Evidence map›Paper›PMID 34511888›Full record

ArticlePatient preference and adherence2021

Home Care Patients' Experiences with Home Care Nurses' Support in Medication Adherence.

Nienke E Dijkstra, Marcia Vervloet, Carolien G M Sino, Eibert R Heerdink, Marjorie Nelissen-Vrancken, Nienke Bleijenberg, Marijn de Bruin, Lisette Schoonhoven

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Effect of the home care model in orthopedic wounds management.Journal of family medicine and primary care · 2023
    Article
  7. Article
  8. Prospects for the application of home care in chronic wound management.Journal of family medicine and primary care · 2023
    Review
  9. Article
  10. Article
  11. Article
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

8 authors at 5 institutions in 2 countries.

Nienke E DijkstraResearch Group Care for the Chronically Ill, University of Applied Sciences Utrecht, Utrecht, the Netherlands.ORCID 0000-0003-1742-5462
Marcia VervloetNivel, Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
Carolien G M SinoResearch Group Care for the Chronically Ill, University of Applied Sciences Utrecht, Utrecht, the Netherlands.
Eibert R HeerdinkResearch Group Innovation in Pharmaceutical Care, University of Applied Sciences Utrecht, Utrecht, the Netherlands.ORCID 0000-0002-5946-7209
Marjorie Nelissen-VranckenDutch Institute for Rational Use of Medicine, Utrecht, the Netherlands.
Nienke BleijenbergResearch Group Care for the Chronically Ill, University of Applied Sciences Utrecht, Utrecht, the Netherlands.
Marijn de BruinIQ Healthcare, Radboud University Medical Centre, Nijmegen, the Netherlands.
Lisette SchoonhovenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0002-7129-3766
University of Applied Sciences Utrecht · NLInstituut voor Verantwoord Medicijngebruik · NLNetherlands Institute for Health Services Research · NLRadboud University Nijmegen · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe nurses' support interventions for medication adherence, and patients' experiences and desired improvements with this care. PATIENTS AND

methodsA two-phase study was performed, including an analysis of questionnaire data and conducted interviews with members of the care panel of the Netherlands Patients Federation. The questionnaire assessed 14 types of interventions, satisfaction (score 0-10) with received interventions, needs, experiences, and desired improvements in nurses' support. Interviews further explored experiences and improvements. Data were analyzed using descriptive statistics and a thematic analysis approach.

resultsFifty-nine participants completed the questionnaire, and 14 of the 59 participants were interviewed. The satisfaction score for interventions was 7.9 (IQR 7-9). The most common interventions were: "noticing when I don't take medication as prescribed" (n = 35), "helping me to find solutions to overcome problems with using medications" (n = 32), "helping me with taking medication" (n = 32), and "explaining the importance of taking medication at the right moment" (n = 32). Fifteen participants missed ≥1 of the 14 interventions. Most mentioned the following: "regularly asking about potential problems with medication use" (33%), "regularly discussing whether using medication is going well" (29%), and "explaining the importance of taking medication at the right moment" (27%). Twenty-two participants experienced the following as positive: improved self-management of adequate medication taking, a professional patient-nurse relationship to discuss adherence problems, and nurses' proactive attitude to arrange practical support for medication use. Thirteen patients experienced the following as negative: insufficient timing of home visits, rushed appearance of nurses, and insufficient expertise about side effects and taking medication. Suggested improvements included performing home visits on time, more time for providing support in medication use, and more expertise about side effects and administering medication.

conclusionOverall, participants were satisfied, and few participants wanted more interventions. Nurses' support improved participants' self-management of medication taking and enabled patients to discuss their adherence problems. Adequately timed home visits, more time for support, and accurate medication-related knowledge are desired.

Indexed as

home carehome care nursesmedication adherencepatient adherencepatient preferencepatient satisfaction

Identifiers

PMID34511888
PMCPMC8420798
OpenAlexW3196895167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.