Validation of the electronic prescription as a method for measuring treatment adherence in hypertension.


OBJECTIVE:To validate electronic prescriptions (e-prescriptions) as a method for measuring treatment adherence in patients with hypertension. METHODS:This prospective study initially included 120 patients treated for hypertension in primary care centers. Adherence was measured using the gold standard, the medication event monitoring system (MEMS), versus the index test, the e-prescription program, at baseline and at 6, 12, 18 and 24 months. We calculated the adherence rate using the MEMS and the medication possession ratio (MPR) for the e-prescriptions. We considered patients adherent if they had an adherence rate of 80% to 100%. To validate the e-prescription, we obtained measures of diagnostic accuracy, the Kappa concordance index, and the area under the ROC curve (AUC). RESULTS:We included 102 patients. Overall adherence was 77.4% by MEMS (95%CI: 66.8-88) and 80.4% (95%CI: 70.3-90.5) by MPR. At 24 months, sensitivity was 87% and specificity, 93.7%. The AUC was 0.903 (95%CI: 0.817-0.989). CONCLUSION:Measures of treatment adherence were not significantly different between e-prescription and gold standard at most visits, and the e-prescription showed good discriminatory diagnostic capacity. PRACTICE IMPLICATIONS:If patients are included in an e-prescription program for at least 2 years, e-prescription is an inexpensive method to measure adherence in hypertension.


Patient Educ Couns


Márquez-Contreras E,López García-Ramos L,Martell-Claros N,Gil-Guillen VF,Márquez-Rivero S,Pérez-López E,Garrido-Lopez MA,Farauste C,López-Pineda A,Casado-Martinez JJ,Orozco-Beltran D,Quesada JA,Carratalá-Munuera C




Has Abstract


2018-09-01 00:00:00














  • The theory of planned behaviour in a randomized trial of a decision aid on cardiovascular risk prevention.

    abstract:OBJECTIVE:To assess the feasibility and outcome of measuring the theory of planned behaviour (TPB) in patients receiving routine counselling versus counselling with a decision aid (DA) during primary care consultation on cardiovascular risk prevention. METHODS:A DA was developed, based on models of shared decision-mak...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Krones T,Keller H,Becker A,Sönnichsen A,Baum E,Donner-Banzhoff N

    更新日期:2010-02-01 00:00:00

  • The role of HIV nursing consultants in the care of HIV-infected patients in Dutch hospital outpatient clinics.

    abstract:OBJECTIVE:In the Netherlands HIV nursing consultants have participated in HIV-care since 1985; their profession has changed with developments in HIV-treatment over time. The study goal was to gather information about their role in HIV-care and to provide an useful example to other (HIV-)care settings over the world. M...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Vervoort SC,Dijkstra BM,Hazelzet EE,Grypdonck MH,Hoepelman AI,Borleffs JC

    更新日期:2010-08-01 00:00:00

  • Exploring the effectiveness of couples interventions for adults living with a chronic physical illness: A systematic review.

    abstract:OBJECTIVE:Partners have a significant role in a person's ability to adjust to a chronic physical illness, which warrants their inclusion in couples interventions. However to deliver more specific, tailored support it is necessary to explore which types of couples interventions are most effective across certain chronic ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Berry E,Davies M,Dempster M

    更新日期:2017-07-01 00:00:00

  • The practice of prescribing: discovering differences in what we tell patients about prescription medications.

    abstract:OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ledford CJ,Childress MA,Ledford CC,Mundy HD

    更新日期:2014-02-01 00:00:00

  • The effects of a pharmacy-based intervention on the knowledge and attitudes of asthma patients.

    abstract::The effects of a pharmacy-based intervention on the knowledge and attitudes of asthma patients was studied with a small convenience sample in four Finnish community pharmacies. The intervention consisted of patient education, counselling and outcomes monitoring according to Therapeutic Outcomes Monitoring (TOM) concep...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Närhi U,Airaksinen M,Tanskanen P,Enlund H

    更新日期:2001-05-01 00:00:00

  • Combining deliberation and intuition in patient decision support.

    abstract:OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: de Vries M,Fagerlin A,Witteman HO,Scherer LD

    更新日期:2013-05-01 00:00:00

  • Long-term effects of a group support program and an individual support program for informal caregivers of stroke patients: which caregivers benefit the most?

    abstract::In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visit...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: van den Heuvel ET,Witte LP,Stewart RE,Schure LM,Sanderman R,Meyboom-de Jong B

    更新日期:2002-08-01 00:00:00

  • Short length of stay and the discharge process: Preparing breast cancer patients appropriately.

    abstract:OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. ME...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Nowak M,Lee S,Karbach U,Pfaff H,Groß SE

    更新日期:2019-12-01 00:00:00

  • Beyond content analysis and non-verbal behaviour - what about atmosphere? A phenomenological approach.

    abstract:OBJECTIVE:Basic research and careful observation of clinical practice have yielded a vast amount of empirical data on communication in health care. This research has been guided by the assumption that good communication will be better understood and easier to teach when its single constituents are identified. This pape...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Langewitz W

