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4 results on '"Saint‐Gerons, Carmen Segura"'

1. Heart transplant centers with multidisciplinary team show a higher level of chronic illness management – Findings from the International BRIGHT Study

Author

Cajita, Maan Isabella, Baumgartner, Eva, Berben, Lut, Denhaerynck, Kris, Helmy, Remon, Schönfeld, Sandra, Berger, Gabriele, Vetter, Christine, Dobbels, Fabienne, Russell, Cynthia L., De Geest, Sabina, Crespo-Leiro, Maria G., Cupples, Sandra, De Simone, Paolo, Groenewoud, Albert, Kugler, Christiane, Ohler, Linda, Van Cleemput, Johan, Poncelet, Alain Jean, Sebbag, Laurent, Michel, Magali, Bernard, Andrée, Doesch, Andreas, Livi, Ugolino, Manfredini, Valentina, Brossa-Loidi, Vicens, Segovia-Cubero, Javier, Almenar-Bonet, Luis, Saint-Gerons, Carmen Segura, Mohacsi, Paul, Horvath, Eva, Riotto, Cheryl, Parry, Gareth, Firouzi, Ashi, Kozuszko, Stella, Haddad, Haissam, Kaan, Annemarie, Fisher, Grant, Miller, Tara, Flattery, Maureen, Ludrosky, Kristin, Coleman, Bernice, Trammell, Jacqueline, St. Clair, Katherine, Kao, Andrew, Molina, Maria, Canales, Karyn Ryan, de Almeida, Samira Scalso, Ayoub, Andrea Cotait, Barone, Fernanda, Harkess, Michelle, and Maddicks-Law, Joanne

Published
2017
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2. Prevalence of Medication Nonadherence to Co-medication Compared to Immunosuppressants in Heart Transplant Recipients: Findings From the International Cross-sectional BRIGHT Study

Author

Crespo-Leiro, Marisa G., Cupples, Sandra, De Simone, Paolo, Groenewoud, Albert, Kugler, Christiane, Ohler, Linda, Van Cleemput, Johan, Poncelet, Alain Jean, Sebbag, Laurent, Michel, Magali, Bernard, Andrée, Doesch, Andreas, Livi, Ugolino, Potena, Luciano, Brossa-Loidi, Vicens, Segovia-Cubero, Javier, Almenar-Bonet, Luis, Saint-Gerons, Carmen Segura, Mohacsi, Paul, Horvath, Eva, Riotto, Cheryl, Parry, Gareth, Firouzi, Ashi, Kozuszko, Stella, Haddad, Haissam, Kaan, Annemarie, Fisher, Grant, Miller, Tara, Flattery, Maureen, Ludrosky, Kristin, Albert, Nancy, Coleman, Bernice, Trammell, Jacqueline, Epstein, Flavio, St Clair, Katherine, Kao, Andrew, Molina, Maria, Canales, Karyn Ryan, Scalso de Almeida, Samira, Ayoub, Andrea Cotait, Barone, Fernanda, Harkess, Michelle, Maddicks-Law, Joanne, Helmy, Remon, Denhaerynck, Kris, Berben, Lut, Dobbels, Fabienne, Russell, Cynthia L., de Aguiar Roza, Bartira, and De Geest, Sabina

Published
2019
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3. Prevalence of Medication Nonadherence to Co-medication Compared to Immunosuppressants in Heart Transplant Recipients: Findings From the International Cross-sectional BRIGHT Study

