The Resource A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients, by Michelle Matteson, (electronic resource)

A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients, by Michelle Matteson, (electronic resource)

Label
A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients
Title
A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients
Statement of responsibility
by Michelle Matteson
Creator
Subject
Genre
Language
eng
Summary
Background: Medication nonadherence in inflammatory bowel disease (IBD) can lead to suboptimal control of the disease, decreased quality of life, and poorer outcomes. This pilot study evaluated the feasibility, intervention mechanism, and potential effectiveness of a three-month continuous self-improvement (CSI) intervention to enhance medication adherence in adult nonadherent IBD patients. Methods: Adult IBD patients taking a daily or twice-daily dosed maintenance medication were screened for two months to determine baseline medication adherence levels. Adherence was monitored electronically. Nonadherent IBD participants were randomized to receive either the CSI intervention or the attention control intervention and then monitored for three-months. The CSI intervention consisted of a data evaluation and system refinement process in which personal system changes were identified and implemented. The attention control group was given only educational information regarding IBD disease process, extra-intestinal manifestations of IBD, and medical therapy actions and side effects. Demographic statistics, change scores for within and between-group differences, and effect size estimates were calculated. Results: Nine nonadherent participants (medication adherence score <.85) were eligible for randomization. The intervention was found to be feasible and acceptable. System thinking scores trended in the anticipated direction. Although no statistically significant improvement in medication adherence was found (p=0.14), medication adherence improved in 3 of 4 of the CSI group and only 1 of 2 in the attention control group. The effect size calculation of 1.9 will determine the sample size for future study. Conclusions: The results of this pilot study showed the intervention was feasible and had a positive effect on the medication adherence change score and on adherence levels. A larger fully powered study is needed to test of the effectiveness of this innovative intervention
Cataloging source
MMU
http://library.link/vocab/creatorName
Matteson, Michelle
Degree
Ph. D.
Dissertation year
2011.
Government publication
government publication of a state province territory dependency etc
Granting institution
University of Missouri-Columbia
Illustrations
  • phonodisk
  • illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • handbooks
  • theses
  • bibliography
NLM call number
W 85
http://library.link/vocab/subjectName
  • Irritable Bowel Syndrome
  • Medication Adherence
  • Feasibility Studies
  • Health Behavior
  • Outcome and Process Assessment (Health Care)
  • Patient Compliance
  • Pilot Projects
Label
A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients, by Michelle Matteson, (electronic resource)
Instantiates
Publication
Contributor
Thesis advisor
Note
  • The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file
  • Vita
  • Thesis advisor: Cynthia Russell
  • "December 2011"
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
803998340
Extent
1 online resource (v, 141 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations (some color).
Specific material designation
remote
System control number
(OCoLC)803998340
Label
A pilot intervention to improve medication adherence in nonadherent inflammatory bowel disease patients, by Michelle Matteson, (electronic resource)
Publication
Contributor
Thesis advisor
Note
  • The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file
  • Vita
  • Thesis advisor: Cynthia Russell
  • "December 2011"
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
803998340
Extent
1 online resource (v, 141 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations (some color).
Specific material designation
remote
System control number
(OCoLC)803998340

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