Browsing by Subject "Medication"
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Item Medical versus Surgical Solutions for Acid Reflux(2012-04-10) Rooney, MeganItem Medication Adherence of Patient Assistance Program Recipients: A Pilot Study(University of Minnesota, College of Pharmacy, 2012-10) Conley, Christian S.; Hughes, Peter J.Purpose: Evaluate medication adherence of prescription assistance program recipients at an inner-city clinic. Methods: Surveys were administered at enrollment and 6 months following enrollment to patients who were either recipients of at least one patient assistance program (PAP) or had prescription benefits through Alabama Medicaid. Data on patient demographics, Morisky Medication Adherence Survey (MMAS) scores, mean possession ratio (MPR), and drug classes were collected for 6 months. Results: The baseline MMAS score concluded that both the PAP group and Alabama Medicaid group were highly motivated and highly knowledgeable regarding adherence to prescribed medications. After 6 months, administration of the same MMAS instrument resulted in a category change in the PAP group from highly motivated and knowledgeable to low motivation and high knowledge. The Medicaid MMAS adherence category did not change from baseline after 6 months. The 6-month mean MPR for the PAP and Medicaid groups were 0.542 and 0.823, respectively. Conclusion: Providing free or low-cost medication plus customary counseling should not be the sole interventions for the uninsured patient. In this study, PAP recipient MMAS score change and low mean MPR suggest that additional interventions are needed to ensure that PAP recipients adhere to prescribed therapies.Item The role of social networks in medication information seeking behavior(2009-05) Kjos, Andrea LeeThe study purpose was to determine the role of social networks in medication information seeking behavior by describing the structure of social networks that provide information, the content provided, and the function of information in addition to individual characteristics of people who use various types of social networks to obtain medication information. This was an exploratory qualitative research study, which used volunteering participants who were at least eighteen years old. Forty subjects completed a personal interview that measured aspects of one's social network as a modality to seek medication information. Data were audio recorded and transcribed using theory and prior research driven themes as a basis for ethnographic content analysis. Phase I analysis found that social network structures used for obtaining medication information were made up of health professionals and lay social contacts. Content themes included factual information, personal experiences, and beliefs and attitudes. Function themes were identified as decision making, diagnosis, monitoring, prescriptive or recommendations, social support, staying informed, or validation. Phase II analysis used clustering of social network types and themes to create coding intersections within the data to explore co-occurring thematic concepts. Social network contacts displayed different roles for what content was provided and the subsequent function of the information. For health professionals, the strongest content related role was to provide factual information functioning to support patient decision making, monitoring, recommendations, staying informed, and validation of information. In contrast, the role of content provision from lay contacts was to provide factual information, personal experiences and beliefs and attitudes functioning to support decision making, monitoring, recommendations, social support, staying informed, or validation of information. Findings from this study described the role of social networks in medication information seeking behavior of patients as complex, dynamic, and important to the medication use experience. The study concluded that patients use social network contacts from both inside and outside of health care to satisfy all types of information needs. Finally, by coming to a more complete understanding of the social nature of the information environment, health professionals can better understand information needs from a patient's perspective.