The influence of behavioural and psychological factors on medication adherence over time in rheumatoid arthritis patients: a study in the biologics era.

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    Abstract

    Objective: To investigate the level of self-reported adherence to biologic treatment and establish the contribution of demographic, physical and psychological factors to biologic medication adherence in a rheumatoid arthritis cohort. Method: Adalimumab (ADA) treated patients were recruited through the British Society for Rheumatology Biologics Register – Rheumatoid Arthritis (BSRBR-RA) between May 2007 and April 2009. Demographic and baseline psychological measures including illness and medication beliefs with baseline and follow up measures of disease activity (DAS28), physical function (HAQ) and quality of life (SF36) at 6, 12 and 18 months were collected. Adherence was assessed at each follow up using the validated 19-item patient self-completed Compliance Questionnaire Rheumatology (CQR). Multi-level mixed effects modelling analysis was performed to investigate predictors of adherence. Results: Of the 329 ADA patients included, a quarter reported only moderate adherence (CQR score
    Original languageEnglish
    Pages (from-to)1780-1791
    Number of pages11
    JournalRheumatology (Print)
    Volume54
    Issue number10
    DOIs
    Publication statusPublished - 2015

    Keywords

    • Rheumatoid Arthritis; Medication adherence; Biologic therapy; Illness perceptions; Medication beliefs; Epidemiology

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