Assessment of medication adherence using medication adherence rating scale-5 in patients with major non-communicable diseases at tertiary care hospital

Authors

  • Marina Andavar Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India
  • Mahalakshmi Natarajan Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India
  • Mahendravarman Paneer Selvam Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20203628

Keywords:

MARS-5, Non-communicable chronic illness, Non-compliance, Pharmaceutical care, Patient counselling

Abstract

Background: To assess the medication adherence using medication adherence rating scale (MARS-5) for achieving good clinical outcomes in patients with major non-communicable chronic diseases who are undergoing long-term therapy and to compare the adherence between adult and geriatric patients based on patient counselling.

Methods: A Prospective observational study was conducted in the Department of Medicine, Raja Muthiah Medical College Hospital (RMMCH), Chidambaram, India over a period of 6 months. Patient details were collected using self-designed patient proforma. Patients’ medication adherence was assessed using MARS-5 and patients were counselled regarding drug use with the help of pictograms and daily monitoring sheet.

Results: A total of 150 patients were enrolled in the study out of which 77 were adults and 73 were from the geriatric population. 65.33% were affected with comorbid conditions. Non-compliance was mainly due to forgetfulness, lack of assistance in the elderly population, polypharmacy and also due to failing to refill prescriptions. Nearly half of the population about 40% showed poor adherence before patient counselling and was reduced to 13.33% after proper patient counselling. And the medication adherence was found to be more among the adults 90.90% when compared to the geriatric population 82.19%.

Conclusions: A new approach through pharmaceutical care was implemented; it mainly aims in delivering information regarding the importance of therapy in non-communicable chronic illness and also on the non-therapeutic considerations. It also focuses in conveying the importance of their lives to their families and to the society, thereby improving the adherence to medicine.

Author Biography

Marina Andavar, Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India

Department Of Pharmacy

References

Roy N, Sajith M, Bansode M. Assessment of Factors Associated with Low Adherence to Pharmacotherapy in Elderly Patients. J Young Pharmacists. 2017;9(2):272-6.

Improving Prescription Medicine Adherence is key to better Health Care. PhRMA. 2011:1-8. Phrma-docs.phrma.org. 2020 [cited 7 August 2020]. Available at: http://phrma-docs.phrma.org/sites/default/files/pdf/PhRMA_Improving%20Medication%20Adherence_Issue%.

CPD 40: Medication Adherence in Chronic Disease. Pharmacynewsireland.com. 2020. [cited 7 August 2020] Available at: <https://pharmacynewsireland.com/wp-content/uploads/2015/10/IPN-CPD-40.pdf>.

Shaheen N, Haq N, Riaz S, Naseem A, Zarak M. Assessment of Medication Adherence among Non-communicable Chronic Disease Patients in Quetta, Pakistan: Predictors of Medication Adherence. Asian J Med Health. 2017;4(4):1-9.

Rosen O, Fridman R, Rosen B, Shane R, Pevnick J. Medication adherence as a predictor of 30-day hospital readmissions. Patient Prefer Adherence. 2017;11:801-10.

Alfian SD, Annisa N, Fajriansyah F. Modifiable Factors Associated with Non-adherence to Antihypertensive or Antihyperlipidemic Drugs Are Dissimilar: A Multicenter Study Among Patients with Diabetes in Indonesia. J Gen Intern Med. 2020.

Carollo A, Adamo A, Giorgio DC, Polidori P. DGI-069 the Importance of Clinical Pharmacist Counselling in Improving Patient Medication Adherence. European J Hospital Pharmacy. 2013;20(1):A121.1-A121.

Kronish I, Ye S. Adherence to Cardiovascular Medications: Lessons Learned and Future Directions. Progress Cardiovascular Dis. 2013;55(6):590-600.

Reid D, Abramson M, Raven J, Walters H. Management and treatment perceptions among young adults with asthma in Melbourne: The Australian experience from the European Community Respiratory Health Survey. Respirology. 2000;5(3):281-7.

Almas A, Hameed A, Ahmed B, Islam M. Compliance to antihypertensive therapy. J Coll Physicians Surg Pak. 2006;16(1):23-6.

Syed L, Lynn M. Medication and non-adherence in the older adult. Medicine Health Rhode Island. 2009;92(12):418-9.

Downloads

Published

2020-08-25

How to Cite

Andavar, M., Natarajan, M., & Selvam, M. P. (2020). Assessment of medication adherence using medication adherence rating scale-5 in patients with major non-communicable diseases at tertiary care hospital. International Journal of Basic & Clinical Pharmacology, 9(9), 1412–1416. https://doi.org/10.18203/2319-2003.ijbcp20203628

Issue

Section

Original Research Articles