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Comparison of Student and Patient Perceptions for Medication Non-adherence
Patricia L Darbishire1,2, Daraoun Mashrah3
1Purdue University College of Pharmacy, West Lafayette, Indiana.
American Journal of Pharmaceutical Education
|December 19, 2018
Summary
Pharmacy students often misunderstand patient reasons for medication non-adherence, focusing on cognitive issues instead of lifestyle conflicts. Improved pharmacy education is needed to bridge this perception gap and enhance patient care.
Area of Science:
- Pharmacy Education
- Patient Adherence Research
- Health Behavior Studies
Background:
- Medication non-adherence is a significant challenge in healthcare, impacting treatment efficacy and patient outcomes.
- Understanding the discrepancy between healthcare providers' perceptions and patients' lived experiences is crucial for effective interventions.
- Pharmacy students' training may not adequately prepare them to identify and address the multifaceted reasons for medication non-adherence.
Purpose of the Study:
- To compare pharmacy students' perceived reasons for medication non-adherence with actual patient-reported reasons.
- To identify key discrepancies in understanding patient non-adherence between future pharmacists and patients.
- To inform curriculum development in pharmacy education regarding medication adherence.
Main Methods:
- Pharmacy students on experiential rotations recruited patients experiencing medication non-adherence.
- Patients responded to statements regarding reasons for their non-adherence.
- Patient responses were ranked by prevalence and compared against student perceptions.
Main Results:
- A significant difference was observed between patient-ranked and student-perceived reasons for medication non-adherence.
- Patients cited medication interference with lifestyle, sexual health, and alcohol consumption as primary concerns.
- Students incorrectly assumed cognitive-related issues were the main barriers to medication adherence.
Conclusions:
- Pharmacy curricula require enhanced educational modules focusing on diverse patient perspectives of medication adherence.
- Addressing the gap in understanding between students and patients is vital for improving medication adherence counseling.
- Equipping future pharmacists with a broader understanding of adherence barriers will lead to better patient care outcomes.
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