A PROSPECTIVE STUDY ON IMPACT OF PATIENT COUNSELLING ON QUALITY OF LIFE AND MEDICATION ADHERENCE IN EPILEPTIC PATIENTS


Sathesh Kumar Sukumaran, Ayswarya P

Abstract


Objective: To study the impact of patient counseling on medication adherence and quality of life (QOL) in epileptic patients and to assess the factors affecting medication adherence.

Methods: This study is a prospective observational study involving 100 patients with an age limit of 8-60 years and those taking Antiepileptic drugs for at least 3 months. The study population received patient counseling during their first visit. The impact of patient counseling on QOL and medication adherence was assessed using self-reported questionnaire QOLIE-31 and MMAS-8 between the first visit and the second visit. Statistical analysis (Paired t-test and Paired Chi-square test) was performed to analyze the impact of patient counseling on QOL and medication adherence in epileptic patients.

Results: A total of 100 patients were included in the study. After providing patient counseling, it was observed that there was a statistically significant (p<0.05) improvement in all domains of QOLIE-31 and MMAS-8 scores. Before counseling, mean overall T-score of QOLIE-31 was 44.08±2.07which was changed to 49.14±1.27 after patient counseling with a mean change of 5.06 in overall T-score. In the case of medication adherence, before counseling 77% subjects were nonadherent to therapy, after counseling it was reduced to 41%. The common reasons for medication adherence were forgetfulness, unawareness, therapy related, and economics related. Out of which forgetfulness along with unawareness was the major one.

Conclusion: The study described that patient counseling plays a major role in improving QOL and medication adherence.

Keywords: QOLIE-31, MMAS-8, Epilepsy, Antiepileptic drugs, Patient counseling.

 


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About this article

Title

A PROSPECTIVE STUDY ON IMPACT OF PATIENT COUNSELLING ON QUALITY OF LIFE AND MEDICATION ADHERENCE IN EPILEPTIC PATIENTS

DOI

10.22159/ajpcr.2017.v10i1.13106

Date

01-01-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 10 Issue 1 January 2017 Page: 67-71

Print ISSN

0974-2441

Online ISSN

2455-3891

Authors & Affiliations

Sathesh Kumar Sukumaran
Professor and HOD, Department of Pharmacuetics, School of Pharmaceutical Sciences, Vels Institute of Science Technology and Advanced Studies (VISTAS), Vels University, Pallavaram, Chennai-600117.
India

Ayswarya P


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