    更新日期:2007-08-01 00:00:00

  • Heart healthy integrative nutritional counseling (H2INC): Creating a Chinese medicine + western medicine patient education curriculum for Chinese Americans.

    abstract:OBJECTIVES:Current cardiovascular disease (CVD) nutrition guidelines do not take into account Chinese medicine (CM) principles. We created a heart healthy integrative nutritional counseling (H2INC) curriculum consistent with CM principles and current nutrition guidelines. METHODS:We conducted three phases of semi-stru...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ho EY,Acquah J,Chao C,Leung G,Ng DC,Chao MT,Wang A,Ku S,Chen W,Yu CK,Xu S,Chen M,Jih J

    更新日期:2018-12-01 00:00:00

  • Health literacy and antiretroviral adherence among HIV-infected adolescents.

    abstract:OBJECTIVE:This study investigates HIV positive adolescents' health literacy and whether factors associated with health literacy in HIV-positive adults are associated with health literacy among HIV-positive adolescents. METHODS:Adolescents in this study were behaviorally and perinatally HIV-infected youth (n=186) from ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Murphy DA,Lam P,Naar-King S,Robert Harris D,Parsons JT,Muenz LR,Adolescent Medicine Trials Network for HIV\/AIDS Interventions.

    更新日期:2010-04-01 00:00:00

  • Evaluating pharmacists' ability to counsel on tobacco cessation using two standardized patient scenarios.

    abstract:OBJECTIVES:To evaluate the impact that role-playing two pre/post standardized patient scenarios within a tobacco cessation training program had on pharmacists' counseling skills. Second, to analyze the validity of the observation coding tool used to evaluate pharmacist's role-play performance. METHODS:Pharmacists perf...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Martin BA,Chewning BA

    更新日期:2011-06-01 00:00:00

  • Determinants of compliance in men enrolled in a diet and exercise intervention trial: a randomized, controlled study.

    abstract::Determinants of compliance with a 6-month diet and exercise program were studied among 118 healthy middle-aged men with risk factors for coronary heart disease (CHD). Data were gathered via medical examinations, interviews and questionnaires. Smoking, high levels of hostility, perception of barriers to diet change and...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Näslund GK,Fredrikson M,Hellénius ML,de Faire U

    更新日期:1996-12-01 00:00:00

  • Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus.

    abstract:OBJECTIVE:To validate a hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes (T2DM). METHODS:Overall, 295 patients with T2DM were recruited from five endocrine...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Lee YJ,Shin SJ,Wang RH,Lin KD,Lee YL,Wang YH

    更新日期:2016-02-01 00:00:00

  • Perceptions of cardiovascular risk among patients with hypertension or diabetes.

    abstract::We aimed to examine risk perceptions among patients at moderate to high cardiovascular risk. A questionnaire about perceived absolute risk of myocardial infarction and stroke was sent to 2424 patients with hypertension or diabetes. Response rate was 86.3% and 1557 patients without atherosclerotic disease were included...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Frijling BD,Lobo CM,Keus IM,Jenks KM,Akkermans RP,Hulscher ME,Prins A,van der Wouden JC,Grol RP

    更新日期:2004-01-01 00:00:00

  • Future directions in research on consumer-provider communication and adherence to cancer prevention and treatment.

    abstract::The goal of this paper is to examine emerging issues in consumer-provider communication and patient adherence to cancer prevention, screening, diagnosis, treatment, and coping with survivorship. Many factors that have been shown to affect adherence can be supported or hindered by provider-patient communication, includ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: DiMatteo MR

    更新日期:2003-05-01 00:00:00

  • Identification of nutrition communication styles and strategies: a qualitative study among Dutch GPs.

    abstract:OBJECTIVE:The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demogr...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: van Dillen SM,Hiddink GJ,Koelen MA,de Graaf C,van Woerkum CM

    更新日期:2006-10-01 00:00:00

  • Teaching medical interviewing to patients: the other side of the encounter.

    abstract:OBJECTIVES:This paper describes the development and pilot testing of a communication skills curriculum based on medical student curriculum and modified for use with patients. METHODS:Six key concepts from our introductory medical education communication skills curriculum were identified. The core knowledge and skills ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Dwamena FC,Mavis B,Holmes-Rovner M,Walsh KB,Loyson AC

    更新日期:2009-09-01 00:00:00

  • Impact of decision aids in a sustained implementation at a breast care center.

    abstract:OBJECTIVE:We examined the reach and impact of five decision aids (DAs) routinely distributed to breast cancer patients as part of a shared decision making demonstration project. METHODS:From 2005 to 2008, we surveyed patients' change in knowledge and decisional conflict (DC) before and after their review of DAs. Using...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Belkora JK,Volz S,Teng AE,Moore DH,Loth MK,Sepucha KR

    更新日期:2012-02-01 00:00:00

  • The attitude of young adults with chronic disease or handicaps towards enforced treatment and euthanasia.

