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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Hajime Orimo (Tokyo Metropolitan Geriatric Hospital and Institut) Masayo Sato (Eli Lilly Japan K.K. Kobe Japan) Shuichi Kimura (Eli Lilly Japan K.K. Kobe Japan) Keiko Wada (QuintilesIMS Tokyo Japan) Xuelu Chen (QuintilesIMS Tokyo Japan) Shigeto Yoshida (QuintilesIMS Tokyo Japan) Bruce Crawford (QuintilesIMS Tokyo Japan)
저널정보
대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.3 No.4
발행연도
2017.1
수록면
174 - 184 (11page)

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초록· 키워드

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Objectives: This study aimed to identify factors associated with initiation and adherence of osteoporosis medication from a patient perspective. Methods: A web-based survey was developed based on health behavior theories. Descriptive analyses were conducted for all survey items. Analyses in a structural equation modeling framework were conducted to identify factors associated with treatment initiation and adherence. Results: Five hundred forty-five women completed the questionnaire. A majority were currently receiving medications for osteoporosis (n ¼ 376, 69.0%) and 25.0% of these patients (n ¼ 94) were considered adherent to their treatment. Knowledge was strongly associated with osteoporosis treatment initiation (standard error [SE], 0.58). Greater knowledge of disease was associated with increased likelihood of initiating medication. Medication complexity (SE, 0.49) and perceived susceptibility to fracture and loss of independence (SE, 『0.37) were also associated with initiation. Perceived barriers (SE, 『0.85) such as inconvenience, lack of efficacy and financial burden were observed to be the greatest obstacle to adherence. The greater the perceived barriers, the less likely patients were to adhere to medication. Patients' perception of self-efficacy (SE, 0.37) also affected adherence. The greater the patient perception of ability to independently manage their medication, the more likely they were to adhere to the medication. Conclusions: Different factors were found to be associated with initiation and adherence of osteoporosis medication. Patient knowledge of their disease and the perception of barriers were found to be the most influential. Empowering patients with the knowledge to better understand their disease and decreasing the perception of barriers through education initiatives may be effective in improving patient outcomes. © 2017 The Korean Society of Osteoporosis. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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참고문헌 (45)

참고문헌 신청
Zhou H / 2016 / Genetic risk score based on the prevalence of vertebral fracture in Japanese women with osteoporosis / Bone Rep 5:168~172 google schola 2000 / Osteoporosis prevention, diagnosis, and therapy / NIH Consens Statement 17:1~45 google schola Orimo H / 2012 / Japanese 2011guidelines for prevention and treatment of osteoporosis: executive summary / Arch Osteoporos 7:3~20 google schola Lips P / 2005 / Quality of life in patients with osteoporosis / Osteoporos Int 16:447~455 google schola Orimo H / 2016 / Hip fracture incidence in Japan: estimates of new patients in 2012 and 25-year trends / Osteoporos Int 27:1777~1784 google schola

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