Development and Validation of a Self-administered QUestionnaire to Identify Levers of Adhesion Behavior to Patient's Medication in Order to Adapt the Educational Monitoring.

Study Overview
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Brief Summary
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Medication non-adherence is an economic problem and a major public health challenge. Factors influencing medication adherence can be modelled according to five dimensions: disease, medication, patient and its close relatives, demographic and socioeconomic factors and health care system. A tool is needed to qualify medication adherence in order to adapt tailored support for individual patients to promote and optimize adherence to therapy. The objective of this work is to present the preliminary results of QUILAM project which is divided into 3 phases: 1. Development of a tool to assess barriers to medication adherence in chronic patient (COPD, Heart failure, Type 2 diabetes) ; 2. Validation of the instrument (especially against clinical criteria) ; 3. Evaluation of the sensitivity of the tool during educational interventions.

Official Title
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QUILAM : Development and Validation of a Self-administered QUestionnaire to Identify Levers of Adhesion Behavior to Patient's Medication in Order to Adapt the Educational Monitoring

Conditions
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Patient Education as Topic, Surveys and Questionnaires, Medication Adherence, Pulmonary Disease, Chronic Obstructive, Diabetes Mellitus, Type 2, Heart Failure

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient with at least one of the following pathologies: diabetes type II, COPD, heart failure person available for a follow-up of 1 year Affiliated to the social security or recipient of such a regime Exclusion Criteria: Persons referred to in articles L1121-5 and L1121-8 in the french public health code Patient who do not speak french

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of events 'hospitalization and death' for 2 patient groups defined through the questionnaire QUILAM score |  | 12 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility and acceptability of the questionnaire (duration / missing data) |  | 12 month | 
| Reliability over time of the questionnaire (test-retest J0 - J15) |  | 12 month | 
| External construct validity (Girerd, SatMedQ, BMQ) |  | 12 month | 
| Number of clinical events for 2 patient groups |  | 12 month | 
| Number of events 'hospitalization and death' for 2 patient groups separate with different cut off |  | 12 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Surveys and Questionnaires, Patient Education as Topic, Medication Adherence, Pulmonary Disease, Chronic Obstructive, Diabetes Mellitus, Type 2, Heart failure