Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 5 Issue 1

Medication Adherence of Patients with Neurological Conditions in the Era of COVID-19 Pandemic: Is there an Impact?

Asmaa Hazim1*, Latifa Adarmouch2 and Houda Guennouni Assimi1

1Neurology Department, Mohamed VI University of Health Sciences, Faculty of Medicine, Cheikh Khalifa Ibn Zayed Hospital, Casablanca, Morocco
2Department of Public Health, Community Medicine and Epidemiology, Cadi Ayyad University, Faculty of Medicine and Pharmacy, Marrakech, Morocco

*Corresponding Author: Asmaa Hazim, Neurology Department, Mohamed VI University of Health Sciences, Faculty of Medicine, Cheikh Khalifa Ibn Zayed Hospital, Casablanca, Morocco.

Received: December 04, 2020; Published: December 22, 2020

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Abstract

Background: Strategies implemented around the globe to face COVID-19 pandemic raised some challenges in ensuring care continuity and might have impacted Patient Medication adherence which is crucial for patients with chronic neurologic diseases.

Methods: We conducted a descriptive cross-sectional study with a total of 83 patients with chronic neurological conditions. Data was collected through a directed questionnaire using Medication Adherence Reasons Scale. We have also compared levels of treatment adherence according to sociodemographic characteristics. To our knowledge, this is the first study conducted in Morocco aiming to assess patient medication adherence in Neurology.

Results: The mean age in our study was 55,4 ± 19.2, Women represented 44,6%. Our study found 59% of nonadherence versus 41% of full medication adherence. The main reported reasons for treatment discontinuation were the patient’s inability to ride to the pharmacy (24.5%), financial reasons (22.4%), social reasons (20.4%), side effects occurrence (16.3%), perception of the medication as unnecessary or ineffective (both 14,3 %). We found a correlation between socio-economic level and medication adherence (p = 0.023). Interestingly, COVID-19 pandemic was cited as the main factor standing behind 18 patients answers.

World Health Organization estimates overall poor adherence to 50%, our results were even higher. Noteworthy, the correlation highlighted between socio-economic level and medication adherence could be the reflection of a growing socio-economic divide. Furthermore, COVID-19 pandemic might be an aggravating factor of nonadherence probably because of the difficult access to healthcare facilities, lockdown, overall context of anxiety, economic impact of the outbreak, and possible shortage in drugs.

Conclusion: The already poor observance highlighted by our study will probably worsen after COVID-19 pandemic and its expected impact on national economy.

Keywords: COVID-19 Pandemic; SARS-COV 2; Patient Medication Adherence; Neurology; Low-Middle Income Countries

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References

  1. Unni EJ., et al. “Revision and validation of Medication Adherence Reasons Scale (MAR-Scale)”. Current Medical Research and Opinion2 (2014): 211‐221.
  2. Prell T. “Adherence to medication in neurogeriatric patients: an observational cross-sectional study”. BMC Public Health 1 (2019): 1012.
  3. Moura LM., et al. “Patient-reported financial barriers to adherence to treatment in neurology”. ClinicoEconomics and Outcomes Research 8 (2016): 685‐694.
  4. Jimmy B and Jose J. “Patient medication adherence: measures in daily practice”. Oman Medical Journal3 (2011): 155‐159.
  5. Basu S., et al. “Improving the assessment of medication adherence: Challenges and considerations with a focus on low-resource settings”. Ci Ji Yi Xue Za Zhi 2 (2019): 73‐80.
  6. Unni EJ., et al. “Using the Medication Adherence Reasons Scale (MAR-Scale) to identify the reasons for non-adherence across multiple disease conditions”. Patient Prefer Adherence 13 (2019): 993‐1004.
  7. Lamouroux A., et al. “Compliance, observance ou adhésion thérapeutique: de quoi parlons-nous? [Compliance, therapeutic observance and therapeutic adherence: what do we speak about?”. Revue des Maladies Respiratoires 22 (2005): 31‐34.
  8. Jin J., et al. “Factors affecting therapeutic compliance: A review from the patient's perspective”. Therapeutics and Clinical Risk Management1 (2008): 269‐286.
  9. Arpey NC., et al. “How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study”. Journal of Primary Care and Community Health 3 (2017): 169‐175.
  10. Adler NE and Newman K. “Socioeconomic disparities in health: pathways and policies”. Health Affair (Millwood)2 (2002): 60‐76.
  11. Kretchy IA., et al. “Medication management and adherence during the COVID-19 pandemic: Perspectives and experiences from low-and middle-income countries”. Research in Social and Administrative Pharmacy (2020): S1551-7411 (20)30332-6.
  12. Legido-Quigley H., et al. “Are high-performing health systems resilient against the COVID-19 epidemic?”. Lancet 10227 (2020): 848‐850.
  13. Ozamiz-Etxebarria N., et al. “Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España”. Cad Saude Publica4 (2020): e00054020.
  14. Chew QH., et al. “Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic”. Singapore Medical Journal7 (2020): 350-356.
  15. Roy M Anderson., et al. “How will country-based mitigation measures influence the course of the covid-19 epidemic?” The Lancet (2020).
  16. Robert Barro., et al. “The coronavirus and the great influenza epidemic: Lessons from the “Spanish flu” for the coronavirus’s potential effects on mortality and economic activity”. (2020).
  17. Ait Addi., et al. “COVID-19 Outbreak and Perspective in Morocco". Electronic Journal of General Medicine4 (2020): em204.
  18. Zheng SQ., et al. “Recommendations and guidance for providing pharmaceutical care services during COVID-19 pandemic: A China perspective”. Research in Social and Administrative Pharmacy (2020): S1551-7411 (20)30284-9.
  19. Song Z., et al. “Hospital pharmacists' pharmaceutical care for hospitalized patients with COVID-19: Recommendations and guidance from clinical experience”. Research in Social and Administrative Pharmacy (2020).
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Citation

Citation: Asmaa Hazim., et al. “Medication Adherence of Patients with Neurological Conditions in the Era of COVID-19 Pandemic: Is there an Impact?". Acta Scientific Medical Sciences 5.1 (2021): 59-64.




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