The brief medication questionnaire: A tool for screening patient adherence and barriers to adherence

The brief medication questionnaire: A tool for screening patient adherence and barriers to adherence
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DOI:
10.1016/s0738-3991(98)00107-4
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发表时间:
1999-06-01
影响因子:
3.5
通讯作者:
Claesson, C
Claesson, C
中科院分区:
医学2区
文献类型:
--
作者:
Svarstad, BL;Chewning, BA;Claesson, C

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用于监测依从性的自我报告工具在识别需要药物帮助的患者、评估患者关注的问题和评估新计划时非常有用。这项研究的目的是测试简明用药问卷(BMQ)的有效性,BMQ是一种新的自我报告工具,用于筛选依从性和依从性障碍。该工具包括一个5项方案屏幕,询问患者过去一周是如何预订每种药物的;2项信念屏幕,询问药物效果和令人烦恼的特征;以及2项回忆屏幕,询问潜在的记忆困难。使用药物事件监测系统(MEMS)对20名患者进行有效性评估。结果因不坚持的类型不同而不同,养生法和信念筛选对“重复”不坚持的敏感度为80%-100%,回忆筛查对“零星”正常坚持的敏感度为90%。BMQ似乎比现有工具更敏感,在识别和诊断依从性问题方面可能有用。(C)1999爱思唯尔爱尔兰科学有限公司。保留所有权利。
Self-report tools for monitoring adherence can be useful in identifying patients who need assistance with their medications, assessing patient concerns, and evaluating new programs. The aim of this study is to test the validity of the Brief Medication Questionnaire (BMQ), a new self-report tool for screening adherence and barriers to adherence. The tool includes a 5-item Regimen Screen that asks patients how they Book each medication in the past week, a 2-item Belief Screen that asks about drug effects and bothersome features, and a 2-item Recall Screen about potential difficulties remembering. Validity was assessed in 20 patients using the Medication Events Monitoring System (MEMS). Results varied by type of non-adherence, with the Regimen and Belief Screens having 80-100% sensitivity for "repeat" non-adherence and the Recall Screen having 90% sensitivity for "sporadic" nora-adherence. The BMQ appears more sensitive than existing tools and may be useful in identifying and diagnosing adherence problems. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.