Clinical Pharmacy

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https://hdl.handle.net/20.500.11888/3210

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Browsing Clinical Pharmacy by Author "Dr. Adham Abu-Taha"

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    Analysis of beliefs about medicines and medication adherence in patients with chronic diseases at the Military Medical Services, Nablus, Palestine
    (2014) Raniah Majed Fares Jamous; Prof. Waleed Sweileh; Dr. Adham Abu-Taha
    Background: very few studies in the Arab world investigated patients’ behavior toward medications, particularly in those with multiple co-morbid and different chronic diseases. Furthermore, most studies in this field were carried out among patients with governmental insurance which could affect the reliability and validity of the results since medications are not always available in governmental pharmacies. Objective: to investigate how the presence of multiple chronic illnesses could affect the association between attitudes toward medicines and adherence practices in a non-governmental settings. Methodology: The Palestinian Medical Military Services in Nablus, Palestine was the main setting for the study. Presence and number of multiple chronic diseases were obtained from patients through interview setting and were confirmed by information available at the medical files. Attitudes toward medicines were evaluated by the Beliefs about Medicines Questionnaire (BMQ) while compliance / adherence behavior was evaluated by Morisky Medication Adherence Scale (MMAS-8). Results: One hundred and eighty seven patients were interviewed. Most participants (79.6%) had positive attitude that their medicines were necessary to maintain their good health status while 58.2% of the study sample were afraid and had negative attitude or concern about taking medicines on regular basis and 57.8% were afraid that they will get addicted and become dependent on their medicines. In the presence of multiple chronic diseases, demographic and clinical factors were not significantly associated with adherence practices. However, in patients with multiple chronic diseases, those who had higher positive attitudes and feeling of necessity had higher odds [1.4 (1.1 - 1.9)] of having adherence practices while those who had higher negative attitudes or concerns or fear about medicines had lower odds [0.8 (0.65 – 0.98)] of having adherence practices. Conclusions: In patients with multiple chronic diseases, positive and negative attitudes toward medicines are significant determinant of adherence practices.
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    Community Pharmacists' Medication Knowledge: A Nation-wide Study in Palestine
    (2012) Enass Majed Abd Alrahman Abu Arah; Prof. Waleed Sweileh; Dr. Adham Abu-Taha
    Background: Community Pharmacists are easily accessible to the public. They have an important role and responsibility in monitoring the safety of medicines dispensed with or without a prescription. Objective: This study aims to assess medication knowledge of Palestinian community pharmacists. In specific, knowledge of community pharmacists about safety of medicines during pregnancy and evidence based therapy of herbal products will be assessed. Methodology: This is a cross-sectional survey study on community pharmacists. The medication knowledge was assessed by a set of questions specifically designed for this purpose. Scores of the test were presented as percentage from a total of 100. The internal consistency of each test was acceptable with a Cronbach alpha ≥ 0.6. Results: Approximately one third of chief community pharmacist in West-Bank, Palestine took part in the study. The sample consisted of 173 (50.6%) females and 169 (49.6%) males. The majority of the participants (303; 89.2%) had a B.Sc. degree in pharmacy while 37 (10.8%) had an M.S degree. Community pharmacists have the following median (Q1-Q3) scores: [70% (60-80)]; [40% (30-50)]; and [50% (40-70)] for the general knowledge, safety of medicines during pregnancy and in evidence based herbal therapy tests respectively. The total score was significantly and negatively correlated with the number of years since graduation (r= - 0.2; P<0.01). Female pharmacists had significantly better score than male pharmacists in all tests (general pharmacy, herbal pharmacotherapy, total parts) but not for drug safety during pregnancy (P values = 0.16, 0.008, 0.046) respectively.. Conclusion: Good proportion of the study sample lack adequate knowledge in certain important aspects of pharmacy practice such as medication safety during pregnancy, evidence based indication of herbal products, and herbal-drug interactions. This might negatively affect the role of Community pharmacists in patient counseling and education. Authorities need to improve the community pharmacists' role in healthcare system by providing continuous and up-to-date education for community pharmacists. Practice Implications: Professional development should be mandatory in Palestine. Inclusion of a course about drugs during pregnancy into pharmacy curriculum is recommended. Key Words: Community Pharmacist, Medication Knowledge, Pregnancy, Herbal Product, Palestine.