A5055161367- Medication Adherence and Compliance
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Inhalation and Respiratory Drug Delivery
- Chronic Disease Management Strategies
- Pharmaceutical Practices and Patient Outcomes
- Asthma and respiratory diseases
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical studies and practices
- Cystic Fibrosis Research Advances
- Nursing care and research
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Respiratory Support and Mechanisms
- Health and Lifestyle Studies
- Pharmaceutical Economics and Policy
- Aging, Health, and Disability
- Healthcare cost, quality, practices
- Interprofessional Education and Collaboration
- Mobile Health and mHealth Applications
- Global Health Care Issues
- Patient Satisfaction in Healthcare
- Global Cancer Incidence and Screening
- Digital Mental Health Interventions
- Healthcare Policy and Management
- Respiratory and Cough-Related Research
Andalusian Health Service
2007-2025
Universidad de Málaga
2016-2025
Instituto de Investigación Biomédica de Málaga
2015-2025
Andalusian Centre for Nanomedicine and Biotechnology
2024
University Health System
2022
National University Health System
2022
Brescia University
2022
Bielefeld University
2022
Instituto Aragonés de Ciencias de la Salud
2022
Spanish Clinical Research Network
2020-2022
Background Multimorbidity is a global health challenge that associated with polypharmacy, increasing the risk of potentially inappropriate prescribing (PIP). There are tools to improve prescription, such as implicit and explicit criteria. Objective To estimate prevalence PIP in population aged 65 74 years multimorbidity according American Geriatrics Society Beers Criteria® (2015, 2019), Screening Tool Older Person's Prescription -STOPP- criteria (2008, 2014), Medication Appropriateness Index...
Therapeutic adherence of patients with chronic obstructive pulmonary disease (COPD) is poor. This study evaluated the effectiveness a multifactorial intervention on improving therapeutic in scheduled inhalation therapy.The design consisted randomised controlled trial primary care setting. 146 diagnosed COPD were randomly allocated into two groups using block randomisation technique. One-year follow-ups three visits performed. The motivational aspects related to (beliefs and behaviour) form...
Abstract Aims While medication adherence (MA) is a key prerequisite for achieving optimal clinical and economic outcomes, nonadherence highly prevalent. Assessing how healthcare professionals (HCPs) in Europe manage MA, focusing on measurement, reporting interventions, the subject of this study. Methods A cross‐sectional study was conducted among 40 European countries quantitative analysis via an online survey. The multi‐language survey created using Webropol 3.0 tool. Descriptive statistics...
Many patients are not taking their medicines. It has substantial negative medical and economic consequences for healthcare systems but there is limited knowledge on how medication adherence integrated in education. This study seeks to investigate what extent students medicine, pharmacy nursing Europe taught about adherence. A cross-sectional online survey was distributed 731 persons teaching relevant courses across 142 European universities between February June 2024. The addressed...
Background. Based on differences in national health care system characteristics such as the gatekeeping role of GPs (at macrolevel) and diverging GP patient microlevel), communication may differ between countries. Knowledge influence these doctor–patient will be important for setting European policies.
Multimorbidity is associated with negative effects both on people's health and healthcare systems. A key problem linked to multimorbidity polypharmacy, which in turn increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model care based thorough assessment diseases, treatments (and potential interactions), clinical status, context preferences patients multimorbidity, the aim prioritizing sharing realistic treatment goals that guide an...
Patients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases risk negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related care. In context Joint Action CHRODIS-PLUS, an implementation methodology was developed for care model, is being piloted in five sites. We aim (1) explain used implement model and (2) describe how pilot sites have adapted applied...
To estimate the prevalence of nonadherence to treatment and its relationship with social support context in patients multimorbidity polypharmacy followed-up primary care.This was an observational, descriptive, cross-sectional, multicenter study analytical approach. A total 593 between 65-74 years age (≥3 diseases) (≥5 drugs) during last three months agreed participate MULTIPAP Study. The main variable adherence (Morisky-Green). predictors were (structural functional (DUFSS));...
Therapeutic adherence of patients with chronic obstructive pulmonary disease (COPD) is poor. It therefore necessary to determine the magnitude non-adherence develop strategies correct this behaviour. The purpose study was analyse diagnostic validity indirect methods.195 COPD undergoing scheduled inhaled treatment attending 5 Primary Care Centres Malaga, Spain.Sociodemographic profile, illness data, spirometry, quality life (St. George Respiratory Questionnaire: SGRQ), and medication counting...
