Measuring patients' self-efficacy in understanding and using prescription medication.

Measuring patients' self-efficacy in understanding and using prescription medication.
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DOI:
10.1016/j.pec.2010.06.029
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发表时间:
2010-09
影响因子:
3.5
通讯作者:
Wolf MS
Wolf MS
中科院分区:
医学2区
文献类型:
--
作者:
Cameron KA;Ross EL;Clayman ML;Bergeron AR;Federman AD;Bailey SC;Davis TC;Wolf MS

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创建一个简短的评估工具,药物理解和使用自我效能量表(MUSE)。对现有量表(沟通和态度自我效能量表)进行了修改、扩充,并在芝加哥、纽约市和路易斯安那州什里夫波特的 267 名初级保健患者中进行了试点。测量了参与者的社会人口统计学、识字率、当前药物使用情况、对药物说明的理解以及药物自我效能。通过主成分分析,出现了两个量表:服用药物和了解药物;这两个因素占理解用药说明总差异的 55%。 MUSE 的表现因识字水平而异;多变量分析发现识字水平和 MUSE 分数之间没有交互作用。根据年龄、教育程度、识字水平和当前处方药数量进行调整的回归分析表明,参与者的 MUSE 分数可以预测患者对常见用药说明的理解(β = 0.07,95% CI 0.001-0.14,p = 0.04)。 MUSE 是一个有效且可靠的工具,用于衡量理解和使用处方药的自我效能。该量表与现有的特定药物自我效能量表不同,因为它既涉及了解患者的药物,也涉及对处方方案的遵守。 MUSE 是一种有效且简短的研究工具,可供不同文化水平的参与者使用。
To create a brief assessment tool, the Medication Understanding and Use Self-Efficacy Scale (MUSE). An existing scale (Communication and Attitudinal Self-Efficacy Scale) was modified, augmented, and piloted among 267 primary care patients in Chicago, New York City, and Shreveport, LA. Participant sociodemographics, literacy, current medication use, understanding medication instructions, and medication self-efficacy were measured. Using principal components analysis, two scales emerged: taking medication and learning about medication; these two factors accounted for 55% of the total variance of understanding medication instructions. Performance on the MUSE differed by literacy level; multivariate analysis detected no interaction between literacy level and MUSE score. Regression analysis, adjusted for age, education, literacy level and number of current prescription medications indicated that participants’ MUSE scores predicted patient understanding of common medication instructions (β = 0.07, 95% CI 0.001–0.14, p = 0.04). The MUSE is a valid and reliable tool measuring self-efficacy of understanding and using prescription medication. This scale differs from existing medication-specific self-efficacy scales as it addresses both learning about one’s medications and adherence to the prescribed regimen. The MUSE is an effective and brief research tool that can be utilized among participants with varying literacy levels.
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