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3. Exploring Patient’s Perspectives and Experiences After Start with Inhalation Maintenance Therapy: A Qualitative Theory-Based Study

Author

Kuipers E, Wensing M, De Smet PAGM, and Teichert M

Subjects
inhalation therapy, asthma, copd, pharmaceutical care, pharmacy practice research, consultation, patient perspective, Medicine (General), R5-920
Abstract

Esther Kuipers, 1, 2 Michel Wensing, 1, 3 Peter AGM De Smet, 1, 4 Martina Teichert 5 1Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of IQ Healthcare, Nijmegen 6500 HB, The Netherlands; 2BENU Apotheek Zeist West, Zeist, The Netherlands; 3University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany; 4Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Clinical Pharmacy, Nijmegen, The Netherlands; 5Leiden University Medical Centre, Department of Clinical Pharmacy and Toxicology, Leiden, The NetherlandsCorrespondence: Esther KuipersRadboud University Medical Centre, Radboud Institute for Health Sciences, Department of IQ Healthcare, PO Box 9101, Nijmegen 6500 HB, The NetherlandsTel +31 24 361 0591Fax +31 24 354 0166Email esther.kuipers@radboudumc.nlBackground: Treatment of obstructive lung disease with inhalation therapy needs changes in patient behavior. Shortly after the start with inhaled corticosteroids (ICS) maintenance therapy, patients might be in need of additional pharmaceutical care, tailored to their individual needs. This study aimed to provide insight into patient behavior, goals and perceptions regarding their medical treatment at start with ICS therapy, by telephone interviews with ICS starters. Besides, this study investigated pharmacists’ and patients’ experiences with these interviews and opinions on the utility of this type of consultation for daily practice.Methods: Semi-structured telephone interviews were conducted by pharmacists with adult patients 2– 3 weeks after starting ICS. The Theoretical Domain Framework (TDF) was used for data analysis and coding. Afterward, the patients and pharmacists were questioned about their experiences with the interview.Results: Five pharmacists conducted interviews with 23 ICS starters. Except the domains “environmental context and resources”, “optimism”, and “reinforcement”, the remaining 11 domains in the TDF were addressed in the interviews. The majority of patients defined personal goals, which mainly addressed disease or symptom control (clinical goals). Some patients showed a lack of knowledge regarding the clinical indication or therapy duration. Views on beneficial medication effects differed between patients. Some patients specifically mentioned concerns or anxiety about side effects. The interviewees described different perceptions on the necessity of a personalized routine for regular medication use. Patients and pharmacists both felt positive about an added value of these interviews for daily practice.Conclusion: Patient interviews shortly after start with ICS therapy revealed various perceptions and beliefs that might influence medication use and achievement of individual treatment goals. The patients appreciated the opportunity to ask questions and share their perspectives and needs with their pharmacist, and the pharmacists experienced that the interviews had added value.Keywords: inhalation therapy, asthma, COPD, pharmaceutical care, pharmacy practice research, consultation, patient perspective

Published
2020

9. The RT-18: a new screening tool to assess young adult risk-taking behavior

Author

de Haan L, Kuipers E, Kuerten Y, van Laar M, Olivier B, and Verster JC

Subjects
Medicine (General), R5-920
Abstract

Lydia de Haan1, Esther Kuipers1, Yvanca Kuerten1, Margriet van Laar2, Berend Olivier1, Joris Cornelis Verster11Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University; 2Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The NetherlandsAbstract: Risk-taking behavior is a major determinant of health and plays a central role in various diseases. Therefore, a brief questionnaire was developed to assess risk taking among young adults with known different levels of risk-taking behavior (social drinkers and recreational drug users). In Study 1, N = 522 university students completed the RT-18 risk taking questionnaire. N = 100 students were retested after 2 to 4 weeks and performed the Cambridge Gambling Task (CGT). Mean RT-18 score was 7.69 and Cronbach's alpha was 0.886. The test-retest reliability was r = 0.94. Significant correlation was found between the RT-18 score and CGT scores of risk taking, bet proportion, and risk adjustment. In Study 2, N = 7834 young adult social drinkers, and recreational drug users, mean RT-18 score was 9.34 and Cronbach's alpha was 0.80. Factor analysis showed that the RT-18 comprises two factors assessing level of risk-taking behavior and risk assessment. Men scored significantly higher than women on the RT-18. Recreational drug users had significantly higher scores when compared to social drinkers. In Study 3 of N = 1000 students, construct validity was confirmed by showing that the RT-18 outcome correlates significantly with scores on the Stimulating-Instrumental Risk Inventory. In conclusion, the RT-18 is a valid and reliable screening tool to differentiate levels of risk-taking behavior. This short scale is quick and practical to administer, imposing minimal demands on participants. The RT-18 is able to differentiate risk taking and risk assessment which can help target appropriate intervention strategies.Keywords: risk taking, impulsivity, sensation seeking, venturesomeness, novelty seeking

Published
2011

15. The stomach in health and disease

Author

Hunt, R H, Camilleri, M, Crowe, S E, El-Omar, E M, Fox, J G, Kuipers, E J, Malfertheiner, P, McColl, K E L, Pritchard, D M, Rugge, M, Sonnenberg, A, Sugano, K, and Tack, J

Published
2015
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16. Surveillance in patients with long-segment Barrettʼs oesophagus: a cost-effectiveness analysis

Author

Kastelein, F, van Olphen, S, Steyerberg, E W, Sikkema, M, Spaander, M C W, Looman, C W N, Kuipers, E J, Siersema, P D, Bruno, M J, de Bekker-Grob, E W, Biermann, Geldof, H, van der Valk, H, ter Borg, PCJ, Giard, RWM, Felt, RJF, Meijer, GA, Alderliesten, J, Heinhuis, R, ter Borg, F, Arends, JW, Kolkman, JJ, van Baarlen, J, Tan, TG, den Hartog, B, van Tilburg, AJP, Engels, LGJB, Vos, W, Peters, FTM, Karrenbeld, A, Schenk, BE, Moll, F, Loffeld, R, Flens, M, van Roermund, H, and lockefeer, F

Published
2015
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24. Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED)

Author

Dinis-Ribeiro, M., Areia, M., de Vries, A. C., Marcos-Pinto, R., Monteiro-Soares, M., O’Connor, A., Pereira, C., Pimentel-Nunes, P., Correia, R., Ensari, A., Dumonceau, J. M., Machado, J. C., Macedo, G., Malfertheiner, P., Matysiak-Budnik, T., Megraud, F., Miki, K., O’Morain, C., Peek, R. M., Ponchon, T., Ristimaki, A., Rembacken, B., Carneiro, F., Kuipers, E. J., and on behalf of MAPS Participants

Published
2012
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