Evidence map›Paper›PMID 31908424›Full record

ArticlePatient preference and adherence2019

Exploring Medicines Burden Among Adults in New Zealand: A Cross-Sectional Survey.

June M Tordoff, Charlotte Brenkley, Janet Krska, Alesha Smith

Abstract read
In one paragraph

Article in Patient preference and adherence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

June M TordoffSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-5571-7592
Charlotte BrenkleyKarori Mall Pharmacy, Wellington, New Zealand.
Janet KrskaMedway School of Pharmacy, Universities of Greenwich and Kent, Chatham, Kent, UK.ORCID 0000-0002-4148-5652
Alesha SmithSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID 0000-0003-1056-9527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing medicines regularly can be a burden for some people and can contribute to reduced adherence. In New Zealand, relatively few studies have examined people's medicine-taking experiences and most involved older people, although medicine burden is also an issue for younger people. The UK-developed "Living with Medicines Questionnaire" (LMQ-3) is an instrument designed to quantify medicine burden.

objectiveThe objective was to quantify medicines burden among New Zealand adults, using the LMQ-3, to identify any sub-populations with high medicine burden and to identify specific issues that may need to be addressed.

settingThe study was set in New Zealand and included seven national patient support group websites, and five community pharmacies in Dunedin.

methodsThe survey was distributed to adults ≥18 years using ≥ one medicine for ≥3 months. LMQ-3 scores and domain scores were compared by patient characteristics using descriptive statistics and statistical tests.

resultsIn total, 472 responses were analysed: 327/417 (78.4%) from patient support group websites and 145/360 (40.3%) from community pharmacies. Most commonly participants were female (295, 62.5%), ≥65 years (236, 50.0%), European (422, 89.4%), retired (232, 49.2%), university educated (203, 43.0%), used medicines independently (449, 95.1%), and paid for prescriptions (429, 90.9%). Most used <10 medicines (415, 87.9%) and <three times daily (356, 75.4%). From LMQ scores, 30.5% had a high burden (≥111). Regression analysis indicated that higher LMQ-3 scores were associated with those who were unemployed, aged 18-29 years, using ≥5 medicines, or using medicines <3 times a day (p<0.01). Burden was mainly driven by a perceived lack of autonomy over medicine regimens, or concerns about medicines and side effects.

conclusionThree quarters of New Zealand participants experienced moderate or high medicine burden. Being unemployed, aged 18-29 years, or using more (or more frequent) medicines, were associated with higher burden. These groups should become the target for interventions seeking to reduce medicine burden.

Indexed as

long-term conditionsmedicinesNew Zealandpatients’ perspectivesside effectstreatment burden

Identifiers

PMID31908424
PMCPMC6930007

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.