Interventions to improve medication adherence in people with multiple chronic conditions: a systematic review

2008 ◽  
Vol 63 (2) ◽  
pp. 132-143 ◽  
Author(s):  
Allison Williams ◽  
Elizabeth Manias ◽  
Rowan Walker
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Improve Medication Adherence

scholarly journals Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1204
Author(s):  
Marion Bieri ◽  
María del Río Carral ◽  
Marie Santiago-Delefosse ◽  
Giorgia Miano ◽  
Fanny Rosset ◽  
...  
Keyword(s):  
Older Adults ◽  
Medication Adherence ◽  
Chronic Conditions ◽  
Healthcare Professionals ◽  
Methodological Approach ◽  
Informal Caregivers ◽  
Multiple Chronic Conditions ◽  
Structured Interviews ◽  
Improve Medication Adherence ◽  
Treatment Information

Although home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults’ and their informal caregivers’ beliefs about medication is a gateway to understanding and improving medication adherence. This study aimed to analyse beliefs about polypharmacy among home-dwelling older adults with multiple chronic conditions and their informal caregivers, focusing on their daily medication practices. Semi-structured interviews were conducted with 28 older adults, 17 informal caregivers, but also 13 healthcare professionals. Based on an inductive methodological approach, data were analysed using thematic content analysis. Interviews revealed the different attitudes adopted by older adults and their informal caregivers in relation to the treatment information provided by healthcare professionals. A variety of beliefs were identified and linked to medication adherence by examining daily medication practices. Polypharmacy was experienced as a habit but also an obligation, highlighting some of the strategies and negotiations underlying medication use at home. Collecting viewpoints from multiple stakeholders is an innovative way of accessing and analysing beliefs about polypharmacy. Daily medication practices provided information about medication beliefs and may contribute to developing targeted professional interventions that improve medication adherence.

scholarly journals Prevalence and predictors of medication non-adherence among patients with multimorbidity: A systematic review protocol

2019 ◽  
Vol 2 ◽  
pp. 29
Author(s):  
Louise Foley ◽  
James Larkin ◽  
Richard Lombard-Vance ◽  
Andrew W. Murphy ◽  
Gerard J. Molloy
Keyword(s):  
Systematic Review ◽  
Full Text ◽  
Chronic Conditions ◽  
Data Extraction ◽  
Meta Analysis ◽  
Intervention Development ◽  
Evidence Base ◽  
Multiple Chronic Conditions ◽  
Review Protocol ◽  
Form Quality

Introduction: Patients with multimorbidity are expected to adhere to complex medication regimens in order to manage their multiple chronic conditions. It has been reported the likelihood of adherence decreases as patients are prescribed more medications. Much medication adherence research to date is dominated by a single-disease focus, which is at odds with the rising prevalence of multimorbidity and may artificially underestimate the complexity of managing chronic illness. This review aims to describe the prevalence of medication non-adherence among patients with multimorbidity, and to identify potential predictors of non-adherence in this population. Methods: A systematic review will be conducted and reported according to PRISMA guidelines. PubMed, EMBASE, CINAHL and PsycINFO will be searched using a predefined search strategy from 2009–2019. Quantitative studies will be considered eligible for review if prevalence of medication non-adherence among adults with two or more chronic conditions is reported. Studies will be included in the review if available in English full text. Titles and abstracts will be screened by single review, with 20% of screening cross-checked by a second reviewer. Full-text articles will be screened by two independent reviewers, noting reasons for exclusions. Data extraction will be performed using a predefined extraction form. Quality and risk of bias assessment will be conducted using criteria for observational studies outlined by Sanderson et al. (2007). A narrative synthesis and, if feasible, meta-analysis will be conducted. Discussion: By exploring medication non-adherence from a multimorbidity perspective, the review aims to inform an evidence base for intervention development which accounts for the rising prevalence of patients with multiple chronic conditions.  Study registration: The systematic review is prospectively registered in PROSPERO (CRD42019133849); registered on 12 June 2019.

