Low adherence to secondary prophylaxis among clients diagnosed with rheumatic fever, Jamaica
Objectives: To determine the level of adherence and possible barriers to secondary prophylaxis among clients with rheumatic fever in Kingston, Jamaica. Methods: Cross-sectional survey of 39 clients diagnosed with rheumatic fever, receiving penicillin prophylaxis for more than a year using a 22-item...
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| Veröffentlicht in: | Pathogens and global health 2014-07, Vol.108 (5), p.229-234 |
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| creator | Thompson, Sheron Boswell Brown, Cerese Hepburn Edwards, Ann Marie Lindo, Jascinth L. M. |
| description | Objectives:
To determine the level of adherence and possible barriers to secondary prophylaxis among clients with rheumatic fever in Kingston, Jamaica.
Methods:
Cross-sectional survey of 39 clients diagnosed with rheumatic fever, receiving penicillin prophylaxis for more than a year using a 22-item self-administered questionnaire on adherence to secondary prophylaxis and knowledge of rheumatic fever. The patients' records were reviewed to determine the number of prophylaxis injections the patients received for the year 2010.
Results:
The majority of participants (74%) were females and 51% were adults. Only 48·7% had a high level of adherence. The majority (72%) had low knowledge levels regarding their illness, while only 5% had a high knowledge level score. Most clients (70%) strongly agreed that nurses and doctors encouraged them to take their prophylaxis. However, over 60% reported that they travelled long distances and or waited long periods to get their injections. One-third reported that they missed appointments because of fear of injections and having to take time off from work or school.
Discussion:
Clients attending the health centers studied had limited knowledge about rheumatic fever. Barriers to adherence included fear of the injections, long commutes, and long waiting periods at the facilities studied. |
| doi_str_mv | 10.1179/2047773214Y.0000000146 |
| format | Article |
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To determine the level of adherence and possible barriers to secondary prophylaxis among clients with rheumatic fever in Kingston, Jamaica.
Methods:
Cross-sectional survey of 39 clients diagnosed with rheumatic fever, receiving penicillin prophylaxis for more than a year using a 22-item self-administered questionnaire on adherence to secondary prophylaxis and knowledge of rheumatic fever. The patients' records were reviewed to determine the number of prophylaxis injections the patients received for the year 2010.
Results:
The majority of participants (74%) were females and 51% were adults. Only 48·7% had a high level of adherence. The majority (72%) had low knowledge levels regarding their illness, while only 5% had a high knowledge level score. Most clients (70%) strongly agreed that nurses and doctors encouraged them to take their prophylaxis. However, over 60% reported that they travelled long distances and or waited long periods to get their injections. One-third reported that they missed appointments because of fear of injections and having to take time off from work or school.
Discussion:
Clients attending the health centers studied had limited knowledge about rheumatic fever. Barriers to adherence included fear of the injections, long commutes, and long waiting periods at the facilities studied.</description><identifier>ISSN: 2047-7724</identifier><identifier>EISSN: 2047-7732</identifier><identifier>DOI: 10.1179/2047773214Y.0000000146</identifier><identifier>PMID: 25113585</identifier><language>eng</language><publisher>London: Taylor & Francis</publisher><subject>Adherence ; Adolescent ; Adult ; Anti-Bacterial Agents - therapeutic use ; Antibiotic Prophylaxis - psychology ; Antibiotic Prophylaxis - statistics & numerical data ; Bacterial arthritis and osteitis ; Bacterial diseases ; Barriers ; Biological and medical sciences ; Child ; Cross-Sectional Studies ; Female ; General aspects ; Health Knowledge, Attitudes, Practice ; Human bacterial diseases ; Humans ; Infectious diseases ; Jamaica ; Male ; Medical sciences ; Medication Adherence - psychology ; Medication Adherence - statistics & numerical data ; Original ; Penicillins - therapeutic use ; Rheumatic fever ; Rheumatic Fever - prevention & control ; Rheumatic Fever - psychology ; Secondary Prevention - statistics & numerical data ; Secondary Prophylaxis ; Young Adult</subject><ispartof>Pathogens and global health, 2014-07, Vol.108 (5), p.229-234</ispartof><rights>W. S. Maney & Son Ltd 2014 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-914a708775b0cd24338790f3d6ede1e883fcd77a168b621ee143d6c55b6628923</citedby><cites>FETCH-LOGICAL-c535t-914a708775b0cd24338790f3d6ede1e883fcd77a168b621ee143d6c55b6628923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4153824/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4153824/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28752699$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25113585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, Sheron Boswell</creatorcontrib><creatorcontrib>Brown, Cerese Hepburn</creatorcontrib><creatorcontrib>Edwards, Ann Marie</creatorcontrib><creatorcontrib>Lindo, Jascinth L. M.</creatorcontrib><title>Low adherence to secondary prophylaxis among clients diagnosed with rheumatic fever, Jamaica</title><title>Pathogens and global health</title><addtitle>Pathog Glob Health</addtitle><description>Objectives:
To determine the level of adherence and possible barriers to secondary prophylaxis among clients with rheumatic fever in Kingston, Jamaica.
