Illness Perception and Medication Adherence Among Patients with Primary Hypothyroidism in Al Qassim, Saudi Arabia

Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients....

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Published inPatient preference and adherence Vol. 14; pp. 1111 - 1117
Main Authors Alluhayyan, Omar Buraykan, Alsahly, Rakan Jaser, Aldawsari, Abdulrahman Abbas, Alghabawy, Khaled Abdulrahman, Alqaan, Rifal Saleh, Almutairi, Abeer Fahad, Alharbi, Saleh Ali
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Published New Zealand Taylor & Francis Ltd 01.01.2020
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Abstract Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients. We conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis. We found a significant positive correlation between BIPQ subscales - personal control, treatment control, and understanding - with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence. This study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.
AbstractList Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients. We conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis. We found a significant positive correlation between BIPQ subscales - personal control, treatment control, and understanding - with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence. This study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.
Omar Buraykan Alluhayyan,1 Rakan Jaser Alsahly,2 Abdulrahman Abbas Aldawsari,2 Khaled Abdulrahman Alghabawy,1 Rifal Saleh Alqaan,1 Abeer Fahad Almutairi,1 Saleh Ali Alharbi3 1College of Medicine, Qassim University, Al Qassim, Saudi Arabia; 2College of Medicine, Majmaah University, Majmaah, Saudi Arabia; 3Department of Family and Community Medicine, King Saud Hospital, Al Qassim, Saudi ArabiaCorrespondence: Omar Buraykan AlluhayyanQassim University, Al Qassim, Saudi ArabiaTel +966 594474177Email 351114266@qu.edu.saPurpose: Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients.Patients and Methods: We conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis.Results: We found a significant positive correlation between BIPQ subscales - personal control, treatment control, and understanding - with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence.Conclusion: This study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.Keywords: hypothyroidism, levothyroxine, medication adherence, illness perception
PURPOSEPoor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients. PATIENTS AND METHODSWe conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis. RESULTSWe found a significant positive correlation between BIPQ subscales - personal control, treatment control, and understanding - with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence. CONCLUSIONThis study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.
Purpose: Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health outcomes. This study aimed to investigate the correlation between illness perception and medication adherence among primary hypothyroidism patients. Patients and Methods: We conducted a cross-sectional survey among primary hypothyroidism patients who met the inclusion criteria in the Qassim region of Saudi Arabia using a questionnaire with demographic characteristics, clinical factors, the 12-Item Medication Adherence Scale, and the Brief Illness Perception Questionnaire (BIPQ). We included 400 patients in the analysis. Results: We found a significant positive correlation between BIPQ subscales – personal control, treatment control, and understanding – with all domains of the 12-Item Medication Adherence Scale. The other dimensions of BIPQ subscales did not significantly correlate with medication adherence. However, a high BIPQ overall score was significantly correlated with poor medication adherence. Conclusion: This study found a significant correlation between a high BIPQ overall score and poor medication adherence. This finding suggests the need to consider the emotional and cognitive representation of hypothyroidism in hypothyroid patients to improve their treatment adherence.
