Self-Reported Barriers to Medication Adherence Among Chronically Ill Adolescents: A Systematic Review

2014 ◽  
Vol 54 (2) ◽  
pp. 121-138 ◽  
Author(s):  
Signe Hanghøj ◽  
Kirsten A. Boisen
2020 ◽  
Vol 8 ◽  
pp. 205031212098245
Author(s):  
Assefa Tola Gemeda ◽  
Lemma Demissie Regassa ◽  
Adisu Birhanu Weldesenbet ◽  
Bedasa Taye Merga ◽  
Nanti Legesse ◽  
...  

The foundation of controlling hypertension is adherence to antihypertensive medication adherence. This systematic review and meta-analysis aimed to assess the magnitude and associated factors of adherence to antihypertensive medication among adult hypertensive patients in Ethiopia. A comprehensible bibliographic searching was conducted from PubMed, EMBASE, Scopus, and Web of Science core collection. All published and unpublished studies that had been accessible before 31 May 2020, and written in English were eligible. Joanna Briggs Institute assessment tool was used to evaluate the quality of the findings of the included studies. Stata software 16.0 was used to analyze the data. Study-specific estimates were pooled to determine the overall prevalence estimate across studies using a random-effects meta-analysis model. Publication bias and heterogeneity were checked. Fourteen studies with a total of 4938 hypertensive patients were included in the final systematic review and meta-analysis. The pooled prevalence of medication adherence among hypertensive patients in Ethiopia was 65.41% (95% confidence interval: 58.91–71.91). Sub-group analysis shown that the pooled prevalence of medication adherence was the highest (69.07%, 95% confidence interval: 57.83–80.31, I2 = 93.51) among studies using questionnaire technique whereas the lowest in Morisky Medication Adherence Scale eight-items (60.66%, 95% confidence interval: 48.92–72.40, I2 = 97.16). Moreover, medication adherence was associated with the presence of comorbidities (pooled odds ratio = 0.23, 95% confidence interval: 0.07–0.38, p = 0.030, I2 = 54.9%) and knowledge about the disease and its management (pooled odds ratio = 2.98, 95% confidence interval: 1.72–4.24, p = 0.04, I2 = 55.55%) but not with place of residence (pooled odds ratio = 1.22, 95% confidence interval: 0.51–1.93, p = 0.00, I2 = 76.9%). Despite a lack of uniformity among included studies, adherence to antihypertensive medication among the hypertensive population in Ethiopia was moderate. The presence of comorbidities and/or complications reduced the odds of adherence whereas having good knowledge about the disease increased chance of medication adherence among hypertensive patients.


2020 ◽  
Vol 17 (6) ◽  
pp. 732-741
Author(s):  
Elaine Marron ◽  
Declan Patton ◽  
Tom O’Connor ◽  
Zena Moore ◽  
Bridget Murray ◽  
...  

2017 ◽  
Vol 46 (suppl_1) ◽  
pp. i25-i26
Author(s):  
R L Fulton ◽  
T Kroll ◽  
M E T McMurdo ◽  
G J Molloy ◽  
M D Witham

2018 ◽  
Vol 9 ◽  
Author(s):  
Andrea Torres-Robles ◽  
Elyssa Wiecek ◽  
Fernanda S. Tonin ◽  
Shalom I. Benrimoj ◽  
Fernando Fernandez-Llimos ◽  
...  

2018 ◽  
Vol 29 (12) ◽  
pp. 2623-2637 ◽  
Author(s):  
C. T. Yeam ◽  
S. Chia ◽  
H. C. C. Tan ◽  
Y. H. Kwan ◽  
W. Fong ◽  
...  

2016 ◽  
Vol 07 (03) ◽  
pp. 850-869 ◽  
Author(s):  
Tsung-Chien Lu ◽  
Chia-Ming Fu ◽  
Matthew Ma ◽  
Cheng-Chung Fang ◽  
Anne Turner

SummaryThe aim of this systematic review is to synthesize research studies involving the use of smart watch devices for healthcare.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was chosen as the systematic review methodology. We searched PubMed, CINAHL Plus, EMBASE, ACM, and IEEE Xplore. In order to include ongoing clinical trials, we also searched ClinicalTrials.gov. Two investigators evaluated the retrieved articles for inclusion. Discrepancies between investigators regarding article inclusion and extracted data were resolved through team discussion.356 articles were screened and 24 were selected for review. The most common publication venue was in conference proceedings (13, 54%). The majority of studies were published or presented in 2015 (19, 79%). We identified two registered clinical trials underway. A large proportion of the identified studies focused on applications involving health monitoring for the elderly (6, 25%). Five studies focused on patients with Parkinson’s disease and one on cardiac arrest. There were no studies which reported use of usability testing before implementation.Most of the reviewed studies focused on the chronically ill elderly. There was a lack of detailed description of user-centered design or usability testing before implementation. Based on our review, the most commonly used platform in healthcare research was that of the Android Wear. The clinical application of smart watches as assistive devices deserves further attention.Smart watches are unobtrusive and easy to wear. While smart watch technology supplied with biosensors has potential to be useful in a variety of healthcare applications, rigorous research with their use in clinical settings is needed.Citation: Lu T-C, Fu C-M, Ma M H-M, Fang C-C, Turner AM. Healthcare applications of smart watches: A systematic review.


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