Assessment of medication adherence using medication adherence rating scale-5 in patients with major non-communicable diseases at tertiary care hospital

Authors

  • Marina Andavar Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India
  • Mahalakshmi Natarajan Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India
  • Mahendravarman Paneer Selvam Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20203628

Keywords:

MARS-5, Non-communicable chronic illness, Non-compliance, Pharmaceutical care, Patient counselling

Abstract

Background: To assess the medication adherence using medication adherence rating scale (MARS-5) for achieving good clinical outcomes in patients with major non-communicable chronic diseases who are undergoing long-term therapy and to compare the adherence between adult and geriatric patients based on patient counselling.

Methods: A Prospective observational study was conducted in the Department of Medicine, Raja Muthiah Medical College Hospital (RMMCH), Chidambaram, India over a period of 6 months. Patient details were collected using self-designed patient proforma. Patients’ medication adherence was assessed using MARS-5 and patients were counselled regarding drug use with the help of pictograms and daily monitoring sheet.

Results: A total of 150 patients were enrolled in the study out of which 77 were adults and 73 were from the geriatric population. 65.33% were affected with comorbid conditions. Non-compliance was mainly due to forgetfulness, lack of assistance in the elderly population, polypharmacy and also due to failing to refill prescriptions. Nearly half of the population about 40% showed poor adherence before patient counselling and was reduced to 13.33% after proper patient counselling. And the medication adherence was found to be more among the adults 90.90% when compared to the geriatric population 82.19%.

Conclusions: A new approach through pharmaceutical care was implemented; it mainly aims in delivering information regarding the importance of therapy in non-communicable chronic illness and also on the non-therapeutic considerations. It also focuses in conveying the importance of their lives to their families and to the society, thereby improving the adherence to medicine.

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Author Biography

Marina Andavar, Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India

Department Of Pharmacy

References

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Published

2020-08-25

How to Cite

Andavar, M., Natarajan, M., & Selvam, M. P. (2020). Assessment of medication adherence using medication adherence rating scale-5 in patients with major non-communicable diseases at tertiary care hospital. International Journal of Basic & Clinical Pharmacology, 9(9), 1412–1416. https://doi.org/10.18203/2319-2003.ijbcp20203628

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Original Research Articles