had fewer emergency department visits (p-value=0.0004) and inpatient admissions (p-value=0.0303). Patients with more than 4 office visits had better rescue medication adherence, older and low-income patients had higher 30-day readmissions rate. While, male and low-income patients had emergency visits
Additionally, The two types of insurance coverage (Temporary Assistance for Needy Families and Supplemental Security Income-Non Dual) were the only significant predictors of control medication adherence among the factors analyzed (with p-values =0.0001). Asthma patients with TANF and SSI- Non Dual coverage are less adherent to control medication adherence compared to other coverage. Also, control and rescue medication adherence was not significantly different among case managed and non-case managed asthma patients.
Subjects/Keywords: Medication adherence; Medicaid; Asthma; Readmissions
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
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APA (6th Edition):
Nittala, A. (2017). Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana. (Masters Thesis). Louisiana State University. Retrieved from https://digitalcommons.lsu.edu/gradschool_theses/4310
Chicago Manual of Style (16th Edition):
Nittala, Archana. “Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana.” 2017. Masters Thesis, Louisiana State University. Accessed January 22, 2021.
https://digitalcommons.lsu.edu/gradschool_theses/4310.
MLA Handbook (7th Edition):
Nittala, Archana. “Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana.” 2017. Web. 22 Jan 2021.
Vancouver:
Nittala A. Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana. [Internet] [Masters thesis]. Louisiana State University; 2017. [cited 2021 Jan 22].
Available from: https://digitalcommons.lsu.edu/gradschool_theses/4310.
Council of Science Editors:
Nittala A. Empirical Study: Exploring Medication Adherence for Medicaid Insured Asthma Patients in Louisiana. [Masters Thesis]. Louisiana State University; 2017. Available from: https://digitalcommons.lsu.edu/gradschool_theses/4310

Vanderbilt University
12.
DeClercq, Joshua Joseph.
Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies.
Degree: MS, Biostatistics, 2018, Vanderbilt University
URL: http://hdl.handle.net/1803/12733
► Medication non-adherence is a widespread problem and has been known to be associated with worse health outcomes and increased healthcare costs. There have been large…
(more)
▼ Medication non-
adherence is a widespread problem and has been known to be associated with worse health outcomes and increased healthcare costs. There have been large efforts to improve
adherence by finding effective interventions, but an agreement on a good measure for
adherence still has not been established. Although many measures of
adherence have been developed, their definitions and calculations are not transparent, nor consistent across studies. Furthermore, statistical methods for analyzing
adherence measures have not been rigorously evaluated yet. In this thesis, we present a summary of commonly used
adherence measures, discuss the strengths and weaknesses of each, and suggest a framework for the generalization of outcome derivations. We then discuss modeling strategies using common derivations of
medication adherence as the outcome. Four different statistical methods are considered: logistic, ordinal, negative binomial regressions, and generalized estimation equation (GEE) methodology. We present a case study using
medication adherence data from 653 patients and conduct a sensitivity analysis across the four models and seven different outcome generating mechanisms. Finally, we conduct simulation studies to evaluate the performance of the four models using different criteria for patient inclusion.
Advisors/Committee Members: Robert Greevy (committee member), Leena Choi (Committee Chair).
Subjects/Keywords: simulation; Regression; medication adherence; sensitivity analysis
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
DeClercq, J. J. (2018). Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies. (Thesis). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/12733
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
DeClercq, Joshua Joseph. “Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies.” 2018. Thesis, Vanderbilt University. Accessed January 22, 2021.
http://hdl.handle.net/1803/12733.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
DeClercq, Joshua Joseph. “Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies.” 2018. Web. 22 Jan 2021.
Vancouver:
DeClercq JJ. Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies. [Internet] [Thesis]. Vanderbilt University; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1803/12733.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
DeClercq JJ. Medication Adherence: Definitions, Calculations, and Statistical Modeling Strategies. [Thesis]. Vanderbilt University; 2018. Available from: http://hdl.handle.net/1803/12733
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Texas A&M University
13.
Lee, Shin Duk.
Healthcare and Medication Adherence among Older Adults with Chronic Diseases.
Degree: Doctor of Public Health, Health Promotion and Community Health Sciences, 2018, Texas A&M University
URL: http://hdl.handle.net/1969.1/173489
► Older adults account for almost one-third of all medications prescribed in the US. Of special concerns are the high rates of medication non-adherence in this…
(more)
▼ Older adults account for almost one-third of all medications prescribed in the US. Of special concerns are the high rates of
medication non-
adherence in this population. Understanding the drivers of the
medication non-
adherence among the older population can inform effective public health interventions. This dissertation is divided into three separate sections, and each section examines different determinants of the
medication non-
adherence.
The first section used systematic literature review and meta-analysis to describe the prevalence of
medication non-
adherence and overview the association between patient-provider relationship and
medication non-
adherence among community-dwelling older adults. Ten studies were included in this review. The mean prevalence rate of
medication non-
adherence was 33%. Information exchange was positively associated with
medication non-
adherence, but discussion about barriers was negatively associated with
medication non-
adherence.
The second section used multiple linear mixed-effects models to examine the long-term impacts of the Chronic Disease Self-Management Program (CDSMP) on
medication non-
adherence in older adults.
Medication adherence did not improve significantly at the 6-month follow-up assessment (p=0.518) but improved significantly at the 12-month follow-up assessment (p=0.021). Among those with major depression at the baseline assessment, the short-term improvements in depression (p=0.002) and self-
iii
rated health (p=0.045) were associated with improved
medication adherence at the 12-month follow-up assessment.
The third section used structural equation modeling to examine the causal paths between poverty, patient attitudes, and cost-related
medication non-
adherence (CRN). Six percent of the participants reported CRN in the past 12-months. The final model showed a good-to-fair fit. As hypothesized, the effects of poverty on CRN was mediated through the
medication affordability, access to healthcare, and overall patient satisfaction.
Medication non-
adherence is a complex problem that is rooted in multitudes of inter-related factors, and the three sections have examined multiple modifiable factors, suggesting several points of intervention for improving
medication adherence among older adults. We call for more senior-friendly public health interventions that address the modifiable barriers (e.g., patient-provider relationship, depression, self-rated health, and patient attitudes). Future studies are needed to understand the underlying complexity and guide the future interventions.
Advisors/Committee Members: Ory, Marcia G (advisor), Dowdy, Diane M (committee member), Hong, Yan A (committee member), Jiang, Luohua (committee member).
Subjects/Keywords: Medication adherence; Chronic disease management; Older adults
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Lee, S. D. (2018). Healthcare and Medication Adherence among Older Adults with Chronic Diseases. (Doctoral Dissertation). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/173489
Chicago Manual of Style (16th Edition):
Lee, Shin Duk. “Healthcare and Medication Adherence among Older Adults with Chronic Diseases.” 2018. Doctoral Dissertation, Texas A&M University. Accessed January 22, 2021.
http://hdl.handle.net/1969.1/173489.
MLA Handbook (7th Edition):
Lee, Shin Duk. “Healthcare and Medication Adherence among Older Adults with Chronic Diseases.” 2018. Web. 22 Jan 2021.
Vancouver:
Lee SD. Healthcare and Medication Adherence among Older Adults with Chronic Diseases. [Internet] [Doctoral dissertation]. Texas A&M University; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1969.1/173489.
Council of Science Editors:
Lee SD. Healthcare and Medication Adherence among Older Adults with Chronic Diseases. [Doctoral Dissertation]. Texas A&M University; 2018. Available from: http://hdl.handle.net/1969.1/173489

University of Texas Southwestern Medical Center
14.
Altamirano, Gerardo.
Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score.
Degree: 2014, University of Texas Southwestern Medical Center
URL: http://hdl.handle.net/2152.5/1438
► BACKGROUND: Chronic pain patients who are treated through an interdisciplinary treatment program have shown to report less symptoms of pain by a substantial degree. (Gatchel…
(more)
▼ BACKGROUND: Chronic pain patients who are treated through an interdisciplinary treatment program have shown to report less symptoms of pain by a substantial degree. (Gatchel & Okifuji, 2006) Aspects of the Biopsychosocial Model such as physical and mental health, as well as appropriate
medication adherence, must be considered for treatment. This study attempts to reinforce the clinical utility of the Biopsychosocial model by illustrating differences in self-perceived physical and mental health status. Subsequently, we hope to identify the influence of mental vs. physical health on pain-behaviors. Overall we hope to find a correlation between a patient’s self-reported health, using the Global Health Status PROMIS, and predicting their likelihood to abuse prescription pain
medication, as measured through the PMQ (Pain
Medication Questionnaire). Successively, clinicians can target the endorsement of poor mental health and/or poor physical health as a distinct concern in reducing pain behaviors such as prescription misuse. SUBJECTS: The final sample included data from males and females evaluated for the Interdisciplinary Pain Program at the McDermott Pain Clinic at UT Southwestern Medical center. Participants who were not chosen to participate in the IPP were still included in the data set. As the McDermott Pain Clinic does not typically provide care for children and adolescents (<18 years), children and adolescents were excluded from the present study. The test groups will consist of participants between 18 and 90 years of age as referred to the program by psychologists, Dr. Travis Whitfill and Dr. Richard Robinson of UT Southwestern and capable of providing informed consent, able to read and speak English, experiencing non-malignant pain-related problems, and willing to allow access to their electronic medical records.
METHOD: Participants were administered a battery of assessments including the Pain
Medication Questionnaire, Global Health Status PROMIS and other established measures of health and pain-related outcomes (e.g., SF-36, PROMIS pain-related measures) at baseline
RESULTS: The results in the current study suggest that the PROMIS mental health score is a significant predictor in examining the likelihood for prescription pain
medication misuse. Although the predictor variables of PROMIS physical health, age and gender improved the overall variance of the model when examined as single predictors they were shown not to be significant. The first hypothesis was not supported as shown by the weak linearity in the scatter plots of PROMIS physical and PROMIS mental health scores. Surprisingly, the strength of the relationship of physical and mental health scores was not significantly correlated despite support in the literature; however, this may be due to sampling limitations. The second hypothesis was supported through findings that suggest PROMIS mental health score is a strong predictor of participants’ PMQ score. Although PROMIS physical, age and gender improved the overall fit of the model their p values…
Advisors/Committee Members: Gatchel, Robert J., Noe, Carl, Robinson, Richard C..
Subjects/Keywords: Medication Adherence; Outcome Assessment (Health Care); Pain
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Altamirano, G. (2014). Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score. (Thesis). University of Texas Southwestern Medical Center. Retrieved from http://hdl.handle.net/2152.5/1438
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Altamirano, Gerardo. “Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score.” 2014. Thesis, University of Texas Southwestern Medical Center. Accessed January 22, 2021.
http://hdl.handle.net/2152.5/1438.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Altamirano, Gerardo. “Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score.” 2014. Web. 22 Jan 2021.
Vancouver:
Altamirano G. Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score. [Internet] [Thesis]. University of Texas Southwestern Medical Center; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2152.5/1438.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Altamirano G. Predicting Potential Risk Factors of Prescription Pain Medication Misuse in a Chronic Pain Population Through PROMIS Global Health Score. [Thesis]. University of Texas Southwestern Medical Center; 2014. Available from: http://hdl.handle.net/2152.5/1438
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Tasmania
15.
Huang, W.
Usage of metformin in patients with type 2 diabetes mellitus.
Degree: 2016, University of Tasmania
URL: https://eprints.utas.edu.au/23451/1/Huang_whole_thesis.pdf
► Metformin is an old drug which is widely prescribed for the treatment of type 2 diabetes mellitus (T2DM). It is recommended as the first line…
(more)
▼ Metformin is an old drug which is widely prescribed for the treatment of type 2 diabetes mellitus (T2DM). It is recommended as the first line oral anti-hyperglycaemic agent in Australia, United States and most European countries. It reduces haemoglobin A1c (HbA1c) by 10-20 mmol/mol (approximately 1-2%), and does not cause weight gain or hypoglycaemia. Metformin is well tolerated in most patients and has potential clinical advantages in patients with cardiovascular disease. The clinical conundrum facing practitioners while prescribing metformin is the potential risk of lactic acidosis, which although rare is often fatal. The current official product information recommends that metformin should be avoided or the dosages adjusted in patients with coexisting conditions that are likely to increase the risk of lactic acidosis. The safe use of metformin is still under debate, which may confuse practitioners when prescribing. Thus we aimed to provide more evidence regarding the current prescribing pattern and usage of metformin in Australia, and to explore the safety of metformin, especially its association with lactic acidosis.
To achieve this aim, a number of complementary studies were conducted. We evaluated the prescribing pattern of metformin in patients who were admitted to a local hospital. The main finding of this study was that metformin was often being prescribed ‘inappropriately’ with regards to the restrictions listed in the official product information, in terms of usage with contraindications and in higher than recommended dosages. Similar results were observed when we reviewed the use of metformin in patients who lived in the community or aged care facilities receiving either Home Medicines Reviews or Residential Medication Management Reviews respectively. This study included more than 6,000 patients living across Australia. Our findings were consistent with those conducted in other countries.
To evaluate the potential association between the use of metformin and lactic acidosis, we reviewed all the potential adverse drug reaction cases of metformin which were reported to the Therapeutic Goods Administration (TGA) of Australia from 1971 October 2014. A total of 152 potential cases of lactic acidosis associated with metformin were reported to the TGA. Approximately 75% of these cases had at least one clinical condition which itself might cause acidosis. The incidence of metformin-associated lactic acidosis (MALA) was estimated to be 2.3 (95%CI, 1.5-3.1) cases per 100,000 patient-years between 1997 and 2011. This relatively low incidence of MALA may be explained by the nature of spontaneous reports to the TGA. In addition, we reviewed the cases of patients who were admitted to a local hospital with lactic acidosis. Over a four-year period, 139 patients were identified using the digital medical record; only 23 patients had T2DM and 11 patients had been taking metformin.
To further verify the low incidence of lactic acidosis in metformin users, we conducted a literature review on regular tested lactate level…
Subjects/Keywords: metformin; diabetes; lactic acidosis; medication adherence
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Huang, W. (2016). Usage of metformin in patients with type 2 diabetes mellitus. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/23451/1/Huang_whole_thesis.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Huang, W. “Usage of metformin in patients with type 2 diabetes mellitus.” 2016. Thesis, University of Tasmania. Accessed January 22, 2021.
https://eprints.utas.edu.au/23451/1/Huang_whole_thesis.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Huang, W. “Usage of metformin in patients with type 2 diabetes mellitus.” 2016. Web. 22 Jan 2021.
Vancouver:
Huang W. Usage of metformin in patients with type 2 diabetes mellitus. [Internet] [Thesis]. University of Tasmania; 2016. [cited 2021 Jan 22].
Available from: https://eprints.utas.edu.au/23451/1/Huang_whole_thesis.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Huang W. Usage of metformin in patients with type 2 diabetes mellitus. [Thesis]. University of Tasmania; 2016. Available from: https://eprints.utas.edu.au/23451/1/Huang_whole_thesis.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Connecticut
16.
Pham, Tan P.
The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans.
Degree: MPH, Public Health, 2011, University of Connecticut
URL: https://opencommons.uconn.edu/gs_theses/150
► BACKGROUND: Previous studies suggest that patients who take an active role in their medical decision-making have greater medication adherence and better health outcomes. Little…
(more)
▼ BACKGROUND: Previous studies suggest that patients who take an active role in their medical decision-making have greater
medication adherence and better health outcomes. Little research has been conducted on patient empowerment and
medication adherence among HIV-infected patients. The aims of this study were to identify predictors of patient empowerment among HIV-positive veterans and to examine the impact of patient empowerment on highly active antiretroviral (HAART)
medication adherence. METHODS: Secondary data from the Veterans Aging Cohort Study (VACS), a multicenter prospective cohort of HIV-infected veterans were analyzed. Multivariable linear regression analyses were performed to examine patient characteristics associated with patient empowerment and
medication adherence. RESULTS: A total of 3272 HIV-positive veterans were included in the study. They had a mean age of 49 with 70% identified as African American and 97% were male. Patients who were less severely ill (lower viral load), younger, more educated, satisfied with their healthcare and reported strong social support networks were more likely to want to know more about their disease and its complications and to be involved in medical decision-making. Patients who were empowered were more likely to be adherent to their HAART medications. CONCLUSIONS: HIV-infected patients who feel empowered about making decisions for their healthcare are more likely to comply with their treatment plans.
Advisors/Committee Members: Kristin M. Mattocks, Marysol Asencio, Jane A. Ungemack.
Subjects/Keywords: HIV; Medication adherence; veterans; patient empowerment
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CSE |
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Manager
APA (6th Edition):
Pham, T. P. (2011). The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans. (Thesis). University of Connecticut. Retrieved from https://opencommons.uconn.edu/gs_theses/150
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Pham, Tan P. “The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans.” 2011. Thesis, University of Connecticut. Accessed January 22, 2021.
https://opencommons.uconn.edu/gs_theses/150.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Pham, Tan P. “The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans.” 2011. Web. 22 Jan 2021.
Vancouver:
Pham TP. The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans. [Internet] [Thesis]. University of Connecticut; 2011. [cited 2021 Jan 22].
Available from: https://opencommons.uconn.edu/gs_theses/150.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Pham TP. The Impact of Patient Empowerment on HIV Medication Adherence among a Nationally-Representative Sample of HIV-Infected Veterans. [Thesis]. University of Connecticut; 2011. Available from: https://opencommons.uconn.edu/gs_theses/150
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Manchester
17.
Xie, Wenyang.
An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique.
Degree: 2020, University of Manchester
URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:323739
► Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD) are significant and growing causes of morbidity and mortality worldwide. Poor disease control…
(more)
▼ Chronic respiratory diseases, such as asthma and
chronic obstructive pulmonary disease (COPD) are significant and
growing causes of morbidity and mortality worldwide. Poor disease
control causes a substantial burden on patients, their families and
society. Inhaler therapy is the most popular asthma and COPD
treatment, but patients are compromised from inappropriate
medication use. How to measure
adherence to
medication is a huge
global problem. This thesis presents an original audio-based
monitoring system for the pressurised metered-dose inhaler (pMDI),
which has been developed to track and analyse the patient's dose
delivery and inhaler technique. Prior to this study, there existed
no automated system, based on acoustic monitoring, to track and
assess pMDI inhaler technique. In terms of the hardware, this
system combines accelerometer and acoustic sensors to enable a
comprehensive assessment of the pMDI technique. For recognition of
the breath phases, this research initially employed a hidden Markov
model (HMM) with a Gaussian mixture model (GMM) to identify the
phases of the breath sound. Ultimately a model was developed that
concatenating two deep learning models (1-D ResNet18 and CLDNNs),
which improved the recognition accuracy of acoustic signals
degraded by noise. Respecting motion events, this thesis introduces
a method based on a root mean square (RMS) framing window in
combination with a rotation matrix to achieve robust shake
detection and vertical holding detection, respectively. This thesis
further describes a series of experiments. Experiment 1 to 3 was
designed to characterise the strengths and weaknesses of the
system, in which testing also provided useful information for
further system development. The final experiment was a real-patient
study that involved the recruitment of six patients diagnosed
asthma or COPD. The system tracked their pMDI use for three weeks
and established the deviations of pMDI usage and technique that
existed between the patients' self-reports and independent
electronic reports. Characterisation of these differences, and the
ability of the system to not only to monitor
adherence but also to
identify usage failure points suggest that the monitoring system
will, in the future, be a highly desirable component of digital
healthcare provision.
Advisors/Committee Members: Gaydecki, Patrick.
Subjects/Keywords: Smart Inhaler; Medication Adherence; Acoustic monitoring
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Xie, W. (2020). An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:323739
Chicago Manual of Style (16th Edition):
Xie, Wenyang. “An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique.” 2020. Doctoral Dissertation, University of Manchester. Accessed January 22, 2021.
http://www.manchester.ac.uk/escholar/uk-ac-man-scw:323739.
MLA Handbook (7th Edition):
Xie, Wenyang. “An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique.” 2020. Web. 22 Jan 2021.
Vancouver:
Xie W. An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique. [Internet] [Doctoral dissertation]. University of Manchester; 2020. [cited 2021 Jan 22].
Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:323739.
Council of Science Editors:
Xie W. An Acoustic Monitoring System for Adherence Measurement
and Analysis of Inhaler Technique. [Doctoral Dissertation]. University of Manchester; 2020. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:323739

University of Miami
18.
Henry, Sarah M.
Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV.
Degree: PhD, Psychology (Arts and Sciences), 2016, University of Miami
URL: https://scholarlyrepository.miami.edu/oa_dissertations/1583
► INTRODUCTION: Depression is common in people living with HIV (PLWH) and is a primary predictor of poor adherence to HAART medications which brings serious health…
(more)
▼ INTRODUCTION: Depression is common in people living with HIV (PLWH) and is a primary predictor of poor
adherence to HAART medications which brings serious health consequences. PLWH also tend to experience more stress and trauma in their lifetime, all of which have been implicated in the onset and exacerbation of depression and poor health behavior performance. Positive and negative psychosocial variables and coping strategies have been associated with psychosocial functioning and health behaviors suggesting that understanding the ways in which PLWH cope is key to understanding depression and health behavior performance within this population. Different coping techniques work differently depending on gender and more research is needed to clarify which coping strategies work best for which gender. Additionally, despite the frequency with which HIV and depression co-occur, there is little research investigating factors that predict the onset of depression in this population. Lastly, the impact of
medication adherence on depression represents a gap in the literature.
OBJECTIVE: For the study detailed in this dissertation, we investigated the impact of nine different psychosocial variables and coping strategies on depressive symptoms and
medication adherence. Additionally, we investigated how gender moderated these relationships. Lastly, we investigated the impact of
medication adherence on depressive symptoms over time. METHODS: A total of 177 HIV positive participants were asked to fill out self-report measures assessing a variety of psychosocial factors potentially related to disease progression and quality of life with HIV. Follow-up assessments were conducted at six month intervals for 2 years. Measures included psychosocial variables (optimism, social support, coping, benefit finding, stressful life events, and perceived stress), depressive symptoms, and
medication adherence. Linear regression and hierarchical linear modeling were used to investigate cross-sectional and longitudinal relationships respectively.
RESULTS: Depressive symptoms were correlated with all positive and negative psychosocial variables with the exception of benefit finding. Gender moderated the relationship between adaptive coping and depressive symptoms. Religious coping and poorer
medication adherence significantly correlated with fewer depressive symptoms for men only. Optimism, social support, avoidance coping, alcohol use, and perceived stress partially mediated the relationship between negative life events and depressive symptoms. Sub-optimal
adherence predicted greater depressive symptoms in men only. Alcohol use predicted greater depressive symptoms over time for women only. Positive psychosocial variables were not correlated with
medication adherence. Optimism predicted better
adherence while avoidance coping, perceived stress, depressive symptoms, and negative life events predicted poorer
adherence. Gender moderated the relationship between negative life events and
medication adherence. Negative life events significantly predicted…
Advisors/Committee Members: Gail Ironson, Neil Schneiderman, Julie Barosso, David Kling, Ray Winters, Rick Stueztle, Ph.D..
Subjects/Keywords: HIV; depression; medication adherence; predictors of depression
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Henry, S. M. (2016). Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV. (Doctoral Dissertation). University of Miami. Retrieved from https://scholarlyrepository.miami.edu/oa_dissertations/1583
Chicago Manual of Style (16th Edition):
Henry, Sarah M. “Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV.” 2016. Doctoral Dissertation, University of Miami. Accessed January 22, 2021.
https://scholarlyrepository.miami.edu/oa_dissertations/1583.
MLA Handbook (7th Edition):
Henry, Sarah M. “Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV.” 2016. Web. 22 Jan 2021.
Vancouver:
Henry SM. Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV. [Internet] [Doctoral dissertation]. University of Miami; 2016. [cited 2021 Jan 22].
Available from: https://scholarlyrepository.miami.edu/oa_dissertations/1583.
Council of Science Editors:
Henry SM. Psychosocial Predictors of Depression and Medication Adherence in People Living with HIV. [Doctoral Dissertation]. University of Miami; 2016. Available from: https://scholarlyrepository.miami.edu/oa_dissertations/1583

University of Debrecen
19.
Aloulabi, Alaa.
The Role of Pharmacist in Medication Adherence:A Systematic Review
.
Degree: DE – Népegészségügyi Kar, University of Debrecen
URL: http://hdl.handle.net/2437/262845
► Background: Medication adherence, which is how much is the patient committed to their medications, is an important factor in improving clinical outcomes and reducing mortalities.…
(more)
▼ Background:
Medication adherence, which is how much is the patient committed to their
medications, is an important factor in improving clinical outcomes and reducing
mortalities. This
adherence issue should not be the responsibility of the patients and the
doctors only but also the pharmacists have to take a role to guarantee that the patients stay
adherent.
Objectives: To determine whether the role of pharmacists and their provided services,
which were delivered either directly to patients or indirectly by their responsible
physicians, have a significant positive impact on
medication adherence or not.
Method: A systematic review was conducted containing Seventy-Four studies either
related to interventions done by the pharmacists and their effects on
medication adherence
or studies about result of questionnaires and surveys that highlighted how much the
pharmacist is an important element in health care system. The studies were taken from
three databases PubMed, Web of Science and Science Direct. After that, a quality
assessment tool was applied on the included articles to clarify if they were weak, moderate
or strong.
Results: Sixty-one studies were intervention studies where the pharmacists were
responsible for many interventions like patient education, counseling, motivational
interviewing, pharmacists’ participation in emergency department in the hospital or
primary care clinics, home mediated review and others. Fifty studies resulted in positive
effect of the intervention on
medication adherence especially patient education and the
counseling and eleven studies showed that there is no significant change after the intervention.
Adherence was measured in many different validated tools like Morisky
scale, Proportion of Days Covered (PDC), refill report and others. The remaining thirteen
studies were interviews and surveys to patients and health care workers which highlighted
the role of the pharmacists. After evaluating these studies on quality assessment tool,
which was general tool since the type of studies and the methodology were different, the
results were that only five studies were strong, thirty moderate and thirty-nine weak.
Conclusion: Many studies proved the positive role of pharmacists’ interventions on
medication adherence especially patient education and counseling, but they were not strong
evidence, and this is not enough to prove their important role. So more validated and
reliable studies must be conducted in this field to give more reliable results.
Advisors/Committee Members: Varga, Orsolya (advisor), Debreceni Egyetem::Népegészségügyi Kar (advisor).
Subjects/Keywords: Pharmacist;
Medication Adherence
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Aloulabi, A. (n.d.). The Role of Pharmacist in Medication Adherence:A Systematic Review
. (Thesis). University of Debrecen. Retrieved from http://hdl.handle.net/2437/262845
Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Aloulabi, Alaa. “The Role of Pharmacist in Medication Adherence:A Systematic Review
.” Thesis, University of Debrecen. Accessed January 22, 2021.
http://hdl.handle.net/2437/262845.
Note: this citation may be lacking information needed for this citation format:
No year of publication.
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Aloulabi, Alaa. “The Role of Pharmacist in Medication Adherence:A Systematic Review
.” Web. 22 Jan 2021.
Note: this citation may be lacking information needed for this citation format:
No year of publication.
Vancouver:
Aloulabi A. The Role of Pharmacist in Medication Adherence:A Systematic Review
. [Internet] [Thesis]. University of Debrecen; [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2437/262845.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.
Council of Science Editors:
Aloulabi A. The Role of Pharmacist in Medication Adherence:A Systematic Review
. [Thesis]. University of Debrecen; Available from: http://hdl.handle.net/2437/262845
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
No year of publication.

National University of Ireland – Galway
20.
Durand, Hannah.
Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
.
Degree: 2018, National University of Ireland – Galway
URL: http://hdl.handle.net/10379/14796
► Background: Resistant hypertension is a chronic condition in which the arterial blood pressure remains persistently above goal despite concurrent treatment with three or more antihypertensive…
(more)
▼ Background:
Resistant hypertension is a chronic condition in which the arterial blood pressure remains persistently above goal despite concurrent treatment with three or more antihypertensive agents of different classes. It appears relatively common in clinical practice, despite the established effectiveness of antihypertensive medications. Clinical factors such as inadequate dosing of antihypertensive medications, white coat hypertension (the phenomenon in which blood pressure is higher in clinical settings versus other settings), improper blood pressure measurement, and poor
adherence to antihypertensive treatment all preclude a diagnosis of resistant hypertension. Poor
adherence is considered the most common cause of pseudo-resistance to treatment among patients with apparent treatment-resistant hypertension and can result in unnecessary treatment escalation and referral to specialist hypertension clinics at significant cost to the patient and the healthcare system. Despite forming a core component of the definition and diagnosis of resistant hypertension, the extent, predictors and patient perspectives of non-
adherence have not been extensively examined for this group.
Aim:
The aim of this research is to examine the extent, theoretical predictors, and patient perspectives of non-
adherence to antihypertensive medications for apparent treatment-resistant hypertension in primary care.
Methods:
This research comprised: (1) a systematic review and meta-analysis to examine the extent of
medication non-
adherence in the published literature, and the study-level predictors thereof; (2) a quantitative cross-sectional study to examine the extent of poor
adherence among a large sample of patients with apparent treatment-resistant hypertension receiving treatment in primary care using multiple diverse
adherence measures, as well as the predictive value of theoretical constructs drawn from the Common-Sense Model of Self-Regulation (i.e., treatment-favourable beliefs, coherence of beliefs resulting from experience with treatment, and
medication-taking habit strength); and (3) a qualitative comparison of high and low adherers to delineate factors associated with good and poor
adherence using thematic analysis.
Findings:
(1) The systematic review and meta-analysis revealed that approximately one-third of patients classed as having apparent treatment-resistant hypertension in the published literature may be more appropriately classed as pseudo-resistant due to poor
adherence. Subgroup analysis further revealed that
adherence estimates were dependent on the type of
adherence assessment method used, with the highest non-
adherence observed for physical tests for medications in bodily fluids. There was a small but significant difference in
adherence estimates across study settings, with lowest non-
adherence estimates observed in primary care settings, suggesting that a proportion of patients may be prematurely referred for specialist treatment without adequate assessment of
adherence in primary care. (2) The…
Advisors/Committee Members: Molloy, Gerry (advisor), Murphy, Andrew (advisor).
Subjects/Keywords: medication adherence;
health psychology;
behavioural medicine;
Psychology
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Durand, H. (2018). Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
. (Thesis). National University of Ireland – Galway. Retrieved from http://hdl.handle.net/10379/14796
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Durand, Hannah. “Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
.” 2018. Thesis, National University of Ireland – Galway. Accessed January 22, 2021.
http://hdl.handle.net/10379/14796.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Durand, Hannah. “Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
.” 2018. Web. 22 Jan 2021.
Vancouver:
Durand H. Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
. [Internet] [Thesis]. National University of Ireland – Galway; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10379/14796.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Durand H. Medication adherence in resistant hypertension: An investigation of prevalence, psychological predictors and patient perspectives
. [Thesis]. National University of Ireland – Galway; 2018. Available from: http://hdl.handle.net/10379/14796
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Washington
21.
Orengo, Liza.
Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis.
Degree: 2015, University of Washington
URL: http://hdl.handle.net/1773/33184
► Background: Cardiovascular disease is the leading cause of death and disability among patients with End-Stage Renal Disease (ESRD). Hyperphosphatemia is an independent cardiovascular risk factor…
(more)
▼ Background: Cardiovascular disease is the leading cause of death and disability among patients with End-Stage Renal Disease (ESRD). Hyperphosphatemia is an independent cardiovascular risk factor in patients undergoing maintenance hemodialysis. Most patients are on a class of
medication called Phosphorus Binders, which they take with meals and snacks to absorb the phosphorus naturally present in their food. Unfortunately, not all patients who are prescribed binders will take them. This study is designed to explore the barriers to phosphate binder
adherence in young adult patients on hemodialysis. We hypothesized that, among patients aged 18-44, this may be due to an inaccurate or incomplete understanding of their susceptibility to an adverse cardiovascular event, such as stroke or heart attack. Methods: Participants were recruited from hemodialysis clinics operated by a large, for-profit dialysis provider in Western Washington. Eligible patients who consented to participate in the study were interviewed 1:1 by the researcher. Selection criteria for eligible participants were as follows: 1) the participant had been on maintenance hemodialysis at least 90 days prior to the start of the study, 2) the participant was between the age of 18-44 years old at the time of interview, 3) the patient was oriented to person, place, and time, 4) the patient spoke fluent English, and 5) the patient was prescribed a phosphorus binder to take with meals. Results: Seven women and ten men completed the interview. Participants ranged in age from 20-41 years old. Approximately one-third of the participants identified increased risk of heart attack or stroke as a result of hyperphosphatemia. However, three-quarters of the participants were able to identify at least one negative health consequence, most often calciphylaxis and bone disease. The remaining patients verbalized understanding that high phosphorus was bad for their health, even if they could not identify a specific health outcome. Roughly half of the patients made statements that demonstrated high perceived risk to hyperphosphatemia-related disease outcomes and the other half made statements to suggest low perceived risk or no perceived risk. Physical, psychosocial, financial, and other barriers to optimal
adherence were explored to create an informed picture of
adherence variables. Conclusions: The results of this study support that most young adult patients on dialysis are aware that hyperphosphatemia has serious negative health consequences for renal patients. This study suggests that knowledge of deleterious outcomes related to hyperphosphatemia does not readily translate to optimal phosphorus management in young adults on dialysis and that psychosocial, clinical, and healthcare delivery variables all play a role in hindering optimal
adherence.
Advisors/Committee Members: Chrisman, Noel J (advisor).
Subjects/Keywords: adherence; dialysis; medication; Public health; health services
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Orengo, L. (2015). Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/33184
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Orengo, Liza. “Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis.” 2015. Thesis, University of Washington. Accessed January 22, 2021.
http://hdl.handle.net/1773/33184.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Orengo, Liza. “Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis.” 2015. Web. 22 Jan 2021.
Vancouver:
Orengo L. Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis. [Internet] [Thesis]. University of Washington; 2015. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1773/33184.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Orengo L. Phosphate Binder Adherence and Perceived Cardiovascular Risk Among Young Adult Patients Receiving Maintenance Hemodialysis. [Thesis]. University of Washington; 2015. Available from: http://hdl.handle.net/1773/33184
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Tulane University
22.
Morrison, Fritha.
Psychosocial Stressors in Asthma Incidence and Morbidity in Children.
Degree: 2019, Tulane University
URL: https://digitallibrary.tulane.edu/islandora/object/tulane:106626
► [email protected]
Background Few studies have examined the association between parenting quality and behavioral adjustment in children and asthma incidence. Medication non-adherence is a proposed mechanism…
(more)
▼ [email protected]
Background Few studies have examined the association between parenting quality and behavioral adjustment in children and asthma incidence. Medication non-adherence is a proposed mechanism for the association between caregiver stress and asthma morbidity, but research on the association is limited.
Aims To examine the association between parent-child relationship and child’s behavioral adjustment and asthma incidence, and to explore the association between caregiver stress and medication non-adherence in children with asthma.
Methods Secondary analyses were conducted in two study populations: a birth cohort study in the United Kingdom and an intervention trial of children with asthma in inner-city New Orleans. The first two analyses defined asthma by parent report and current asthma medication use at five or seven years. Mother-child relationship and child’s behavioral adjustment were measured with the Child-Parent Relationship Scale (CPRS) and the Strengths and Difficulties Questionnaire (SDQ), respectively, at three years. Caregiver stress and medication non-adherence were measured using Cohen’s Perceived Stress Scale (PSS-4) and caregiver self-report, respectively, at baseline and twelve months.
Results Among families with the most major life events, children with mothers reporting poorest compared to best CPRS had an adjusted OR=2.8 (95% CI: 2.3-3.6) for asthma. Adjusted odds ratios for the association between abnormal versus normal SDQ at 3 years and asthma at 5 or 7 years was 1.2 (95% CI: 1.0-1.5). Adjusted odds ratios for non-adherence due to running out of medications were 6.8 (95% CI: 1.0-47.6) in high versus normal stress caregivers.
Conclusions Increased risk of asthma was observed among those with the poorest mother-child relationships and the most major life events, and in children with abnormal behavioral adjustment. A statistically significant adjusted association between caregiver stress and overall medication non-adherence was not observed, but an association between increased caregiver stress and non-adherence due to running out of medications was suggested.
1
Fritha Morrison
Advisors/Committee Members: Rabito, Felicia (Thesis advisor), School of Public Health & Tropical Medicine Epidemiology (Degree granting institution).
Subjects/Keywords: Asthma; Parent-child relationship; medication adherence
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Morrison, F. (2019). Psychosocial Stressors in Asthma Incidence and Morbidity in Children. (Thesis). Tulane University. Retrieved from https://digitallibrary.tulane.edu/islandora/object/tulane:106626
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Morrison, Fritha. “Psychosocial Stressors in Asthma Incidence and Morbidity in Children.” 2019. Thesis, Tulane University. Accessed January 22, 2021.
https://digitallibrary.tulane.edu/islandora/object/tulane:106626.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Morrison, Fritha. “Psychosocial Stressors in Asthma Incidence and Morbidity in Children.” 2019. Web. 22 Jan 2021.
Vancouver:
Morrison F. Psychosocial Stressors in Asthma Incidence and Morbidity in Children. [Internet] [Thesis]. Tulane University; 2019. [cited 2021 Jan 22].
Available from: https://digitallibrary.tulane.edu/islandora/object/tulane:106626.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Morrison F. Psychosocial Stressors in Asthma Incidence and Morbidity in Children. [Thesis]. Tulane University; 2019. Available from: https://digitallibrary.tulane.edu/islandora/object/tulane:106626
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ghana
23.
Fosu, M.
Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
.
Degree: 2020, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/35834
► Based on the importance of strict medication adherence needed to achieve significant viral suppression and good clinical outcome in HIV patients, continuous investigations into factors…
(more)
▼ Based on the importance of strict medication adherence needed to achieve significant viral suppression and good clinical outcome in HIV patients, continuous investigations into factors that predict adherence have always been considered necessary due to the global threat the virus poses. The present study aimed at investigating predictors of medication adherence among PLWHIV in the Ashanti Region, Ghana. This study specifically investigated how factors such as HIV stigma, spirituality, self-efficacy, doctor’s communication skills and perceived social support each predict medication adherence among PLWHIV. The study used 349 PLWHIV from the Ashanti Region of Ghana. Standard Multiple Regression was used to test the relationship between HIV-related stigma, spirituality, self-efficacy, doctor’s communication skills, perceived social support and HIV medication adherence. Gender difference in medication adherence was also tested using Independent Samples t-test. Findings from the study revealed that doctor’s communication skills and perceived social support from significant other each had a positive relationship with HIV medication adherence. HIV-related stigma, general self-efficacy, and spirituality each had a negative relationship with medication adherence. There were no significant differences between men and women in HIV medication adherence. These findings suggest that healthcare providers in HIV management including physicians and psychologists should improve their communication skills as this has been shown to promote medication adherence.
Subjects/Keywords: Medication Adherence;
HIV (PLWHIV);
Ashanti Region;
Ghana
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❌
APA ·
Chicago ·
MLA ·
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CSE |
Export
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Manager
APA (6th Edition):
Fosu, M. (2020). Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
. (Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/35834
Chicago Manual of Style (16th Edition):
Fosu, M. “Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
.” 2020. Masters Thesis, University of Ghana. Accessed January 22, 2021.
http://ugspace.ug.edu.gh/handle/123456789/35834.
MLA Handbook (7th Edition):
Fosu, M. “Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
.” 2020. Web. 22 Jan 2021.
Vancouver:
Fosu M. Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
. [Internet] [Masters thesis]. University of Ghana; 2020. [cited 2021 Jan 22].
Available from: http://ugspace.ug.edu.gh/handle/123456789/35834.
Council of Science Editors:
Fosu M. Predictors of Medication Adherence: A Study among People Living with HIV (PLWHIV) in the Ashanti Region of Ghana
. [Masters Thesis]. University of Ghana; 2020. Available from: http://ugspace.ug.edu.gh/handle/123456789/35834

Boston University
24.
Zhan, Senmiao.
Medication adherence in diabetic mellitus: a review of barriers and interventions.
Degree: MS, Medical Sciences, 2014, Boston University
URL: http://hdl.handle.net/2144/14654
► Poor adherence is common in patients with diabetes mellitus and other chronic diseases that require extensive self-management. This behavior has been linked to increased complications,…
(more)
▼ Poor adherence is common in patients with diabetes mellitus and other chronic diseases that require extensive self-management. This behavior has been linked to increased complications, mortality rate, and health care costs. Although much effort has been put into studying the barriers to adherence and ways to improve both patient self-care and clinical outcomes, little success can be observed in the long run. Literature review of studies related to medication adherence in diabetes has shown a lack of uniformity in study parameters and statistical analysis making the juxtaposition of studies difficult and unreliable. Intervention studies in the field have shown general improvement in adherence rate in a short period of time, but rarely making any significant differences in clinical outcomes. Since diabetes mellitus is a chronic disease, it would be important to design studies measuring long term effects of interventions in the future.
Subjects/Keywords: Medicine; Adherence; Diabetes; Intervention; Medication; Nonadherence
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Zhan, S. (2014). Medication adherence in diabetic mellitus: a review of barriers and interventions. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/14654
Chicago Manual of Style (16th Edition):
Zhan, Senmiao. “Medication adherence in diabetic mellitus: a review of barriers and interventions.” 2014. Masters Thesis, Boston University. Accessed January 22, 2021.
http://hdl.handle.net/2144/14654.
MLA Handbook (7th Edition):
Zhan, Senmiao. “Medication adherence in diabetic mellitus: a review of barriers and interventions.” 2014. Web. 22 Jan 2021.
Vancouver:
Zhan S. Medication adherence in diabetic mellitus: a review of barriers and interventions. [Internet] [Masters thesis]. Boston University; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2144/14654.
Council of Science Editors:
Zhan S. Medication adherence in diabetic mellitus: a review of barriers and interventions. [Masters Thesis]. Boston University; 2014. Available from: http://hdl.handle.net/2144/14654

University of Southern California
25.
Shin, Janet.
Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting.
Degree: PhD, Pharmaceutical Economics and Policy, 2012, University of Southern California
URL: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/72363/rec/7678
► OBJECTIVES: Phase I objectives were to measure the extent of primary nonadherence (PNA) in an integrated healthcare system and identify factors significantly associated with PNA…
(more)
▼ OBJECTIVES: Phase I objectives were to measure the
extent of primary nonadherence (PNA) in an integrated healthcare
system and identify factors significantly associated with PNA to
chronic and acute medications. The objective of phase II was to
examine healthcare outcomes associated with PNA to cholesterol and
diabetes medications. ❧ METHODS: This retrospective cohort study
was conducted at Kaiser Permanente Southern California using data
from its integrated electronic medical record system. All new
prescriptions for 10 therapeutic drug groups (antiinfectives,
analgesics, migraine medications, antidiabetics, osteoporosis
medications, cardiovascular agents, antihyperlipidemics,
antiasthmatics, antidepressants, and anticoagulants) written for
patients who satisfied membership and other criteria were included
in phase I. PNA rates were calculated by therapeutic drug group as
the number of prescriptions not filled within 14 days over the
total number of prescriptions. A multivariate logistic regression
was used to identify patient, prescriber, and prescription factors
significantly associated with PNA. Patients who filled an
antidiabetic or antihyperlipidemic were eligible for inclusion in
Phase II if they were at least 18 years of age and satisfied
additional inclusion and exclusion criteria. A more conservative
definition of PNA was applied in phase II as the failure to fill
within 180 days. Descriptive statistics were used to summarize
baseline differences among patient groups and to describe secondary
nonadherence and unadjusted rates of event outcomes. The paired
t-test and a multivariate difference-in-difference model were used
to evaluate changes in lab values. A multivariate Cox Proportional
Hazards model was used to measure the effect of PNA and secondary
nonadherence on event outcomes of new disease complications, ER
visits, and hospitalization. ❧ RESULTS: In phase I, a total of
569,095 new prescriptions for 398,025 patients satisfied study
criteria. The overall PNA rate was 9.8% but individual PNA rates
varied widely by therapeutic drug group. The effects of patient
race, baseline comorbidities, prior fills, and being
treatment-naive on PNA were consistent across drug groups. The
strongest predictors were prior fills and being treatment-naïve.
Some factors (mostly prescriber and prescription factors) depended
on whether the treatment was acute or chronic. Phase II included
21,291 cholesterol patients and 10,137 diabetes patients. PNA rates
were12.0% and 5.1% for cholesterol and diabetes, respectively.
Secondary nonadherence was relatively worse in cholesterol than
diabetes with about 20% of primary adherent patients only filling
the first prescription. Adherent patients were on average older and
sicker than nonadherent patients. Patients who were nonadherent to
their cholesterol or diabetes
medication were significantly
associated with worse health outcomes in terms of lab values and ER
visits. In cholesterol, the risk for ER visits was significantly
higher in secondary nonadherent patients (HR=1.24, 95% CI:…
Advisors/Committee Members: McCombs, Jeffrey (Committee Chair), Joyce, Geoffrey (Committee Member), Wilber, Kathleen H. (Committee Member).
Subjects/Keywords: medication adherence; healthcare outcomes; electronic medical records
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Shin, J. (2012). Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting. (Doctoral Dissertation). University of Southern California. Retrieved from http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/72363/rec/7678
Chicago Manual of Style (16th Edition):
Shin, Janet. “Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting.” 2012. Doctoral Dissertation, University of Southern California. Accessed January 22, 2021.
http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/72363/rec/7678.
MLA Handbook (7th Edition):
Shin, Janet. “Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting.” 2012. Web. 22 Jan 2021.
Vancouver:
Shin J. Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting. [Internet] [Doctoral dissertation]. University of Southern California; 2012. [cited 2021 Jan 22].
Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/72363/rec/7678.
Council of Science Editors:
Shin J. Understanding primary nonadherence to medications and its
associated healthcare outcomes: a retrospective analysis of
electronic medical records in an integrated healthcare
setting. [Doctoral Dissertation]. University of Southern California; 2012. Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/72363/rec/7678
26.
Shelton, Ashley.
Medication Adherence in the Older Adult
.
Degree: 2014, California State University – San Marcos
URL: http://hdl.handle.net/10211.3/118328
► Statement of Problem Medication adherence in the older adult population has been a prevalent problem for decades. Hundreds of randomized control trials have been performed…
(more)
▼ Statement of Problem
Medication adherence in the older adult population has been a prevalent problem for decades. Hundreds of randomized control trials have been performed in hopes of finding the etiology to this issue with little resolved. To this day the true rate of
medication non-
adherence is still unknown, often over estimated and biased.
Sources of Data
Using the well-known brown bag method, older adults were asked to bring in their prescribed medications at two separate occasions, two weeks apart to check for
adherence rates. After the pill count was completed the older adults were then given a survey regarding factors that affected their
medication taking in the past two weeks.
Conclusions Reached
The older adult population is a difficult age group to work with. In conclusion, with the difficulties and limitations faced with participant recruitment, the end result continues to reinforce that
medication non-
adherence is consistent with a larger body of research.
Advisors/Committee Members: Carney, Amy (advisor).
Subjects/Keywords: Medication Adherence;
Older Adult;
Brown-bag method
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Shelton, A. (2014). Medication Adherence in the Older Adult
. (Thesis). California State University – San Marcos. Retrieved from http://hdl.handle.net/10211.3/118328
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Shelton, Ashley. “Medication Adherence in the Older Adult
.” 2014. Thesis, California State University – San Marcos. Accessed January 22, 2021.
http://hdl.handle.net/10211.3/118328.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Shelton, Ashley. “Medication Adherence in the Older Adult
.” 2014. Web. 22 Jan 2021.
Vancouver:
Shelton A. Medication Adherence in the Older Adult
. [Internet] [Thesis]. California State University – San Marcos; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10211.3/118328.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Shelton A. Medication Adherence in the Older Adult
. [Thesis]. California State University – San Marcos; 2014. Available from: http://hdl.handle.net/10211.3/118328
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University
27.
Tileku, Melaku.
Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
.
Degree: 2019, Addis Ababa University
URL: http://etd.aau.edu.et/handle/123456789/21140
► Hypertensive patients are at high risk of drug therapy problems (DTPs), as there is multiple drug use for their comorbidities. To date, studies regarding DTPs…
(more)
▼ Hypertensive patients are at high risk of drug therapy problems (DTPs), as there is multiple drug use for their comorbidities. To date, studies regarding DTPs in hypertensive patients are limited in Ethiopia. Thus, this study aimed to assess DTPs and
medication adherence among ambulatory hypertensive patients on follow up at Tikur Anbessa Specialized Hospital (TASH). A hospital based cross sectional study was employed in 388 participants who fulfilled the inclusion criteria. Participants were interviewed and their medical chart was reviewed through a structured data collection formats. DTPs were assessed using Cipolle/Morely/Strand’s DTPs classification system. Data were reported as mean/percentage and multivariate logistic regression was performed to identify associated factors with DTPs. Out of 388 study participants, 283 of them had at least one DTP, of which 49.5% and 40.3% had drug interactions and adverse drug reactions (ADRs), respectively. Factors associated with DTPs, were old age (Adjusted Odds Ratio [AOR] =1.05, 5%CI:1.02-1.08), longer duration of treatment (AOR=1.06,95% CI:1.01-1.10), presence of complaints (AOR=2.23, 95%CI:1.06-4.71), ≥3 comorbidities (AOR=2.27, 95%CI:1.06-4.88), ≥5 drugs use (AOR=2.15, 95%CI:1.02-4.50), statins use (AOR=2.62, 95%CI:1.09-6.30) and aspirin use (AOR=3.79, 95%CI:1.11-12.87). About 45% of the study participants were non-adherent to their antihypertensives. Factors for non-
adherence were monthly income of <500 Ethiopian birr (AOR=1.68, 95%CI: 1.03-2.72), ≥5 drugs use (AOR=2.36, 95%CI: 1.02-5.47), use of antidiabetics (AOR=1.95, 95%CI: 1.09-3.51) and non-steroidal anti-inflammatory drugs use (AOR=0.43, 95%CI: 0.20-0.91). DTPs were common among ambulatory hypertensive patients in TASH, indicating a need of multidisciplinary team that involved pharmaceutical care providers to identify and resolve DTPs in this setting.
Advisors/Committee Members: Engidawork, Ephrem(Professor of Pharmacology) (advisor), Beyene, Alemseged(MSc., Assistant Professor) (advisor), Abebe, Sintayehu(MD., Internist, Cardiologist) (advisor).
Subjects/Keywords: Hypertension; drug therapy problems; medication adherence; Ethiopia
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Tileku, M. (2019). Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/handle/123456789/21140
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tileku, Melaku. “Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
.” 2019. Thesis, Addis Ababa University. Accessed January 22, 2021.
http://etd.aau.edu.et/handle/123456789/21140.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tileku, Melaku. “Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
.” 2019. Web. 22 Jan 2021.
Vancouver:
Tileku M. Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
. [Internet] [Thesis]. Addis Ababa University; 2019. [cited 2021 Jan 22].
Available from: http://etd.aau.edu.et/handle/123456789/21140.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tileku M. Assessment of Drug Therapy Problems and Medication Adherence among Ambulatory Hypertensive Patients on Follow up at Tikur Anbessa Specialized Hospital
. [Thesis]. Addis Ababa University; 2019. Available from: http://etd.aau.edu.et/handle/123456789/21140
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Louisiana State University
28.
Kendra, Kathleen E.
The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes.
Degree: MA, Psychology, 2004, Louisiana State University
URL: etd-09142004-094741
;
https://digitalcommons.lsu.edu/gradschool_theses/316
► Patient nonadherence with medication regimen is a common problem facing health care providers treating adult patients with Type 2 diabetes. Poor glycemic control, diabetes related…
(more)
▼ Patient nonadherence with medication regimen is a common problem facing health care providers treating adult patients with Type 2 diabetes. Poor glycemic control, diabetes related complications, and increased utilization and health care costs are among the outcomes of poor compliance with medical regimen. Prior research indicates moderate success with several techniques to improve medication adherence when used alone. However, the literature suggests a need for an intervention providing a multi-component technique, implementing self-motivating skills and follow-up prompts. Using a 15- minute single exposure intervention, the current study attempted to combine these two procedures (brief intervention including motivational interviewing with follow-up prompts) in an attempt to increase adherent behaviors in low-income adults with type 2 diabetes. Medication adherence was measured by HbA1c, which is a biological marker that is widely considered to be a reliable indicator of adherent behavior, as well as pharmacy records. Results indicate nonsignificant findings for both HbA1c and pharmacy refill measures.
Subjects/Keywords: adherence; diabetes; medication
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kendra, K. E. (2004). The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes. (Masters Thesis). Louisiana State University. Retrieved from etd-09142004-094741 ; https://digitalcommons.lsu.edu/gradschool_theses/316
Chicago Manual of Style (16th Edition):
Kendra, Kathleen E. “The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes.” 2004. Masters Thesis, Louisiana State University. Accessed January 22, 2021.
etd-09142004-094741 ; https://digitalcommons.lsu.edu/gradschool_theses/316.
