Profiling patient attitudes to phosphate binding medication: A route to personalising treatment and adherence support

Chater, Angel M., Parham, Rhian, Riley, Stephen George, Hutchison, Alastair J. and Horne, Rob 2014. Profiling patient attitudes to phosphate binding medication: A route to personalising treatment and adherence support. Psychology & Health 29 (12) , pp. 1407-1420. 10.1080/08870446.2014.942663

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Abstract

Objective: Nonadherence to phosphate binding medication (PBM) compromises the efficacy of treatment for chronic kidney disease, but its causes are poorly understood. This study sought to explore patient attitudes towards PBM and to evaluate the utility of the necessity-concerns framework for understanding adherence to PBM. Design: A sample of 221 dialysis patients currently prescribed PBM were surveyed from eight UK renal units. Main Outcome Measures: Demographic data and clinical information, alongside the Beliefs about Medicines Questionnaire and the medication adherence report scale were reported. Results: Low adherence to PBM was predicted by reduced beliefs in personal need for PBM (OR = .34; 95% CI: .14–.83; p < .05), and increased concerns about PBM (OR = 3.17; 95% CI: 1.87–5.37; p < .001). Patients were categorised into attitudinal groups based on their beliefs about PBM and being ‘skeptical’ of PBM (low necessity beliefs and high concerns) was most associated with low adherence. Conclusion: Strategies to improve adherence to PBM should aim to elicit and address patients’ beliefs about their personal need for PBM and their concerns about this medication.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	beliefs; chronic kidney disease; nonadherence; phosphate binding medication;attitudes
Publisher:	Routledge
ISSN:	0887-0446
Date of Acceptance:	3 July 2014
Last Modified:	04 Jun 2017 09:01
URI:	https://orca.cardiff.ac.uk/id/eprint/89369

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