    abstract::One hundred fifty-nine young adults in the 17-18 year old age group suffering from chronic disease or handicap participated in this study which examined their attitudes towards enforced treatment and euthanasia in terminal patients. The comparison group included 120 healthy high school pupils of the same age group. A ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Brook U

    更新日期:1999-09-01 00:00:00

  • Measuring self-care in patients with heart failure: A review of the psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS).

    abstract:OBJECTIVE:The aim of this study was to review and evaluate the evidence related to psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS) that was developed and tested to measure health maintenance behaviours of heart failure (HF) patients and translated into several languages. METHO...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Sedlar N,Socan G,Farkas J,Mårtensson J,Strömberg A,Jaarsma T,Lainscak M

    更新日期:2017-07-01 00:00:00

  • Predicting adherence to prophylactic medication in adolescents with asthma: an application of the ASE-model.

    abstract::An explanatory framework, referred to as the attitude/social influence/self-efficacy-model (ASE-model), was utilised to explain future self-reported adherence of adolescents to daily inhaled prophylactic asthma medication. The objective was to investigate the long-term influence of these earlier reported cognitive var...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: van Es SM,Kaptein AA,Bezemer PD,Nagelkerke AF,Colland VT,Bouter LM

    更新日期:2002-06-01 00:00:00

  • Communicating cancer risk information: the challenges of uncertainty.

    abstract::Developments in predictive testing for inherited cancers have focused attention on the accurate and sensitive communication of risk information. Although sharing risk information is often equated with genetic testing, it is important to acknowledge that the need for risk information related to familial cancer is also ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Bottorff JL,Ratner PA,Johnson JL,Lovato CY,Joab SA

    更新日期:1998-01-01 00:00:00

  • A systematic review of patient education in cardiac patients: do they increase knowledge and promote health behavior change?

    abstract:OBJECTIVE:(1) To investigate the impact of education on patients' knowledge; (2) to determine if educational interventions are related to health behavior change in cardiac patients; and (3) to describe the nature of educational interventions. METHODS:A literature search of several electronic databases was conducted fo...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Ghisi GL,Abdallah F,Grace SL,Thomas S,Oh P

    更新日期:2014-05-01 00:00:00

  • The use of problem-based learning in dealing with cultural minority groups.

    abstract::Minority peoples like the Romanies have divergent cultures. Typical cultural aspects for medical personnel to consider would include greetings and other communication, family and social support, dressing and habits of cleanliness, marriage and sexuality, honor, and other issues of importance to any human being. Some m...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Ojanlatva A,Vandenbussche C,Heldt H,Horte A,Häggblom TM,Kero J,Kähkönen J,Möttönen M,Saraste A,Turunen T

    更新日期:1997-06-01 00:00:00

  • A national dissemination of an evidence-based self-management program: a process evaluation study.

    abstract::While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a lar...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Lorig KR,Hurwicz ML,Sobel D,Hobbs M,Ritter PL

    更新日期:2005-10-01 00:00:00

  • Predictors of refusal during a multi-step recruitment process for a randomized controlled trial of arthritis education.

    abstract:OBJECTIVE:Randomized controlled trials in patient education often have difficulty enrolling vulnerable populations-specifically, older, poorer, and less educated individuals. We undertook a randomized controlled trial (RCT) of an educational intervention for arthritis management, which included strategies to remove lit...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Blanch DC,Rudd RE,Wright E,Gall V,Katz JN

    更新日期:2008-11-01 00:00:00

  • Sharing qualitative research findings with participants: study experiences of methodological and ethical dilemmas.

    abstract:OBJECTIVE:Sharing qualitative research findings with participants, namely member-check, is perceived as a procedure designed to enhance study credibility and participant involvement. It is rarely used, however, and its methodological usefulness and ethical problems have been questioned. This article explores benefits a...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Goldblatt H,Karnieli-Miller O,Neumann M

    更新日期:2011-03-01 00:00:00

  • Implementing empowerment group education in diabetes.

    abstract::The overall aim was to gain insight into and understand how physicians and nurses view the implementation of empowerment group education (EGE) in diabetes. Prior to the study the physicians and nurses attended a 2-day empowerment workshop. Further, they had implemented the empowerment approach in two groups of patient...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Adolfsson ET,Smide B,Gregeby E,Fernström L,Wikblad K

    更新日期:2004-06-01 00:00:00

  • A comparison of GP, pharmacist and nurse prescriber responses to patients' emotional cues and concerns in primary care consultations.

    abstract:OBJECTIVE:Recognising patients' cues and concerns is an important part of patient centred care. With nurses and pharmacists now able to prescribe in the UK, this study compared the frequency, nature, and professionals' responses to patient cues and concerns in consultations with GPs, nurse prescribers and pharmacist pr...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Riley R,Weiss MC,Platt J,Taylor G,Horrocks S,Taylor A

    更新日期:2013-04-01 00:00:00