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Renal pharmacists' perceptions and current practices of assessing medication adherence in dialysis patients


Ghimire, S and Banks, C and Jose, MD and Castelino, RL and Zaidi, STR, Renal pharmacists' perceptions and current practices of assessing medication adherence in dialysis patients, International journal of clinical pharmacy, 40 pp. 26-35. ISSN 2210-7703 (2017) [Refereed Article]

Copyright Statement

Copyright 2017 Springer International Publishing AG, part of Springer Nature

DOI: doi:10.1007/s11096-017-0574-8


Background: Medication nonadherence is a major problem in chronic kidney failure patients undergoing dialysis. Pharmacists play a vital role in improving medication-related patient outcomes, reducing drug-related problems, and improving medication adherence. However, little is known about how pharmacists assess medication adherence in dialysis patients.

Objective: To measure pharmacists’ perceptions, current practices, and barriers to assessing adherence in dialysis patients. Setting Australian renal-specialised pharmacists.

Method: An online survey was conducted between March and May 2016. Survey included five psychometric scales measuring perceived prevalence, contributors, effective methods, barriers, and confidence to assess adherence on a 10-point Likert scale (1 = strongly disagree; 10 = strongly agree). Current practices were identified using a 4-point graded response (1 = do not practice; 4 = practice for all). Main outcome measure: Perception scores, scale reliability, and responses to current practices questionnaire.

Results: 41 pharmacists completed the survey (response rate, 91.1%). The majority (91.9%, n = 34; median = 8.0) agreed patients were nonadherent to medication. Time constraints (43.8%, n = 14) and hospital support (31.3%, n = 10) were perceived as barriers to assessment.

Objective: blood monitoring was frequently used to determine nonadherence (57.1%, n = 16), whereas subjective interviews were rarely conducted (27.6%, n = 8). Though all pharmacists support the presence of dedicated pharmacist for assessing adherence (100.0%, n = 33), only 24.2% were actually performing this function.

Conclusion: Pharmacists were rarely assigned for adherence assessment in dialysis settings. Established self-report methods were under-utilised compared to objective methods. Future research should investigate the effectiveness of pharmacists’ involvement in facilitating adherence promotion and early identification of medication-related issues in dialysis patients.

Item Details

Item Type:Refereed Article
Keywords:Australia, dialysis, kidney failure, chronic, medication adherence , renal pharmacists
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Nephrology and urology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Ghimire, S (Mr Saurav Ghimire)
UTAS Author:Jose, MD (Professor Matthew Jose)
UTAS Author:Castelino, RL (Dr Ronald Castelino)
UTAS Author:Zaidi, STR (Dr Tabish Razi Zaidi)
ID Code:124192
Year Published:2017
Web of Science® Times Cited:3
Deposited By:Medicine
Deposited On:2018-02-13
Last Modified:2018-09-11

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