Methods:
Cross-sectional survey of 39 clients diagnosed with rheumatic fever, receiving penicillin prophylaxis for more than a year using a 22-item self-administered questionnaire on adherence to secondary prophylaxis and knowledge of rheumatic fever. The patients' records were reviewed to determine the number of prophylaxis injections the patients received for the year 2010.
Results:
The majority of participants (74%) were females and 51% were adults. Only 48·7% had a high level of adherence. The majority (72%) had low knowledge levels regarding their illness, while only 5% had a high knowledge level score. Most clients (70%) strongly agreed that nurses and doctors encouraged them to take their prophylaxis. However, over 60% reported that they travelled long distances and or waited long periods to get their injections. One-third reported that they missed appointments because of fear of injections and having to take time off from work or school.
Discussion:
Clients attending the health centers studied had limited knowledge about rheumatic fever. Barriers to adherence included fear of the injections, long commutes, and long waiting periods at the facilities studied.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotic Prophylaxis - psychology</subject><subject>Antibiotic Prophylaxis - statistics & numerical data</subject><subject>Bacterial arthritis and osteitis</subject><subject>Bacterial diseases</subject><subject>Barriers</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Jamaica</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medication Adherence - psychology</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Original</subject><subject>Penicillins - therapeutic use</subject><subject>Rheumatic fever</subject><subject>Rheumatic Fever - prevention & control</subject><subject>Rheumatic Fever - psychology</subject><subject>Secondary Prevention - statistics & numerical data</subject><subject>Secondary Prophylaxis</subject><subject>Young Adult</subject><issn>2047-7724</issn><issn>2047-7732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1vEzEQhi0EolXoX6h8QeJAij_WH3tBqipoQZG4wAEJyZrYs4nR7jrYm4b8e3aVNC2n-mBbep-ZeUcvIZecXXFu6g-CVcYYKXj184odDq_0C3I-CfNJeXn6i-qMXJTye4K04kaI1-RMKM6lsuqc_FqkHYWwxoy9RzokWtCnPkDe001Om_W-hb-xUOhSv6K-jdgPhYYIqz4VDHQXhzXNa9x2MERPG7zH_J5-hQ6ihzfkVQNtwYvjOyM_Pn_6fnM3X3y7_XJzvZh7JdUwr3kFhllj1JL5ICopralZI4PGgBytlY0PxgDXdqkFR-TVqHmllloLWws5Ix8PfTfbZYfBjx4ztG6TYzfu4RJE97_Sx7VbpXtXcSXtOHBG3h0b5PRni2VwXSwe2xZ6TNviuNLaSj1dz6OqZpwpxkZUH1CfUykZm5MjztwUpHsSpHsMciy8fLrPqewhthF4ewSgeGibDL2P5ZGzRgld1yN3feBi36TcwS7lNrgB9m3KD0XyGTP_ANwkul8</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Thompson, Sheron Boswell</creator><creator>Brown, Cerese Hepburn</creator><creator>Edwards, Ann Marie</creator><creator>Lindo, Jascinth L. M.</creator><general>Taylor & Francis</general><general>Maney</general><general>Maney Publishing</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>M7N</scope><scope>5PM</scope></search><sort><creationdate>20140701</creationdate><title>Low adherence to secondary prophylaxis among clients diagnosed with rheumatic fever, Jamaica</title><author>Thompson, Sheron Boswell ; Brown, Cerese Hepburn ; Edwards, Ann Marie ; Lindo, Jascinth L. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-914a708775b0cd24338790f3d6ede1e883fcd77a168b621ee143d6c55b6628923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotic Prophylaxis - psychology</topic><topic>Antibiotic Prophylaxis - statistics & numerical data</topic><topic>Bacterial arthritis and osteitis</topic><topic>Bacterial diseases</topic><topic>Barriers</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Jamaica</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medication Adherence - psychology</topic><topic>Medication Adherence - statistics & numerical data</topic><topic>Original</topic><topic>Penicillins - therapeutic use</topic><topic>Rheumatic fever</topic><topic>Rheumatic Fever - prevention & control</topic><topic>Rheumatic Fever - psychology</topic><topic>Secondary Prevention - statistics & numerical data</topic><topic>Secondary Prophylaxis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Sheron Boswell</creatorcontrib><creatorcontrib>Brown, Cerese Hepburn</creatorcontrib><creatorcontrib>Edwards, Ann Marie</creatorcontrib><creatorcontrib>Lindo, Jascinth L. M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pathogens and global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Sheron Boswell</au><au>Brown, Cerese Hepburn</au><au>Edwards, Ann Marie</au><au>Lindo, Jascinth L. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low adherence to secondary prophylaxis among clients diagnosed with rheumatic fever, Jamaica</atitle><jtitle>Pathogens and global health</jtitle><addtitle>Pathog Glob Health</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>108</volume><issue>5</issue><spage>229</spage><epage>234</epage><pages>229-234</pages><issn>2047-7724</issn><eissn>2047-7732</eissn><abstract>Objectives:
To determine the level of adherence and possible barriers to secondary prophylaxis among clients with rheumatic fever in Kingston, Jamaica.
Methods:
Cross-sectional survey of 39 clients diagnosed with rheumatic fever, receiving penicillin prophylaxis for more than a year using a 22-item self-administered questionnaire on adherence to secondary prophylaxis and knowledge of rheumatic fever. The patients' records were reviewed to determine the number of prophylaxis injections the patients received for the year 2010.
Results:
The majority of participants (74%) were females and 51% were adults. Only 48·7% had a high level of adherence. The majority (72%) had low knowledge levels regarding their illness, while only 5% had a high knowledge level score. Most clients (70%) strongly agreed that nurses and doctors encouraged them to take their prophylaxis. However, over 60% reported that they travelled long distances and or waited long periods to get their injections. One-third reported that they missed appointments because of fear of injections and having to take time off from work or school.
Discussion:
Clients attending the health centers studied had limited knowledge about rheumatic fever. Barriers to adherence included fear of the injections, long commutes, and long waiting periods at the facilities studied.</abstract><cop>London</cop><pub>Taylor & Francis</pub><pmid>25113585</pmid><doi>10.1179/2047773214Y.0000000146</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pathogens and global health, 2014-07, Vol.108 (5), p.229-234 |
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| language | eng |
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| source | MEDLINE; PubMed Central |
| subjects | Adherence Adolescent Adult Anti-Bacterial Agents - therapeutic use Antibiotic Prophylaxis - psychology Antibiotic Prophylaxis - statistics & numerical data Bacterial arthritis and osteitis Bacterial diseases Barriers Biological and medical sciences Child Cross-Sectional Studies Female General aspects Health Knowledge, Attitudes, Practice Human bacterial diseases Humans Infectious diseases Jamaica Male Medical sciences Medication Adherence - psychology Medication Adherence - statistics & numerical data Original Penicillins - therapeutic use Rheumatic fever Rheumatic Fever - prevention & control Rheumatic Fever - psychology Secondary Prevention - statistics & numerical data Secondary Prophylaxis Young Adult |
| title | Low adherence to secondary prophylaxis among clients diagnosed with rheumatic fever, Jamaica |
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