Diabetes Mellitus, Type 2, Heart Failure, Medication Adherence, Patient Education as Topic, Pulmonary Disease, Chronic Obstructive, Surveys and Questionnaires
Conditions
Keywords
Surveys and Questionnaires, Patient Education as Topic, Medication Adherence, Pulmonary Disease, Chronic Obstructive, Diabetes Mellitus, Type 2, Heart failure
Brief summary
Medication non-adherence is an economic problem and a major public health challenge. Factors influencing medication adherence can be modelled according to five dimensions: disease, medication, patient and its close relatives, demographic and socioeconomic factors and health care system. A tool is needed to qualify medication adherence in order to adapt tailored support for individual patients to promote and optimize adherence to therapy. The objective of this work is to present the preliminary results of QUILAM project which is divided into 3 phases: 1. Development of a tool to assess barriers to medication adherence in chronic patient (COPD, Heart failure, Type 2 diabetes) ; 2. Validation of the instrument (especially against clinical criteria) ; 3. Evaluation of the sensitivity of the tool during educational interventions.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with at least one of the following pathologies: diabetes type II, COPD, heart failure * person available for a follow-up of 1 year * Affiliated to the social security or recipient of such a regime
Exclusion criteria
* Persons referred to in articles L1121-5 and L1121-8 in the french public health code * Patient who do not speak french
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of events 'hospitalization and death' for 2 patient groups defined through the questionnaire QUILAM score | 12 month |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility and acceptability of the questionnaire (duration / missing data) | 12 month |
| Reliability over time of the questionnaire (test-retest J0 - J15) | 12 month |
| External construct validity (Girerd, SatMedQ, BMQ) | 12 month |
| Number of clinical events for 2 patient groups | 12 month |
| Number of events 'hospitalization and death' for 2 patient groups separate with different cut off | 12 month |
Countries
France