Drugs for inhalation are the cornerstone of therapy in obstructive lung disease. We have observed that up to 75 % patients do not perform a correct technique. The inability correctly use their inhaler device may be direct consequence insufficient or poor technique instruction. objective this study is test efficacy two educational interventions improve techniques with Chronic Obstructive Pulmonary Disease (COPD).This uses both multicenter patients´ preference trial and comprehensive cohort...
Multimorbidity, defined as the coexistence of two or more chronic conditions in one same individual, has negative consequences for people suffering from it and poses a real challenge health systems. In primary care, where most these patients are attended, clinical management multimorbidity can be complex task due, among others, to high volume information that needs handled, scarce scientific evidence available approach multimorbidity, need coordination multiple providers guarantee continuity...
Abstract Background Low therapeutic adherence to medication is very common. Clinical effectiveness related dose rate and route of administration so poor can reduce the clinical benefit treatment. The patients with chronic obstructive pulmonary disease (COPD) extremely according most studies. research about COPD has mainly focussed on quantifying its effect, few studies have researched factors that affect non-adherence. Our study will evaluate a multifactor intervention improve patients....
(1) Purpose: To investigate a complex MULTIPAP intervention that implements the Ariadne principles in primary care population of young-elderly patients with multimorbidity and polypharmacy to evaluate its effectiveness for improving appropriateness prescriptions. (2) Methods: A pragmatic cluster-randomized clinical trial was conducted involving 38 family practices Spain. Patients aged 65-74 years were recruited. Family physicians (FPs) randomly allocated continue usual or provide based on...
Objectives: Medication non-adherence in patients with chronic obstructive pulmonary disease is common. The aim to evaluate the efficacy of two interventions improve inhalation technique (IT) Also determine optimal IT reminder time and test role preferences intervention selection. Method: 726 common (consecutive sampling) from trials: 1) TECEPOC-study (patients' preference trial/comprehensive cohort design) 2) TIEPOC-study (randomised controlled trial). Interventions: intervention-A (ad-hoc...
Background: To carry out a validation questionnaire that assesses beliefs about inhaled treatments in patients with chronic obstructive pulmonary disease (COPD), as knowing patients’ could help to improve medication adherence and health outcomes. Methods: We evaluated data from 260 COPD electronic medical record databases five primary healthcare centers, descriptive, cross-sectional study sample size calculated for 10-item questionnaire, an estimated Cronbach’s alpha of 0.70 95% confidence...
Background The steady rise in multimorbidity entails serious consequences for our populations, challenges healthcare systems, and calls specific clinical approaches of proven effectiveness. MULTIPAP Study comprises three sequential projects (MULTIPAP Plus RCTs, the Cohort). Results RCT are presented. Aim To evaluate effectiveness a complex, patient-centred intervention young-old patients with polypharmacy. Method Pragmatic cluster-randomised trial primary setting. GPs were randomly allocated...
Backgrounds: Chronic Obstructive Pulmonary Disease (COPD) is a chronic and invalidant illness with great impact on quality of life, family social dynamics. Patients perceive limitations caused by their health status this causes low self-steem that threatens position in families society Aims: 1. describe sociodemographic characteristics patients COPD. 2. Analize the network dynamics these patients. Design: cross-sectional study. Participants: 278 COPD (confidence level 95%) from two urban...
Background: An appropriate inhalation technique and adherence to treatment are both critical determinants of the success chronic obstructive pulmonary disease (COPD) management. We have observed that up 75% patients do not use a successful technique. Knowledge evaluation frequent reassessment inhaler use, together with education healthcare professionals, can significantly improve benefits COPD will derive from therapy. The objective this study is test efficacy two educational interventions...
Chronic obstructive pulmonary disease (COPD) accounts for 10–12 % of primary care consultations, 7 hospital admissions and 35 chronic incapacity related to productivity. The misuse inhalers is a significant problem in COPD because it associated with reduced therapeutic drug effects leading lack control both symptoms disease. Despite all advice, health professionals’ practice management inhalation treatments usually deficient. Interventions improve inhaler technique by professionals are...