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- Hedenrud, Tove, 1967, et al.
(författare)
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Beliefs about medicines among Swedish pharmacy employees
- 2006
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Ingår i: International Conference on Behavioral Medicine, Bangkok, November 2006..
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Konferensbidrag (refereegranskat)abstract
- The aim was to describe beliefs about medicines among pharmacy employees. A further aim was to analyse whether these beliefs were associated with any background characteristics, such as age, professional category or medication use. The study was performed among pharmacy employees at 24 community pharmacies in Göteborg, Sweden. A majority of the 292 respondents were dispensing pharmacists. More than half of the respondents were aged 45 years or older and had worked in a pharmacy for 20 years or more. The respondents had a mean score for General Benefit of 4.31, 1.81 for General Harm and 3.49 for General Overuse. Each scale score ranged from 1 to 5. Compared to dispensing pharmacists, pharmacy technicians viewed medicines as more harmful; and compared to pharmacy technicians, pharmacists and dispensing pharmacists regarded medicines as more beneficial. Pharmacy employees with 30-34 years experience regarded medicines as less harmful compared to those who had worked 0-4 years. Compared to non-users, current users of prescription drugs regarded medicines as more beneficial. No confounders were detected for the three subscales. Pharmacy personnel expressed positive beliefs about medicines which may effect the communication with clients and, eventually, clients’ adherence to medicines. The reason for the difference between dispensing pharmacists and technicians remain unclear. Health professionals hold both professional and personal health beliefs, which could have an impact, not only on the type of information one considers important to communicate, but also the way it is communicated. With knowledge about potential differences in beliefs about medicines among pharmacy clients, pharmacy employees, doctors and nurses, we may be able to suggest measures in order to enhance adherence among users of medication.
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| 2. |
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| 3. |
- Jörgensen, Tove, 1967, et al.
(författare)
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Beliefs about medicines among Swedish pharmacy employees.
- 2006
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Ingår i: Pharmacy world & science : PWS. - : Springer Science and Business Media LLC. - 0928-1231 .- 1573-739X. ; 28:4, s. 233-8
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the beliefs about medicines among pharmacy employees. A further aim was to analyse whether these beliefs were associated with any background characteristics, such as age, professional category or medication use.
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| 4. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
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Apotekspersonals inställning till läkemedel
- 2005
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Ingår i: Läkemedelskongressens kongressbok 2005.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduktion och syfte Hälso- och sjukvårdspersonal har både professionella och personliga uppfattningar om hälsa. Detta får troligen betydelse både för den information man förmedlar samt på vilket sätt detta sker. Uppfattningars betydelsen i relation till följsamhet till behandling har påtalats [1,2]. Dock visade en finsk studie att apotekspersonalen inte var medvetna om vilken roll deras egna attityder spelade i kommunikationen med kunden [3]. Ett större projekt kommer att analysera och jämföra uppfattningar om läkemedel bland hälso- och sjukvårdspersonal samt patienter. Syftet med denna studie var att beskriva uppfattningar om läkemedel bland apotekspersonal. Metod Studien omfattade personal på 24 öppenvårdsapotek i Göteborg, vilka hade 372 anställda (apotekare, receptarier och apotekstekniker). En enkät delades ut i samband med varje apoteks informationsmöte. Den omfattade bakgrundsfrågor (ålder, yrke, antal år på apotek och läkemedelsanvändning) och den generella delen av Beliefs about Medicines Questionnaire (BMQ). Generella BMQ omfattar 12 frågor som besvaras på en 5-gradig skala. Resultat En majoritet av de 292 deltagarna var receptarier. Mer än hälften var 45 år eller äldre samt hade arbetat på apotek i 20 år eller mer. En högre andel av receptarierna, jämfört med apotekare och apotekstekniker, angav att de för närvarande använde receptbelagda läkemedel. Apotekspersonalens medelvärde för upplevd nytta (General Benefit) var 4,31 och medelvärdet för upplevd risk (General Harm) var 1,81. Apotekstekniker uppfattade risker med läkemedel i större utsträckning än receptarier. Receptarier och apotekare uppfattade nyttan med läkemedel i större utsträckning än apotekstekniker. Inga confounders kunde identifieras för någon av BMQ’s tre underkategorier. Slutsats Skillnaden i uppfattningar om läkemedel mellan yrkeskategorierna kan inte förklaras med de ingående variablerna. Likväl, de positiva uppfattningarna om läkemedel bland apotekspersonalen påverkar troligen kommunikationen med kunderna och, som en följd, följsamheten till behandling.
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| 5. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
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Are beliefs about medicines associated to self-reported adherence among pharmacy clients?
