Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District

dc.contributor.advisorJenkins, Louisen_ZA
dc.contributor.authorKleinhans, Shaunen_ZA
dc.contributor.otherUniversity of Stellenbosch. Faculty of Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.en_ZA
dc.descriptionThesis (MFamMed)--Stellenbosch University, 2015.
dc.description.abstractENGLISH SUMMARY : Introduction: Non-communicable disease is a major cause of morbidity in South Africa. Poor adherence to long-term medication severely compromises the effectiveness of treatment. Multiple factors have been described that affect adherence, with health literacy suggested as an independent predictor of medication adherence. This study explored patients’ health literacy and adherence in a primary health care setting in the Eden district of the Western Cape Province. Methods: This was a cross-sectional observational study. Two validated questionnaires were used in a primary health clinic. The Morisky 8 item medication adherence questionnaire was used to assess participants’ adherence. To evaluate participants’ health literacy, the Adaptation of the Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R) to the South African context was used. Results: Of the total 265 patients interviewed the literacy scores were “poor” for 244 (92%) and “good” for 21 (8%). On the self-reported adherence, 204 (77%) reported “low” adherence, 61 (23%) reported “medium” adherence and none reported “good” adherence. Conclusion: Most participants had poor health literacy and poor to medium adherence to medication. Factors influencing adherence are multiple and diverse. Health literacy might improve adherence but all the factors influencing adherence need to be taken into account.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.af_ZA
dc.format.extent14 pages
dc.publisherStellenbosch : Stellenbosch University
dc.subjectChronic diseases -- Treatment -- Eden District Municipalityen_ZA
dc.subjectPatient compliance -- Eden District Municipalityen_ZA
dc.subjectHealth literacyen_ZA
dc.titleHealth literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden Districten_ZA
dc.rights.holderStellenbosch University

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