Author Alharbi, Saleh Ali
Aldawsari, Abdulrahman Abbas
Alqaan, Rifal Saleh
Alsahly, Rakan Jaser
Alluhayyan, Omar Buraykan
Almutairi, Abeer Fahad
Alghabawy, Khaled Abdulrahman
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32753851$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1080_20473869_2023_2272089
crossref_primary_10_7759_cureus_62659
crossref_primary_10_7759_cureus_40686
crossref_primary_10_1007_s12020_023_03622_1
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Cites_doi 10.4103/ijem.IJEM_49_17
10.4321/S1886-36552011000200003
10.1016/S0140-6736(17)30703-1
10.1016/S0149-2918(01)80109-0
10.1080/13696998.2018.1484749
10.1592/phco.28.4.437
10.1177/1060028014526562
10.2147/PPA.S192008
10.2147/PPA.S230921
10.1089/thy.2014.0028
10.1111/j.1365-2265.1995.tb01894.x
10.1371/journal.pone.0103090
10.1016/j.colegn.2015.08.003
10.1007/s40615-018-00550-z
10.1016/j.ahj.2011.06.007
10.1016/j.sapharm.2011.09.002
10.1038/jhh.2015.8
10.1371/journal.pone.0204814
10.1111/j.1365-2702.2008.02706.x
10.26719/emhj.18.022
10.3402/ljm.v11.31976
10.15761/TDM.1000107
10.4065/mcp.2010.0575
10.18553/jmcp.2014.20.1.58
10.11604/pamj.2014.17.252.2972
10.1038/sj.jhh.1001721
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Keywords levothyroxine
medication adherence
hypothyroidism
illness perception
Language English
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References Chaker (ref1) 2017; 390
Saini (ref27) 2009; 15
Ross (ref9) 2004; 18
Lee (ref24) 2017; 24
Vanderpump (ref2) 1995; 43
Rwegerera (ref29) 2014; 17
Briesacher (ref6) 2008; 28
Rajpura (ref23) 2014; 20
Zhang (ref26) 2014; 48
Claxton (ref28) 2001; 23
Shakya Shrestha (ref7) 2018; 62
Saarti (ref16) 2016; 11
Kumar (ref21) 2017; 21
Jonklaas (ref4) 2014; 24
Kucukarslan (ref14) 2012; 8
Nwabuo (ref18) 2014; 9
Adisa (ref30) 2011; 9
Aljabri (ref3) 2019; 2
Hepp (ref17) 2018; 21
Bosworth (ref20) 2011; 162
(ref5) 2001
Crilly (ref8) 2005; 55
Helou (ref11) 2019; 25
Christiani (ref10) 2015; 29
Brown (ref19) 2011; 86
Lor (ref25) 2019; 6
Alsubeeh (ref15) 2019; 13
Miyazaki (ref13) 2018; 13
Taibanguay (ref12) 2019; 13
Chen (ref22) 2009; 18
References_xml – volume: 21
  start-page: 429
  year: 2017
  ident: ref21
  publication-title: Indian J Endocrinol Metab
  doi: 10.4103/ijem.IJEM_49_17
  contributor:
    fullname: Kumar
– volume: 9
  start-page: 72
  year: 2011
  ident: ref30
  publication-title: Pharm Pract (Granada)
  doi: 10.4321/S1886-36552011000200003
  contributor:
    fullname: Adisa
– volume: 390
  start-page: 1550
  year: 2017
  ident: ref1
  publication-title: Lancet
  doi: 10.1016/S0140-6736(17)30703-1
  contributor:
    fullname: Chaker
– volume: 23
  start-page: 1296
  year: 2001
  ident: ref28
  publication-title: Clin Ther
  doi: 10.1016/S0149-2918(01)80109-0
  contributor:
    fullname: Claxton
– volume: 21
  start-page: 912
  year: 2018
  ident: ref17
  publication-title: J Med Econ
  doi: 10.1080/13696998.2018.1484749
  contributor:
    fullname: Hepp
– volume: 28
  start-page: 437
  year: 2008
  ident: ref6
  publication-title: Pharmacotherapy
  doi: 10.1592/phco.28.4.437
  contributor:
    fullname: Briesacher
– volume: 48
  start-page: 741
  year: 2014
  ident: ref26
  publication-title: Ann Pharmacother
  doi: 10.1177/1060028014526562
  contributor:
    fullname: Zhang
– volume: 13
  start-page: 119
  year: 2019
  ident: ref12
  publication-title: Patient Prefer Adherence
  doi: 10.2147/PPA.S192008
  contributor:
    fullname: Taibanguay
– volume: 15
  start-page: e22
  year: 2009
  ident: ref27
  publication-title: Am J Manag Care
  contributor:
    fullname: Saini
– volume: 13
  start-page: 2029
  year: 2019
  ident: ref15
  publication-title: Patient Prefer Adherence
  doi: 10.2147/PPA.S230921
  contributor:
    fullname: Alsubeeh
– volume: 24
  start-page: 1670
  year: 2014
  ident: ref4
  publication-title: Thyroid
  doi: 10.1089/thy.2014.0028
  contributor:
    fullname: Jonklaas
– volume: 43
  start-page: 55
  year: 1995
  ident: ref2
  publication-title: Clin Endocrinol (Oxf)
  doi: 10.1111/j.1365-2265.1995.tb01894.x
  contributor:
    fullname: Vanderpump
– volume: 9
