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

Thesis (MFamMed)--Stellenbosch University, 2015.

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Main Author: Kleinhans, Shaun
Other Authors: Jenkins, Louis
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2016
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access_status_str Open Access
author Kleinhans, Shaun
author2 Jenkins, Louis
author_browse Jenkins, Louis
Kleinhans, Shaun
author_facet Jenkins, Louis
Kleinhans, Shaun
author_sort Kleinhans, Shaun
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2015.
format Thesis
id oai:scholar.sun.ac.za:10019.1/99326
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:11.727Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/99326 Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District Kleinhans, Shaun Jenkins, Louis University of Stellenbosch. Faculty of Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Chronic diseases -- Treatment -- Eden District Municipality Patient compliance -- Eden District Municipality Health literacy UCTD Thesis (MFamMed)--Stellenbosch University, 2015. ENGLISH 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. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2016-08-08T11:47:13Z 2016-08-08T11:47:13Z 2015-12 Thesis http://hdl.handle.net/10019.1/99326 en_ZA Stellenbosch University 14 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Chronic diseases -- Treatment -- Eden District Municipality
Patient compliance -- Eden District Municipality
Health literacy
UCTD
Kleinhans, Shaun
Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title_full Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title_fullStr Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title_full_unstemmed Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title_short Health literacy and adherence to chronic medication : a descriptive study in a primary health care clinic in the Eden District
title_sort health literacy and adherence to chronic medication a descriptive study in a primary health care clinic in the eden district
topic Chronic diseases -- Treatment -- Eden District Municipality
Patient compliance -- Eden District Municipality
Health literacy
UCTD
url http://hdl.handle.net/10019.1/99326
work_keys_str_mv AT kleinhansshaun healthliteracyandadherencetochronicmedicationadescriptivestudyinaprimaryhealthcareclinicintheedendistrict