Adherence through education: A call to clinicians to educate all patients on medication use

2012 ◽  
Vol 2 (4) ◽  
pp. 83-85 ◽  
Author(s):  
Kristen Allison
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Medication Use ◽  
Medication Nonadherence ◽  
Improve Medication Adherence ◽  
Therapeutic Outcomes

Medication nonadherence contributes to lack of achievement of desired therapeutic outcomes. This article reviews the evidence supporting patient education as a one of the tools to promote medication adherence. Patient education and provision of tools to help patients overcome adherence barriers are effective ways to improve medication adherence.

Abstract 113: Pharmacists' Perspectives of an Intervention to Improve Medication Adherence after ACS Hospitalization A Qualitative Analysis

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Kelty B Fehling ◽  
Anne Lambert-Kerzner ◽  
Ryan Davis ◽  
Jennifer Weaver ◽  
Casey Barnett ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Patient Adherence ◽  
Clinical Care ◽  
Qualitative Inquiry ◽  
Educational Process ◽  
Assessment Tools ◽  
Personal Contact ◽  
Improve Medication Adherence ◽  
Coronary Syndrome

Background: Despite the success of pharmacist-led interventions to improve medication adherence, pharmacists’ perspectives of these interventions are unknown. Our objective was to understand the pharmacists’ perspectives of a successful multifaceted intervention to improve medication adherence after acute coronary syndrome (ACS) hospitalization. Methods: We ascertained pharmacist perspectives’ through qualitative inquiry that included an open-ended survey, semi-structured interviews, and a focus group with the four pharmacists who participated in the intervention. Transcripts of surveys and interviews were analyzed using a content analysis approach. The intervention components included: 1) patient education; 2) assessment tools for potential medication adherence barriers; 3) collaborative care; and 4) automated medication refill reminders and educational messages. Pharmacists’ perspectives on each of these components were evaluated. Results: The pharmacists felt the intervention could be sustained in routine clinical care and identified key themes that facilitated intervention success. Pharmacists believed educating patients about their cardiovascular medications filled a gap in usual care. In addition, assessment tools that identified medication discrepancies and gaps in knowledge were helpful in tailoring patient education, while face-to-face conversations were more helpful in identifying mental and cognitive deficits that were barriers to adherence. Pharmacists also noted that the intervention led to the development of bi-directional relationships with patients through increased in-person and tele-health communication. As a result, poor adherence related to medication side effects was more readily addressed. Potential areas for improvement identified by the pharmacists included 1) emphasizing in-person visits to build relationships (begin the educational process while the patient is hospitalized and schedule both the follow-up clinic appointment and pharmacy visit at the same time); 2) utilizing the patient centered medical home concept to improve access to providers; 3) allowing sites to determine provider type to support the personal contact (i.e. pharmacist, nurse practitioner, registered nurse); and 4) employing interactive voice response (IVR) technology to facilitate communication. Conclusions: Pharmacists’ perspectives of a medication adherence intervention gave insights into reasons for the intervention success and suggestions for improvements and dissemination. We found that in-person meetings between pharmacists and patients led to bi-directional conversations and relationships with providers, which positively influenced patient adherence behavior. Future interventions designed to improve medication adherence should incorporate these pharmacist-identified factors.

The impact of technology on medication adherence

2013 ◽  
Vol 2 (8) ◽  
pp. 233-235
Author(s):  
Chelsie Heesch
Keyword(s):  
Mental Illness ