Patients' Beliefs about Medicines in a primary care setting in Germany

Journal of Evaluation in Clinical Practice - Tập 18 Số 2 - Trang 409-413 - 2012
Cornelia Mahler1, Katja Hermann1, Rob Horne2, Susanne Jank3,4, Walter E. Haefeli5, Joachim Szécsényi6
1Research Fellow.
2Professor, Centre for Behavioural Medicine, The School of Pharmacy, University of London, London, UK
3Current address: Pharmacy Department, University Hospital Heidelberg, Heidelberg, Germany.
4Pharmacist
5Professor, Department of Clinical Pharmacology and Pharmacoepidemiology, University Hospital Heidelberg, Heidelberg, Germany
6Professor, Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany

Tóm tắt

AbstractObjectives  The aim of this study was to explore patients' beliefs about medicines by administering the German version of the Beliefs about Medicines Questionnaire (BMQ) in a primary care setting among chronically ill patients and to examine its psychometric properties. The BMQ assesses patients' beliefs about their individual prescribed medication as well as their beliefs about medicines in general.Methods  A cross‐sectional survey of 485 chronically ill patients was performed. The German version of the BMQ was evaluated in terms of internal consistency, validity and scale structure. To assess validity the Medication Adherence Report Scale (MARS‐D) and the Satisfaction with Information about Medicines Scale (SIMS‐D) were applied.Results  The BMQ showed good internal consistency (Cronbach's α 0.79–0.83). Patients' belief about the specific necessity of their medicines correlated positively with the MARS‐D (ρ = 0.202; P < 0.01). There were significant correlations in the predicted direction between the MARS‐D and all the BMQ subscales with the exception of the General‐Overuse subscale (ρ = −0.06; P = 0.30). Relationship to the SIMS‐D was comparable to the original study. Factor analysis corroborated the scale structure.Conclusions  The BMQ is a suitable instrument to measure patients' beliefs in medicines in German primary care settings. Most patients in our sample had positive beliefs concerning the necessity of their medication. Their levels of concern were associated with higher non‐adherence.

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Tài liệu tham khảo

10.1016/j.jpsychores.2007.05.004

10.1016/S0022-3999(99)00057-4

10.1001/jama.288.22.2880

10.1378/chest.130.1_suppl.65S

10.1080/08870449908407311

10.1016/j.pec.2004.10.005

10.1345/aph.1K354

10.1016/j.jpsychores.2007.07.016

10.1093/rheumatology/keh587

10.1007/s11096-005-2907-2

10.1186/1471-2296-10-35

10.1016/j.pec.2008.10.012

10.1177/0163278708324441

10.1016/j.pec.2005.07.009

10.1111/j.1524-4733.2005.04054.x

10.1016/j.jpsychores.2010.01.006

Optiz U. Glattacker M.&Jäckel W. H.(2008)Der ‘Beliefs about Medicines Questionnaire’ (BMQ© R Horne) –Übersetzung und erste methodische Prüfung an Patienten mit Fibromyalgie. Deutsche Rentenversicherung Bund (Hrsg) editor.http://forschung.deutsche‐rentenversicherung.de/ForschPortalWeb/ressource?key=tagungsband_17_reha_kolloqu.pdf 99–100(last accessed 22 September 2010).

10.1111/j.1524-4733.2009.00575.x

10.1111/j.1365-2753.2009.01169.x

Horne R., 2001, The Satisfaction with Information about Medicines Scale (SIMS): a new measurement tool for audit and research, Quality and Safety in Health Care, 10, 135, 10.1136/qhc.0100135

10.2146/ajhp080064

10.1007/978-3-662-07299-8

10.2337/dc07-2104

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Journal of Evaluation in Clinical Practice

Tập 18 Số 2

409-413

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