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dc.contributor.authorWileman, Vari
dc.contributor.authorChilcot, Joseph
dc.contributor.authorNorton, Sam
dc.contributor.authorHughes, Lyndsay
dc.contributor.authorWellsted, D.
dc.contributor.authorFarrington, Ken
dc.identifier.citationWileman , V , Chilcot , J , Norton , S , Hughes , L , Wellsted , D & Farrington , K 2011 , ' Choosing Not to Take Phosphate Binders : The Role of Dialysis Patients' Medication Beliefs ' , Nephron Clinical Practice , vol. 119 , no. 3 , pp. c205-c213 .
dc.identifier.otherPURE: 383091
dc.identifier.otherPURE UUID: 32c7965e-8e96-4c84-b667-a43d9314c116
dc.identifier.otherPubMed: 21832846
dc.identifier.otherScopus: 81155158211
dc.descriptionCopyright © 2011 S. Karger AG, Basel.
dc.description.abstractObjective: Patients with end-stage renal disease (ESRD) receiving haemodialysis are at risk of cardiovascular disease and bone disorders related to high levels of serum phosphate (PO(4)). Phosphate binders are an important treatment; however, non-adherence remains a significant issue. This study investigates whether patients' beliefs about medicines predict intentional non-adherence to phosphate binders. Method: This was a cross-sectional study of ESRD patients (n = 76). Non-adherence was measured in two ways: (1) the self-report Medication Adherence Questionnaire (MAQ) and (2) 3-month average level of serum phosphate. The Beliefs about Medicines questionnaire was used to assess general and specific beliefs towards phosphate medicines. Results: Eleven (14.5% of 76) patients reported being intentionally non-adherent to phosphate binders. Patients' beliefs that phosphate binders were less necessary were significantly associated with intentional self-reported non- adherence. Furthermore, patients with greater concerns about phosphate binders had higher serum phosphate levels. Conclusion: Assessing patient beliefs about medicines is a reliable indicator of intentional non-adherence to treatment with phosphate binders. These findings may help in identifying ways in which adherence rates to phosphate binders can be improved.en
dc.relation.ispartofNephron Clinical Practice
dc.titleChoosing Not to Take Phosphate Binders : The Role of Dialysis Patients' Medication Beliefsen
dc.contributor.institutionApplied and Practice-based Research
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionDepartment of Psychology
dc.contributor.institutionCentre for Lifespan and Chronic Illness Research
dc.contributor.institutionHealth and Clinical Psychology group
dc.contributor.institutionHealth Services and Medicine
dc.contributor.institutionStatistics and Methodology Research group
dc.contributor.institutionHealth Services Research group
dc.contributor.institutionPostgraduate Medicine
dc.contributor.institutionPharmacology and Clinical Science Research
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Life and Medical Sciences
rioxxterms.typeJournal Article/Review

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