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All Journal Jurnal Ilmu Farmasi dan Farmasi Klinik (Journal of Pharmaceutical Science and Clinical Pharmacy) Majalah Farmaseutik
Abdullah, Ramez
Unknown Affiliation
Medicine & Pharmacology

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Complexity of Treatment Regimens and Patient Adherence in Individuals with Heart Failure in Yemen: A cross Sectional Study Abdullah, Ramez; Rahmawati, Fita; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 20, No 4 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i4.96997

Abstract

Various studies have consistently found that increased complexity in medication regimens leads to poorer adherence. Recognizing the growing global prevalence of heart failure and the specific challenges it presents, especially in low-resource settings, this study aims to investigate the influence of complexity of treatment regimens on adherence levels among Individuals with heart failure in Yemen. Through a cross-sectional observational study conducted at three major hospitals in Sana’a, structured questionnaires were employed to assess self-reported medication adherence and regimen complexity. The findings reveal a significant negative association between higher regimen complexity and adherence with regression coefficient (B = -0.150; P value 0.020). Moreover, socioeconomic factors such as income (B = 2.753; P value 0.000) and employment status (B = -1.380; P value 0.006) were found to exert considerable influence on adherence levels. This study underscores the imperative for simplified medication regimens and improved patient education to enhance adherence rates among heart failure patients in developing nations.
Medication Beliefs and Associated Factors Among Heart Failure Patients in Yemen and Role of Regimen Complexity: a Cross-Sectional Study Abdullah, Ramez; Filliana, Ulfa; Candraningrat, I Dewa Agung Diva; Ridhayani, Firda; Mansoor, Abdullah; Oktasari, Sholikhah Rosvita
Jurnal Ilmu Farmasi dan Farmasi Klinik Vol. 23 No. 1 (2026): Jurnal Ilmu Farmasi dan Farmasi Klinis (JIFFK)
Publisher : Universitas Wahid Hasyim Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31942/jiffk.v23i1.15222

Abstract

Beliefs about medication influence treatment engagement and outcomes in patients with heart failure, yet evidence from low-resource settings such as Yemen remains limited due to under-supported health care systems and low monitoring in health services. To assess medication beliefs among heart failure patients in Yemen and examine factors associated with necessity and concern beliefs, including medication regimen complexity. A hospital-based cross-sectional study was conducted between December 2023 and February 2024 among heart failure patients attending cardiology outpatient clinics in Sana’a, Yemen after ethical approval from the hospital. Data were collected using structured questionnaires, including the Beliefs About Medication Questionnaire (BMQ-Specific) and the Medication Regimen Complexity Index (MRCI). Multivariable linear regression analyses were performed to identify predictors of medication beliefs. A total of 250 patients were included, with a mean age of 51.08±11.47 years, and 65.2% were male. The median total BMQ score was 38.0 (IQR:35–42). Higher necessity beliefs were independently associated with older age (B=0.046, p=0.029), higher educational status (B=−1.240, p=0.030), and a greater number of prescribed medications (B=0.802, p=0.001), whereas greater medication regimen complexity was negatively associated with necessity beliefs (B=−0.276, p=0.003). Regarding concern beliefs, employment status (B=2.605, p<0.001) and longer duration since diagnosis (>3 years) (B=−1.155, p=0.029) were significant predictors, indicating a mild but significant impact. No significant associations were observed between concern beliefs and age, gender, education, income, number of medications, or regimen complexity. Medication beliefs among heart failure patients in Yemen are shaped by both patient and treatment-related factors. The findings have important implications in clinical practice, both clinical pharmacists and cardiologist can consider patients’ perspective to guide intervention design especially simplifying medication regimens and addressing patient-specific concerns.
Co-Authors Anna Wahyuni Widayanti Candraningrat, I Dewa Agung Diva Filliana, Ulfa Firda Ridhayani Fita Rahmawati Mansoor, Abdullah Oktasari, Sholikhah Rosvita