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Fedorin M.M.
Omsk State Medical University
Gorbenko A.V.
Omsk State Medical University
Andreev K.A.
Omsk State Medical University
Okhotnikova P.I.
Omsk State Medical University
Skirdenko Yu.P.
Omsk State Medical University
Nikolaev N.A.
Omsk State Medical University
Medical background and potential adherence to treatment — solid cross-sectional surprises
Journal: Russian Journal of Preventive Medicine. 2020;23(6): 15‑21
Views: 783
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To cite this article:
Fedorin MM, Gorbenko AV, Andreev KA, et al. . Medical background and potential adherence to treatment — solid cross-sectional surprises. Russian Journal of Preventive Medicine.
2020;23(6):15‑21. (In Russ.)
https://doi.org/10.17116/profmed20202306115
It is known that adherence to pharmacotherapy in young people with many chronic diseases is inferior to the average in the population, which is associated with the behavioral features characteristic of young people. Studies have been published confirming the low level of adherence to recommendations for maintaining a healthy lifestyle among young people, among whom students represent a special social group. At the same time, it is not known how the presence of special medical knowledge in this category of population affects the formation of adherence. Presumably, the potential commitment of medical graduates may differ from that of the student cohort as a whole.
Examine the potential adherence to treatment of medical university students at different levels of study.
1282 responders (376 men and 906 women, average age 20.41±2.13 years) were included in the study using the continuous cross-sectional method — students of 1-6 courses of the medical faculty of the Omsk State Medical University, Russia. Potential adherence to treatment was assessed using the Russian universal questionnaire for quantitative assessment of adherence QAA-25 (scale of potential adherence to treatment).
Medical university students showed initially low potential adherence to treatment on all scales of the questionnaire. Indicators of such adherence among students enrolled in 2-3 courses are higher than the average values of students enrolled in 1 course and 4-6 courses, while there were no statistically significant differences between the levels of adherence of students of 1 and 6 courses. As the level of education increased, there was a significant increase in the level of adherence to lifestyle modification (mostly due to female responders), with a significant decrease in the level of adherence to drug therapy and medical support.
Despite the multidirectional changes in the indicators of potential adherence to drug therapy, medical support and lifestyle modification during the period of study, the average sample indicators of potential integral adherence to treatment do not differ significantly among medical students, both at the beginning of medical education and at its completion, while remaining at the same time initially low, which demonstrates the lack of influence of medical education on potential adherence to treatment and may indicate that adherence is a potentially unchanged individual property of a person.
Authors:
Fedorin M.M.
Omsk State Medical University
Gorbenko A.V.
Omsk State Medical University
Andreev K.A.
Omsk State Medical University
Okhotnikova P.I.
Omsk State Medical University
Skirdenko Yu.P.
Omsk State Medical University
Nikolaev N.A.
Omsk State Medical University
Received:
13.07.2020
Accepted:
04.09.2020
List of references:
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