Developing a method to identify medicines non-adherence in a community sample of adults with epilepsy

作者：Smithson W Henry^*; Hukins Debbie; Colwell Brigitte; Mathers Nigel

来源：Epilepsy and Behavior, 2012, 24(1): 49-53.

DOI：10.1016/j.yebeh.2012.02.015

• Epilepsy management
• Medicines adherence
• Family practice

The aim is to propose a simple way of identifying patients at risk of antiepileptic drug (AED) non-adherence during epilepsy review (a scheduled consultation to review the patient and their condition). The use of a multi-modal approach to the problem of non-adherence is necessary because of the limitations of existing methods.
A mixed methodology was developed in a nested study using a case record review to calculate the medicine possession ratio (MPR) from the AED medication records of a community sample, a literature review and a consensus panel to develop a questionnaire to address how people manage their epilepsy, particularly medicine management, and how to collect information about non-adherence through stated findings in keeping with non-adherent behavior.
Results show that a medicine record can be used to estimate the MPR (<80% indicates non-adherence) and that an open and non-confrontational consultation style can be fostered by using key questions within the consultation to identify those at risk of non-adherence.

• 出版日期2012-5