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Fesoterodine Prescription Fill Patterns and Evaluation of theYourWayPatient Support Plan for Patients With Overactive Bladder Symptoms and Physicians
- Source :
- Postgraduate Medicine. 126:246-256
- Publication Year :
- 2014
- Publisher :
- Informa UK Limited, 2014.
-
Abstract
- Adherence with oral medication for overactive bladder syndrome is suboptimal. To improve adherence, the YourWay plan was developed to assist patients and health care providers in defining treatment expectations and facilitating communication.To evaluate medication adherence among patients with overactive bladder syndrome enrolled in the YourWay patient support plan, patient adoption of behavioral interventions, patient satisfaction with the plan, and physician experience with the plan.In this 13-week, single-arm, open-label, multicenter, noninterventional study, fesoterodine-naïve patients received a prescription for fesoterodine 4 or 8 mg and a packet including a 14-day fesoterodine sample, educational materials, and progress tracker. Patients registered for the YourWay plan, which included an educational resource kit, interactive voice-response calls, and optional online and mail support. The primary end point was the proportion of patients who filled a prescription for a ≥ 90-day supply of fesoterodine within 90 days of enrollment. Secondary end points were the proportion of patients who filled ≥ 1 prescription and ≥ 2 prescriptions (post hoc), patient evaluation of their experience and satisfaction with the YourWay plan, and differences between prescription fillers and nonfillers in plan adoption and assessment (post hoc). We surveyed an independent sample of physicians to assess their experience with YourWay.Of 500 study completers, 10.4% filled a prescription for a ≥ 90-day supply of fesoterodine. Of those filling a prescription, 26.2% filled ≥ 1 prescription and among those, 61.0% refilled their prescription at least once. Many behavioral recommendations were adopted by 82% to 94% of patients. Fillers were more likely to take fesoterodine as directed, whereas adoption of behavioral recommendations or plan satisfaction did not differ between fillers and nonfillers. Most patients reported that the plan was informative and feasible to implement, and that they were satisfied with various aspects of the plan. Physicians also reported positive experiences.Most patients adopted YourWay components and viewed the plan positively, although adherence remained a challenge.
- Subjects :
- medicine.medical_specialty
Attitude of Health Personnel
Urinary incontinence
Medication Adherence
Patient satisfaction
Patient Education as Topic
Physicians
Health care
Medication therapy management
Fesoterodine
medicine
Clinical endpoint
Humans
Benzhydryl Compounds
Practice Patterns, Physicians'
Medical prescription
Aged
Urinary Bladder, Overactive
business.industry
General Medicine
Middle Aged
medicine.disease
Drug Utilization
Overactive bladder
Patient Satisfaction
Physical therapy
Urological Agents
medicine.symptom
business
medicine.drug
Subjects
Details
- ISSN :
- 19419260 and 00325481
- Volume :
- 126
- Database :
- OpenAIRE
- Journal :
- Postgraduate Medicine
- Accession number :
- edsair.doi.dedup.....53b202c3938360d6682651b08fd78d47
- Full Text :
- https://doi.org/10.3810/pgm.2014.05.2773