- 2006
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Ingår i: International Journal of Behavioral Medicine. ; 13:Supplement
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Purpose: To analyse if general beliefs about medicines were associated with adherence to medicines among pharmacy clients. Results: Questionnaire data about beliefs and adherence concerning medicines were collected from 324 clients (76% women) in seven community pharmacies in Göteborg, Sweden, 2004. The average age was 47 years (range 18-85) and 90% were born in Scandinavia. Almost half of the clients had a university degree. Questionnaires with missing answers from statements regarding beliefs about medicines and adherence were excluded from the analysis. The analysis included 265 clients of which 54% were considered non-adherent. Almost 40% of the clients stopped taking their medicines sometimes, often or always. A logistic regression analysis, with adherence as the dependent variable and three types of beliefs as independent variables, revealed that beliefs about medicines as something harmful was associated with non-adherence. Being born outside the Nordic countries was statistically significant and a potential confounder. However, the association remained between beliefs about medicines as something harmful and non-adherence. Conclusions: Beliefs about medicines as something harmful was associated to non-adherence to medicines among Swedish pharmacy clients. The association remained after controlling for the background variables. Proposals for action: All health service personnel should be aware of the importance of the patients’ risk-benefit beliefs concerning treatment and medication regimens. We ought to encourage patients to express their own thoughts as a base for the information process. This could help to increase adherence to medicines.
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| 6. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
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Beliefs about medicines and self-reported adherence among pharmacy clients
- 2007
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Ingår i: Patient Education and Counseling. - : Elsevier BV. - 0738-3991. ; 69, s. 158-164
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To analyse any association between general beliefs about medicines and self-reported adherence among pharmacy clients. Further, to examine general beliefs about medicines by background variables. Methods: The data were collected by questionnaires including the general section of the Beliefs about Medicines Questionnaire (BMQ), the selfreporting Medication Adherence Report Scale (MARS) and the following background variables: gender, age, education, country of birth and medicine use. The General BMQ measures beliefs about medicines as something harmful (General-Harm), beneficial (General-Benefit) and beliefs about how doctors prescribe medicines (General-Overuse). Results: Of the 324 participating pharmacy clients, 54% were considered non-adherent. An association was found between General-Harm and adherence. Adherent behaviour and higher level of education were associated respectively with more beneficial and less harmful beliefs about medicines. Those born in the Nordic countries regarded medicines as more beneficial. Current users of herbal medicines and non-users of medicines were more likely to believe that doctors overprescribed medicines. Conclusions: General-Harm was associated with adherence to medication among Swedish pharmacy clients. Country of birth, education and medicine use influenced beliefs about medicines. Practice implications: Increased awareness of the patient’s beliefs about medicines is needed among healthcare providers. We should encourage patients to express their views about medicines in order to optimize and personalize the information process. This can stimulate concordance and adherence to medication.
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| 7. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
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Different development of general beliefs about medicines during undergraduate studies in medicine, nursing and pharmacy
- 2009
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Ingår i: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 75:2, s. 283-289
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To analyze differences in general beliefs about medicines between healthcare students and to see if health education was of importance to general beliefs about medicines.Method: The participants were students of medicine, pharmacy, pharmaceutical bioscience, dispensing pharmacy, nursing and economics (comparison group) at the University of Gothenburg. Data were collected twice in 2003 and 2005. A questionnaire was used comprising background questions and the general part of Beliefs about Medicines Questionnaire.Results: The questionnaire was completed by 460 of 642 (71.7%) first-year and 293 of 398 (73.6%) thirdyear students. Over 70% were women and two-thirds were under 25 years of age. Medical and pharmacy students saw medicines as less harmful than nursing students did. Stage of education was also important: third-yearmedical and pharmacy students saw medicines as more beneficial and less harmful than firstyear students did. Experience of medicine use was relevant to general beliefs about medicines.Conclusion: Different beliefs exist between healthcare professions owing to different types and stages of education, which could result in different messages being given to the patient.Practice implications: It is important to educate future healthcare professionals about the potential effect of beliefs on communication.
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| 8. |
- Mårdby, Ann-Charlotte, 1976, et al.
(författare)
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General beliefs about medicines among doctors and nurses in out-patient care: a cross-sectional study.
- 2009
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Ingår i: BMC family practice. - : Springer Science and Business Media LLC. - 1471-2296. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Doctors and nurses are two natural partners in the healthcare team, but they usually differ in their perspectives on how to work for increased health. These professions may also have different beliefs about medicines, a factor important for adherence to medicines. The aim was to explore general beliefs about medicines among doctors and nurses. METHODS: Questionnaires were sent to 306 private practitioners (PPs), 298 general practitioners (GPs) and 303 nurses in the county of Västra Götaland, Sweden. The questionnaire included sociodemographic questions and the general part of the Beliefs about Medicines Questionnaire (BMQ), which measures the beliefs people have about medicines in general. General beliefs about medicines in relation to background variables were explored with independent t-tests and ANOVA analyses. Differences between occupations and influences of interaction variables were analysed with multiple linear regression models for general beliefs about medicines. RESULTS: The data collection resulted in 616 questionnaires (62.1% PPs; 61.6% GPs; 80.5% nurses). The majority of the PPs and 40% of the GPs were male but most of the nurses were female. The GPs' mean age was 47 years, PPs' 60 years and nurses' 52 years. Few nurses originated from non-Nordic countries while 15% of the PPs and 25% of the GPs did. Nurses saw medicines as more harmful and less beneficial than did PPs and GPs. These differences could not be explained by the included interaction variables. GPs with a Nordic background saw medicines as more beneficial and less harmful than did GPs with a non-Nordic background.Furthermore, GPs of non-Nordic origin were most likely to believe that medicines were overprescribed by doctors. CONCLUSION: Doctors were more positive about medicines than nurses. The differences in beliefs about medicines found between doctors and nurses could not be explained by any of the included interaction variables. These differences in beliefs may be useful in discussions among future and practising doctors and nurses to enhance understanding of each other's profession and teamwork.