MLA Handbook (7th Edition):
Kendra, Kathleen E. “The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes.” 2004. Web. 22 Jan 2021.
Vancouver:
Kendra KE. The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes. [Internet] [Masters thesis]. Louisiana State University; 2004. [cited 2021 Jan 22].
Available from: etd-09142004-094741 ; https://digitalcommons.lsu.edu/gradschool_theses/316.
Council of Science Editors:
Kendra KE. The impact of brief intervention on adherence to medication regimen of low-income adults with Type 2 diabetes. [Masters Thesis]. Louisiana State University; 2004. Available from: etd-09142004-094741 ; https://digitalcommons.lsu.edu/gradschool_theses/316

University of Manchester
29.
Xie, Wenyang.
An acoustic monitoring system for adherence measurement and analysis of inhaler technique.
Degree: PhD, 2020, University of Manchester
URL: https://www.research.manchester.ac.uk/portal/en/theses/an-acoustic-monitoring-system-for-adherence-measurement-and-analysis-of-inhaler-technique(9bdd74f0-4e9b-439c-bc94-81350ab24108).html
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799520
► Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD) are significant and growing causes of morbidity and mortality worldwide. Poor disease control…
(more)
▼ Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD) are significant and growing causes of morbidity and mortality worldwide. Poor disease control causes a substantial burden on patients, their families and society. Inhaler therapy is the most popular asthma and COPD treatment, but patients are compromised from inappropriate medication use. How to measure adherence to medication is a huge global problem. This thesis presents an original audio-based monitoring system for the pressurised metered-dose inhaler (pMDI), which has been developed to track and analyse the patient's dose delivery and inhaler technique. Prior to this study, there existed no automated system, based on acoustic monitoring, to track and assess pMDI inhaler technique. In terms of the hardware, this system combines accelerometer and acoustic sensors to enable a comprehensive assessment of the pMDI technique. For recognition of the breath phases, this research initially employed a hidden Markov model (HMM) with a Gaussian mixture model (GMM) to identify the phases of the breath sound. Ultimately a model was developed that concatenating two deep learning models (1-D ResNet18 and CLDNNs), which improved the recognition accuracy of acoustic signals degraded by noise. Respecting motion events, this thesis introduces a method based on a root mean square (RMS) framing window in combination with a rotation matrix to achieve robust shake detection and vertical holding detection, respectively. This thesis further describes a series of experiments. Experiment 1 to 3 was designed to characterise the strengths and weaknesses of the system, in which testing also provided useful information for further system development. The final experiment was a real-patient study that involved the recruitment of six patients diagnosed asthma or COPD. The system tracked their pMDI use for three weeks and established the deviations of pMDI usage and technique that existed between the patients' self-reports and independent electronic reports. Characterisation of these differences, and the ability of the system to not only to monitor adherence but also to identify usage failure points suggest that the monitoring system will, in the future, be a highly desirable component of digital healthcare provision.
Subjects/Keywords: Smart Inhaler; Medication Adherence; Acoustic monitoring
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Xie, W. (2020). An acoustic monitoring system for adherence measurement and analysis of inhaler technique. (Doctoral Dissertation). University of Manchester. Retrieved from https://www.research.manchester.ac.uk/portal/en/theses/an-acoustic-monitoring-system-for-adherence-measurement-and-analysis-of-inhaler-technique(9bdd74f0-4e9b-439c-bc94-81350ab24108).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799520
Chicago Manual of Style (16th Edition):
Xie, Wenyang. “An acoustic monitoring system for adherence measurement and analysis of inhaler technique.” 2020. Doctoral Dissertation, University of Manchester. Accessed January 22, 2021.
https://www.research.manchester.ac.uk/portal/en/theses/an-acoustic-monitoring-system-for-adherence-measurement-and-analysis-of-inhaler-technique(9bdd74f0-4e9b-439c-bc94-81350ab24108).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799520.
MLA Handbook (7th Edition):
Xie, Wenyang. “An acoustic monitoring system for adherence measurement and analysis of inhaler technique.” 2020. Web. 22 Jan 2021.
Vancouver:
Xie W. An acoustic monitoring system for adherence measurement and analysis of inhaler technique. [Internet] [Doctoral dissertation]. University of Manchester; 2020. [cited 2021 Jan 22].
Available from: https://www.research.manchester.ac.uk/portal/en/theses/an-acoustic-monitoring-system-for-adherence-measurement-and-analysis-of-inhaler-technique(9bdd74f0-4e9b-439c-bc94-81350ab24108).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799520.
Council of Science Editors:
Xie W. An acoustic monitoring system for adherence measurement and analysis of inhaler technique. [Doctoral Dissertation]. University of Manchester; 2020. Available from: https://www.research.manchester.ac.uk/portal/en/theses/an-acoustic-monitoring-system-for-adherence-measurement-and-analysis-of-inhaler-technique(9bdd74f0-4e9b-439c-bc94-81350ab24108).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799520

University of Sydney
30.
Srimongkon, Pornchanok.
Adherence to antidepressant medicines in people living with unipolar depression
.
Degree: 2018, University of Sydney
URL: http://hdl.handle.net/2123/20069
► Unipolar depression is a common mental disorder and is the leading cause of mental disability worldwide. Medication adherence is a complex process, particularly in people…
(more)
▼ Unipolar depression is a common mental disorder and is the leading cause of mental disability worldwide. Medication adherence is a complex process, particularly in people with unipolar depression. The signs and symptoms of depression can also contribute to non-adherence and it is a risk factor for non-adherence in other chronic conditions such as diabetes and HIV. The overall aim of the research presented in this thesis was to explore and examine issues pertaining to medication adherence in people with unipolar depression. To address the overall aim, the methods used in this research included a systematic review of published literature, semi-structured interviews with consumers, and a content validation study involving health care professionals. The ABC taxonomy which conceptualises adherence into three components—initiation, implementation, and discontinuation—was used as the framework for this research.«/p» «p style="text-align:justify"»The major outcome for this research was the development and content validation of a depression-specific medication adherence framework, based on the literature, qualitative findings, and experience of the research team. It was designed as a guide for health care professionals to better understand the adherence process from the consumer perspective and to inform tailored interventions to facilitate adherence. The framework acknowledges the different nature of potential factors influencing medication adherence at the specific phases of medication taking. Key considerations included individual perceptions, personal experience/s, and the influence of people around them. The findings also highlighted the need for valid measures to evaluate adherence across the three phases of adherence. A standout measure with strong reliability and validity was not apparent. Hence, a range of different subjective and objective measures is recommended to assess medication adherence across the different phases of medication taking. The overall findings of this thesis can be applied in everyday practice to enhance medication adherence in people with unipolar depression
Subjects/Keywords: medication adherence;
antidepressant medicine;
uniploar depression
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Srimongkon, P. (2018). Adherence to antidepressant medicines in people living with unipolar depression
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/20069
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Srimongkon, Pornchanok. “Adherence to antidepressant medicines in people living with unipolar depression
.” 2018. Thesis, University of Sydney. Accessed January 22, 2021.
http://hdl.handle.net/2123/20069.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Srimongkon, Pornchanok. “Adherence to antidepressant medicines in people living with unipolar depression
.” 2018. Web. 22 Jan 2021.
Vancouver:
Srimongkon P. Adherence to antidepressant medicines in people living with unipolar depression
. [Internet] [Thesis]. University of Sydney; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2123/20069.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Srimongkon P. Adherence to antidepressant medicines in people living with unipolar depression
. [Thesis]. University of Sydney; 2018. Available from: http://hdl.handle.net/2123/20069
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
◁ [1] [2] [3] [4] [5] … [14] ▶
.