Document Detail


Evaluation of medication adherence and quality of life in patients with hepatitis C virus receiving combination therapy.
MedLine Citation:
PMID:  20890160     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The purpose of this study was to identify medication adherence for patients infected with hepatitis C virus (HCV) referred to an interdisciplinary HCV education and monitoring service, evaluate changes in quality of life (QOL) and medication adherence during the first 3 months of HCV therapy, and determine relationships between adherence and QOL. Patients completed an initial survey before initiating the therapy evaluating medication adherence and QOL. They then received a structured training on HCV medications and monthly monitoring phone call from a pharmacist throughout the therapy. After 3 months of treatment, a follow-up survey was conducted to evaluate adherence, satisfaction, and QOL. Medication adherence was also assessed via patient self-report during follow-up phone calls. Patients expressed satisfaction with the care provided by the pharmacist and nurse practitioner individually and working collaboratively during their HCV therapy. Patients reported taking 99.8% of total interferon and ribavirin doses during the first 3 months of the therapy. Patients who indicated that they sometimes stopped taking medication when they felt worse had higher median aggregate physical functioning scores (p = .04) and those with no comorbidities found dosage times more inconvenient than those with at least one comorbidity (p = .046). Patients in a pharmacist-run HCV education service have high self-reported adherence rates and are satisfied with the interdisciplinary model of care. Quality of life may be associated with adherence; higher functioning, healthier patients may be more likely to stop taking HCV medications owing to side effects or inconvenience.
Authors:
Jennifer L Rodis; Pamella Kibbe
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates     Volume:  33     ISSN:  1538-9766     ISO Abbreviation:  Gastroenterol Nurs     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-10-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8915377     Medline TA:  Gastroenterol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  368-73     Citation Subset:  N    
Affiliation:
The Ohio State University College of Pharmacy, Columbus, OH 43210, USA. rodis.2@osu.edu
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