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| 9. |
- Mårdby, Ann-Charlotte, 1976
(författare)
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General Beliefs about Medicines among Pharmacy Clients, Healthcare Students and Professionals - Group Differences and Association with Adherence
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: only about 50% of all medicines are used as the prescriber intended. If medicines are prescribed in an adequate way, an optimised adherence can decrease mortality and hospitalisation and improve health-related outcomes. Beliefs about medicines have been shown to be an important factor in adherence. Furthermore, beliefs can also bias the content of patient communication, which is central to patient-centred care. Research shows that it has been difficult to optimise adherence with existing knowledge. To increase the knowledge about pharmacy clients’ and healthcare professionals’ beliefs about medicines could be a new angle in adherence research. Aims: to examine general beliefs about medicines among Swedish pharmacy clients, healthcare students and professionals. A further aim was to analyse the association between general beliefs about medicines and self-reported adherence in pharmacy clients. Methods: the thesis is based on four quantitative, cross-sectional studies. Participants in the studies were pharmacy clients, healthcare students, doctors, nurses and pharmacy employees. The data collections were done through questionnaires including the general part of Beliefs about Medicines Questionnaire (BMQ), Medicine Adherence Report Scale (MARS) and background questions: sex, age, occupation, education, country of birth and own experience of medicines. Results: differences in general beliefs about medicines were found between pharmacy clients and practising healthcare professionals. Pharmacy clients believed medicines to be more harmful than practising healthcare professionals did. Doctors, pharmacists and dispensing pharmacists had more beneficial and less harmful beliefs about medicines compared with nurses. Similar patterns were seen for medical, pharmacy and nursing students. Furthermore, third-year medical and pharmacy students were more positive about medicines than first-year students were in these educations. Education, origin and own medicine use were important factors in general beliefs about medicines. Furthermore, beliefs about medicines as something harmful were associated with self-reported non-adherence in pharmacy clients. Conclusions: there were distinct differences in general beliefs about medicines between pharmacy clients and healthcare professionals. If these differences are not acknowledged there could be consequences for patient communication and the interrelationship between doctors, nurses and pharmacy employees. It is also important to increase knowledge about how general beliefs about medicines and adherence are associated. The results of this thesis can be used for future interventions and research aiming for improved adherence.
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| 10. |
- Mårdby, Ann-Charlotte, 1976
(författare)
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Olika uppfattningar om läkemedel hos vårdgivare och patienter kan leda till ohälsa
- 2008
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Ingår i: Läkemedelskongressens kongressbok 2008.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Människors uppfattningar om läkemedel är viktiga för följsamheten till läkemedelsbehandlingar (1) och för patientkommunikationen (2). Tyvärr inser inte alla vårdgivare vikten patienters uppfattningar om läkemedel under mötet med patienten (3, 4) eller att de egna uppfattningarna kan vara en barriär under kommunikationen (3). Forskning har kunnat visa att det finns klara skillnader i uppfattningar om läkemedel mellan patienter och olika vårdgivare samt att flertalet faktorer är betydelsefulla för dessa uppfattningar (5). Om dessa skillnader inte uppmärksammas kan det få betydelse för patientkommunikationen samt för de inbördes relationerna mellan läkare, sjuksköterskor och apotekspersonal. I slutändan skulle detta kunna skapa läkemedelsrelaterade problem och ohälsa för patienten. 1.Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther 2001;26(5):331-42. 2.Ogden J. Doctor-patient communication and the role of health professionals' health beliefs. In: Health Psychology - a textbook. 3rd ed. Berkshire: Open University Press; 2004. p. 75-97. 3.Kansanaho HM, Puumalainen, II, Varunki MM, Airaksinen MS, Aslani P. Attitudes of Finnish community pharmacists toward concordance. Ann Pharmacother 2004;38(11):1946-53. 4.Stevenson FA, Gerrett D, Rivers P, Wallace G. GPs' recognition of, and response to, influences on patients' medicine taking: the implications for communication. Fam Pract 2000;17(2):119-23. 5.Mardby A-C. General Beliefs about Medicines among Pharmacy Clients, Healthcare Students and Professionals - Group Differences and Association with Adherence. Gothenburg: University of Gothenburg; 2008.
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