Wei Li|Sarah Champman|Xiaomei Li|Xin Li|Sumei Li|Ruoling Chen|Bo Nie|Angel Chater|Robert Horne
Beliefs about medicines and non-adherence in patients with stroke, diabetes mellitus and rheumatoid arthritis: a cross-sectional study in China
University College London|University College London|University of Bath|Anhui Provincial Hospital|Anhui Medical University|Tianjin Medical University|Second Hospital of Tianjin Medical University|Anhui Provincial Hospital|Anhui Medical University|University of Wolverhampton|University College London|University College London|University of Bedfordshire|University College London
objectives investigate beliefs medicines association medicine adherence patients chronic diseases china design crosssectional questionnairebased study setting two large urban hospitals hefei tianjin china participants hospital inpatients 313 stroke patients outpatients 315 diabetic patients 339 rheumatoid arthritis ra patients recruited january 2014 september 2014 outcome measures beliefs medicines questionnaire bmq assessing patients beliefs specific medicine specificnecessity specificconcerns prescribed conditions strokediabetesra general background beliefs pharmaceuticals class treatment bmqgeneral benefit harm overuse perceived sensitivity medicines scale psm assessed patients beliefs sensitive effects medicines medication adherence report scale association nonadherence beliefs medicines assessed using logistic regression model results patients diabetes mellitus stronger perceived need treatment mean sd specificnecessity score 375 040 patients stroke 369 053 ra 366 044 p0049 moderate correlations observed specificconcerns generaloveruse generalharm psm pearson correlation coefficients 039 049 049 respectively plt001 three hundred eleven patients nonadherent medicine 159 510 stroke group 60 267 diabetes mellitus group 62 198 ra group plt001 across whole sample adjusting demographic characteristics nonadherence associated patients higher concerns medicines 135 95 ci 107 171 patients believed personally sensitive effects medications 144 95 ci 116 185 conclusion bmq useful tool identify patients risk nonadherence future adherence intervention studies may use bmq screen patients risk nonadherence map interventional support