Academic Journal
N10 “I probably am being a naughty boy, but…” Exploring reasons for non-adherence to prescribed medication, as perceived by people living with Inflammatory Bowel Disease: A Qualitative Study
العنوان: | N10 “I probably am being a naughty boy, but…” Exploring reasons for non-adherence to prescribed medication, as perceived by people living with Inflammatory Bowel Disease: A Qualitative Study |
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المؤلفون: | King, K, Norton, C, Chalder, T, Czuber-Dochan, W |
المصدر: | Journal of Crohn's and Colitis ; volume 19, issue Supplement_1, page i2460-i2460 ; ISSN 1873-9946 1876-4479 |
بيانات النشر: | Oxford University Press (OUP) |
سنة النشر: | 2025 |
الوصف: | Background Inflammatory bowel disease (IBD) is treated with medications to induce and maintain remission. However, many people with IBD do not take treatments as prescribed. Identifying and understanding reasons behind medication adherence and non-adherence in IBD is critical. Methods In-depth, semi-structured interviews were audio or video-recorded and transcribed verbatim. Braun and Clarke’s (Braun & Clarke, 2006) principles of thematic data analysis were followed to analyse data. Results Twenty people living with IBD were purposively selected and interviewed. Four main themes were identified (Table1) with related sub-themes; 1) The Context within which adherence needs to happen 2) Battles throughout the IBD “journey” 3) Multiple medical treatment issues and 4) Knowledge, learning, understanding and experience of IBD as a condition and its treatment. From diagnosis and throughout their IBD “journey,” medication adherence in many participants was variable. Adherence was impacted by the context of healthcare received by individuals, their daily activities, physical and emotional well-being and relationships with others. Participants regularly described themselves as experiencing a battle using intense terms such as battling with their IBD, their healthcare professionals (HCPs) and/or their IBD medication. Treatment type (including drug category, for example steroids or immunosuppressants, associated risks and side effects), treatment effectiveness and requirements for taking it, all influenced adherence, as did an individual’s treatment values and beliefs. Gaining knowledge, developing understanding regarding medication and its necessity from the start of diagnosis was critical for adherence. This had strong potential to impact adherence positively and/or negatively, based upon what participants were told, when, and by whom. Yet, treatment information was frequently not offered by HCPs, leading individuals to self-educate and develop a personal understanding of their condition and medication. This, ... |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
DOI: | 10.1093/ecco-jcc/jjae190.1542 |
الاتاحة: | https://doi.org/10.1093/ecco-jcc/jjae190.1542 https://academic.oup.com/ecco-jcc/article-pdf/19/Supplement_1/i2460/61550502/jjae190.1542.pdf |
Rights: | https://academic.oup.com/pages/standard-publication-reuse-rights |
رقم الانضمام: | edsbas.13F4B1C8 |
قاعدة البيانات: | BASE |
DOI: | 10.1093/ecco-jcc/jjae190.1542 |
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