  start-page: e103090
  year: 2014
  ident: ref18
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0103090
  contributor:
    fullname: Nwabuo
– volume: 24
  start-page: 11
  year: 2017
  ident: ref24
  publication-title: Collegian
  doi: 10.1016/j.colegn.2015.08.003
  contributor:
    fullname: Lee
– volume: 6
  start-page: 517
  year: 2019
  ident: ref25
  publication-title: J Racial Ethn Health Disparities
  doi: 10.1007/s40615-018-00550-z
  contributor:
    fullname: Lor
– volume: 55
  start-page: 362
  year: 2005
  ident: ref8
  publication-title: Br J Gen Pract
  contributor:
    fullname: Crilly
– volume: 162
  start-page: 412
  year: 2011
  ident: ref20
  publication-title: Am Heart J
  doi: 10.1016/j.ahj.2011.06.007
  contributor:
    fullname: Bosworth
– volume: 8
  start-page: 371
  year: 2012
  ident: ref14
  publication-title: Res Social Adm Pharm
  doi: 10.1016/j.sapharm.2011.09.002
  contributor:
    fullname: Kucukarslan
– volume-title: WHO Adherence Project: Toward Policies for Action
  year: 2001
  ident: ref5
– volume: 29
  start-page: 683
  year: 2015
  ident: ref10
  publication-title: J Hum Hypertens
  doi: 10.1038/jhh.2015.8
  contributor:
    fullname: Christiani
– volume: 13
  start-page: e0204814
  year: 2018
  ident: ref13
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0204814
  contributor:
    fullname: Miyazaki
– volume: 18
  start-page: 2234
  year: 2009
  ident: ref22
  publication-title: J Clin Nurs
  doi: 10.1111/j.1365-2702.2008.02706.x
  contributor:
    fullname: Chen
– volume: 25
  year: 2019
  ident: ref11
  publication-title: East Mediterr Health J
  doi: 10.26719/emhj.18.022
  contributor:
    fullname: Helou
– volume: 11
  start-page: 31976
  year: 2016
  ident: ref16
  publication-title: Libyan J Med
  doi: 10.3402/ljm.v11.31976
  contributor:
    fullname: Saarti
– volume: 62
  start-page: 129
  year: 2018
  ident: ref7
  publication-title: Kathmandu Univ Med J
  contributor:
    fullname: Shakya Shrestha
– volume: 2
  year: 2019
  ident: ref3
  publication-title: Trends Diabetes Metab
  doi: 10.15761/TDM.1000107
  contributor:
    fullname: Aljabri
– volume: 86
  start-page: 304
  year: 2011
  ident: ref19
  publication-title: Mayo Clin Proc
  doi: 10.4065/mcp.2010.0575
  contributor:
    fullname: Brown
– volume: 20
  start-page: 58
  year: 2014
  ident: ref23
  publication-title: J Manag Care Pharm
  doi: 10.18553/jmcp.2014.20.1.58
  contributor:
    fullname: Rajpura
– volume: 17
  start-page: 252
  year: 2014
  ident: ref29
  publication-title: Pan Afr Med J
  doi: 10.11604/pamj.2014.17.252.2972
  contributor:
    fullname: Rwegerera
– volume: 18
  start-page: 607
  year: 2004
  ident: ref9
  publication-title: J Hum Hypertens
  doi: 10.1038/sj.jhh.1001721
  contributor:
    fullname: Ross
SSID ssj0063621
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Snippet Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health...
Purpose: Poor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious...
PURPOSEPoor adherence to levothyroxine is a potential risk factor for treatment failure that ultimately leads to increased healthcare costs and serious health...
Omar Buraykan Alluhayyan,1 Rakan Jaser Alsahly,2 Abdulrahman Abbas Aldawsari,2 Khaled Abdulrahman Alghabawy,1 Rifal Saleh Alqaan,1 Abeer Fahad Almutairi,1...
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StartPage 1111
SubjectTerms Clinics
Collaboration
Comorbidity
Hypothyroidism
illness perception
levothyroxine
medication adherence
Original Research
Patient compliance
Perceptions
Questionnaires
Regression analysis
Sociodemographics
Variables
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Title Illness Perception and Medication Adherence Among Patients with Primary Hypothyroidism in Al Qassim, Saudi Arabia
URI https://www.ncbi.nlm.nih.gov/pubmed/32753851
https://www.proquest.com/docview/2424554038
https://search.proquest.com/docview/2430664679
https://pubmed.ncbi.nlm.nih.gov/PMC7352375
https://doaj.org/article/c616909d0d1242d391b441e6ced11e2a
Volume 14
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