Author

Helmy, Remon, primary, Scalso de Almeida, Samira, additional, Denhaerynck, Kris, additional, Berben, Lut, additional, Dobbels, Fabienne, additional, Russell, Cynthia L., additional, de Aguiar Roza, Bartira, additional, De Geest, Sabina, additional, Crespo-Leiro, Marisa G., additional, Cupples, Sandra, additional, De Simone, Paolo, additional, Groenewoud, Albert, additional, Kugler, Christiane, additional, Ohler, Linda, additional, Van Cleemput, Johan, additional, Poncelet, Alain Jean, additional, Sebbag, Laurent, additional, Michel, Magali, additional, Bernard, Andrée, additional, Doesch, Andreas, additional, Livi, Ugolino, additional, Potena, Luciano, additional, Brossa-Loidi, Vicens, additional, Segovia-Cubero, Javier, additional, Almenar-Bonet, Luis, additional, Saint-Gerons, Carmen Segura, additional, Mohacsi, Paul, additional, Horvath, Eva, additional, Riotto, Cheryl, additional, Parry, Gareth, additional, Firouzi, Ashi, additional, Kozuszko, Stella, additional, Haddad, Haissam, additional, Kaan, Annemarie, additional, Fisher, Grant, additional, Miller, Tara, additional, Flattery, Maureen, additional, Ludrosky, Kristin, additional, Albert, Nancy, additional, Coleman, Bernice, additional, Trammell, Jacqueline, additional, Epstein, Flavio, additional, St Clair, Katherine, additional, Kao, Andrew, additional, Molina, Maria, additional, Canales, Karyn Ryan, additional, Ayoub, Andrea Cotait, additional, Barone, Fernanda, additional, Harkess, Michelle, additional, and Maddicks-Law, Joanne, additional

Published
2019
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4. Multilevel factors are associated with immunosuppressant nonadherence in heart transplant recipients: The international BRIGHTstudy

Author

Denhaerynck, Kris, Berben, Lut, Dobbels, Fabienne, Russell, Cynthia L., Crespo‐Leiro, Marisa G., Poncelet, Alain Jean, De Geest, Sabina, Crespo‐Leiro, Maria G., Cupples, Sandra, De Simone, Paolo, Groenewoud, Albert, Kugler, Christiane, Ohler, Linda, Van Cleemput, Johan, Sebbag, Laurent, Michel, Magali, Bernard, Andrée, Doesch, Andreas, Livi, Ugolino, Manfredini, Valentina, Brossa‐Loidi, Vicens, Segovia‐Cubero, Javier, Almenar‐Bonet, Luis, Saint‐Gerons, Carmen Segura, Mohacsi, Paul, Horvath, Eva, Riotto, Cheryl, Parry, Gareth, Firouzi, Ashi, Kozuszko, Stella, Haddad, Haissam, Kaan, Annemarie, Fisher, Grant, Miller, Tara, Flattery, Maureen, Ludrosky, Kristin, Coleman, Bernice, Trammell, Jacqueline, St. Clair, Katherine, Kao, Andrew, Molina, Maria, Canales, Karyn Ryan, Almeida, Samira Scalso, Ayoub, Andrea Cotait, Barone, Fernanda, Harkess, Michelle, and Maddicks‐Law, Joanne

Abstract

Factors at the level of family/healthcare worker, organization, and system are neglected in medication nonadherence research in heart transplantation (HTx). The 4‐continent, 11‐country cross‐sectional Building Research Initiative Group: Chronic Illness Management and Adherence in Transplantation (BRIGHT) study used multistaged sampling to examine 36 HTx centers, including 36 HTx directors, 100 clinicians, and 1397 patients. Nonadherence to immunosuppressants—defined as any deviation in taking or timing adherence and/or dose reduction—was assessed using the Basel Assessment of Adherence to Immunosuppressive Medications Scale©(BAASIS©) interview. Guided by the Integrative Model of Behavioral Prediction and Bronfenbrenner's ecological model, we analyzed factors at these multiple levels using sequential logistic regression analysis (6 blocks). The nonadherence prevalence was 34.1%. Six multilevel factors were associated independently (either positively or negatively) with nonadherence: patient level: barriers to taking immunosuppressants (odds ratio [OR]: 11.48); smoking (OR: 2.19); family/healthcare provider level: frequency of having someone to help patients read health‐related materials (OR: 0.85); organization level: clinicians reporting nonadherent patients were targeted with adherence interventions (OR: 0.66); pickup of medications at physician's office (OR: 2.31); and policy level: monthly out‐of‐pocket costs for medication (OR: 1.16). Factors associated with nonadherence are evident at multiple levels. Improving medication nonadherence requires addressing not only the patient, but also family/healthcare provider, organization, and policy levels. Multilevel factors, such as relation to the patient, healthcare provider, transplant center, and healthcare system, are associated with immunosuppressive drug nonadherence in heart transplant recipients, indicating a need for multilevel interventions to address nonadherence.

Published
2018
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