Medication adherence and barriers among low-income, uninsured patients with multiple chronic conditions

2019 ◽  
Vol 15 (6) ◽  
pp. 744-753 ◽  
Author(s):  
Cesar I. Fernandez-Lazaro ◽  
David P. Adams ◽  
Diego Fernandez-Lazaro ◽  
Juan M. Garcia-González ◽  
Alberto Caballero-Garcia ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Low Income ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Uninsured Patients

scholarly journals Effectiveness of mailed letters to improve medication adherence among Medicare Advantage Plan participants with chronic conditions

2018 ◽  
Vol Volume 13 ◽  
pp. 37-46 ◽  
Author(s):  
Amanda Mann ◽  
Tara W. Esse ◽  
Omar Serna ◽  
Liana D. Castel ◽  
Susan M. Abughosh
Keyword(s):  
Medication Adherence ◽  
Chronic Conditions ◽  
Medicare Advantage ◽  
Improve Medication Adherence

Interventions to improve medication adherence in mental health: the update of a systematic review of cost-effectiveness

2020 ◽  
Vol 24 (4) ◽  
pp. 416-427
Author(s):  
Lidia García-Pérez ◽  
Renata Linertová ◽  
Pedro Serrano-Pérez ◽  
Mar Trujillo-Martín ◽  
Leticia Rodríguez-Rodríguez ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Cost Effectiveness ◽  
Medication Adherence ◽  
Improve Medication Adherence

Patient perspectives on primary care and oncology care coordination in the context of multiple chronic conditions: A systematic review

2020 ◽  
Vol 16 (8) ◽  
pp. 1003-1016
Author(s):  
Natalie S. Hohmann ◽  
Cassidi C. McDaniel ◽  
S. Walker Mason ◽  
Winson Y. Cheung ◽  
Michelle S. Williams ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Care Coordination ◽  
Chronic Conditions ◽  
Patient Perspectives ◽  
Multiple Chronic Conditions ◽  
Oncology Care

scholarly journals A systematic review of interventions using health behavioral theories to improve medication adherence among patients with hypertension

2020 ◽  
Vol 10 (5) ◽  
pp. 1177-1186
Author(s):  
Mona Nili ◽  
Rowida Mohamed ◽  
Kimberly M Kelly
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Model Theory ◽  
Health Care Professionals ◽  
Cognitive Theory ◽  
Self Regulation ◽  
Risk Of Bias ◽  
Behavioral Models ◽  
Improve Medication Adherence ◽  
Regulation Model

Abstract Medication adherence is a major problem in the treatment of hypertension. Approximately half of the patients who use antihypertensive medications are not adherent. Several interventions have endeavored to improve medication adherence among patients with hypertension, and some have used health behavioral models/theories. However, the quality and effectiveness of using health behavioral models/theories in improving medication adherence among patients with hypertension remain unknown. The main aim of this systematic review was to describe study characteristics and types of health behavioral models/theories used in interventions for improving medication adherence among adults with hypertension. PubMed, Scopus, Ovid MEDLINE, CINAHL, and PsycINFO databases were searched for randomized clinical trial interventions using any health behavioral models/theories published in English from 1979 to 2019. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, two independent reviewers searched, screened abstracts and articles, extracted data, and assessed the risk of bias and the use of the model/theory using the Theory Coding Scheme. A total of 11 articles were included in this systematic review. Two studies reported significant improvement in medication adherence. The Self-Regulation Model and Social Cognitive Theory were the most common types of models/theories. Nine studies used a single model/theory, and four studies measured the constructs of a model/theory. Risk of bias was good (n = 4) and fair (n = 5) in interventions. Using health behavioral models/theories may be an efficient way for health care professionals to improve adherence to medications among patients with hypertension. More interventions with rigorous designs are needed that appropriately utilize health behavioral models/theories for improving medication adherence among adults with hypertension.

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