Show simple item record

dc.contributor.authorJamison, James
dc.contributor.authorAyerbe, Luis
dc.contributor.authorDi Tanna, Gian Luca
dc.contributor.authorSutton, Stephen
dc.contributor.authorMant, Jonathan
dc.contributor.authorDe Simoni, Anna
dc.date.accessioned2018-05-04T09:19:55Z
dc.date.available2018-05-04T09:19:55Z
dc.date.issued2018-03-11
dc.identifier.issn2044-6055
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/275553
dc.description.abstractOBJECTIVES: To design a questionnaire and use it to explore unmet needs with practical aspects of medicine taking after stroke, predictors of medicine taking and to estimate the proportion of survivors who get support with daily medication taking. DESIGN: Four workshops with stroke survivors and caregivers to design the questionnaire.A cross-sectional postal questionnaire in primary care. SETTING: 18 general practitioner practices in the East of England and London. Questionnaires posted between September 2016 and February 2017. PARTICIPANTS: 1687 stroke survivors living in the community outside institutional long-term care. PRIMARY OUTCOME MEASURES: The proportion of community stroke survivors receiving support from caregivers for practical aspects of medicine taking; the proportion with unmet needs in this respect; the predictors of experiencing unmet needs and missing taking medications. RESULTS: A five-item questionnaire was developed to cover the different aspects of medicine taking. 596/1687 (35%) questionnaires were returned. 56% reported getting help in at least one aspect of taking medication and 11% needing more help. 35% reported missing taking their medicines. Unmet needs were associated with receiving help with medications (OR 5.9, P<0.001), being on a higher number of medications (OR 1.2, P<0.001) and being dependent for activities of daily living (OR 4.9, P=0.001). Missing medication was associated with having unmet needs (OR 5.3, P<0.001), receiving help with medications (OR 2.1, P<0.001), being on a higher number of medicines (OR 1.1, P=0.008) and being older than 70 years (OR 0.6, P=0.006). CONCLUSIONS: More than half of patients who replied needed help with taking medication, and 1 in 10 had unmet needs in this regard. Stroke survivors dependent on others have more unmet needs, are more likely to miss medicines and might benefit from focused clinical and research attention. Novel primary care interventions focusing on the practicalities of taking medicines are warranted.
dc.format.mediumElectronic
dc.languageeng
dc.publisherBMJ
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHumans
dc.subjectActivities of Daily Living
dc.subjectMultivariate Analysis
dc.subjectLogistic Models
dc.subjectCross-Sectional Studies
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectCaregivers
dc.subjectSurvivors
dc.subjectHealth Services Needs and Demand
dc.subjectPrimary Health Care
dc.subjectEngland
dc.subjectFemale
dc.subjectMale
dc.subjectStroke
dc.subjectMedication Adherence
dc.subjectSurveys and Questionnaires
dc.subjectStroke Rehabilitation
dc.titleEvaluating practical support stroke survivors get with medicines and unmet needs in primary care: a survey.
dc.typeArticle
prism.issueIdentifier3
prism.publicationDate2018
prism.publicationNameBMJ Open
prism.startingPagee019874
prism.volume8
dc.identifier.doi10.17863/CAM.22791
dcterms.dateAccepted2018-01-25
rioxxterms.versionofrecord10.1136/bmjopen-2017-019874
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-03-11
dc.contributor.orcidSutton, Stephen [0000-0003-1610-0404]
dc.contributor.orcidMant, Jonathan [0000-0002-9531-0268]
dc.identifier.eissn2044-6055
rioxxterms.typeJournal Article/Review
pubs.funder-project-idStroke Association (TSA BHF 2011/01)
cam.issuedOnline2018-03-11
cam.orpheus.successThu Jan 30 12:59:40 GMT 2020 - The item has an open VoR version.
rioxxterms.freetoread.startdate2100-01-01


Files in this item

Thumbnail
Thumbnail
Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International