Medication Beliefs Among Patients with Inflammatory Bowel Disease Who Report Low Quality of Life: a Qualitative Study

Overview

Journal BMC Gastroenterol

Publisher Biomed Central

Specialty Gastroenterology

Date 2007 Jun 15

PMID 17559670

Citations 12

Authors

Nicola J Hall

Gregory P Rubin

A P S Hungin

Audrey Dougall

Affiliations

Soon will be listed here.

Abstract

Background: Non-adherence to drug therapy is common in Inflammatory Bowel Disease (IBD). Patients' beliefs about treatment have an important influence on adherence. An in-depth understanding of this area is, therefore, important for patient-centred care. The aim of the study was to assess patients' perspectives and beliefs about their medication and to determine how this relates to medicine taking and other related health behaviour as part of a larger qualitative study on health care related behaviour in patients with IBD.

Methods: Individual semi-structured interviews and focus groups. An iterative approach following principles of grounded theory was applied to data collection and analysis.

Results: Main emerging themes were: balance of perceived necessity versus concerns, perceived impact of symptoms and willingness to self-manage medication. There was a clear distinction made between steroids and other preparations. Concerns included the fear of both short and long-term side-effects (mainly steroids), uncertainties about drug interactions and development of long-term immunity. Adapting to and accepting medication use was linked to acceptance of IBD.

Conclusion: A concordant approach including flexible and pro-active support as well as accurate information is important in assisting patients with IBD to self-manage their medication effectively. Health professionals should be aware that attitudes to medicine taking and other related behaviours may be medicine specific and change over time.

Citing Articles

"It's just like putting your socks on": patients' perspectives on inflammatory bowel disease medication adherence.

Amiesimaka O, Aluzaite K, Braund R, Schultz M Explor Res Clin Soc Pharm. 2023; 12:100385.

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The development of a novel, multilingual IBD knowledge questionnaire for Asian patients with inflammatory bowel disease.

Wan Ibrahim N, Danaee M, Khoo X, Sithambaram S, Shahrani S, Leow A BMC Gastroenterol. 2023; 23(1):185.

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Barriers and facilitators of micronutrient supplementation among non-pregnant women of reproductive age in Johannesburg, South Africa.

Silubonde T, Draper C, Baumgartner J, Ware L, Smuts C, Norris S PLOS Glob Public Health. 2023; 2(11):e0001310.

PMID: 36962846 PMC: 10021408. DOI: 10.1371/journal.pgph.0001310.

An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks.

Peh K, Kwan Y, Goh H, Ramchandani H, Phang J, Lim Z J Gen Intern Med. 2021; 36(9):2784-2795.

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Patient Perspectives on Short-Course Pharmacotherapy: Barriers and Facilitators to Medication Adherence.

Sherwin L, Ross D, Matteson-Kome M, Bechtold M, Deroche C, Wakefield B J Patient Exp. 2020; 7(5):726-733.

PMID: 33294608 PMC: 7705821. DOI: 10.1177/2374373519882230.

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