Improvement in Medication Adherence Using TV Programmes as Reminders

Improvement in Medication Adherence Using TV Programmes as Reminders

Saibal Kumar Saha, Anindita Adhikary, Ajeya Jha, Vijay Kumar Mehta
Copyright: © 2021 |Pages: 13
DOI: 10.4018/IJABIM.20210701.oa15
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Abstract

According to WHO, only 50% of patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets, and on average Indians spend 3 hours, 44 minutes watching television. A TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programmes as a form of reminder in improving medication adherence. With the help of a structured questionnaire, the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programmes as a form of reminder, the odds of missing the medication consciously reduces by 45.9%. At a personal level, the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used, and if the total population is considered, 15.6% fewer people would not be missing the medication at all when the reminder is used.
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Literature Review

Treatment of chronic diseases require long-term therapies. Medication non-adherence is a hurdle for obtaining the desired results in such treatment processes (Alhazami et al., 2020). Non-adherence is a complex set of behaviours which may be due to intentional or unintentional causes (Chan et al., 2020). Patient’s inability to adhere due to lack of resources is called unintentional non-adherence. When patient decides not to follow the regime, it is called intentional non-adherence. Patients may resort to non-adherent behaviour at any stage of the medication process (Hatah et al., 2020).

Studies report that medication non-adherence is a worldwide phenomenon (Hatah et al., 2020). In developed countries non-adherence is reported to be 50% (Institute, 2009). It is estimated that in United States the rate of non-adherence for chronic patients range between 30% to 50% while for developing countries like Gambia and China the rates are 73% and 54% respectively (Sabaté et al., 2001). Studies conducted in Malaysia reported adherence rate to be 53% (Sufiza Ahmad et al., 2013) and 53.4% (Ramli et al., 2012) among patients suffering from diabetes and hypertension. Studies conducted in Europe reported non-adherence to be 60.24% for antiosteoporotics, 55.63% for antihyperlipidemics and 46.80% for oral antidiabetics (Menditto et al., 2018).

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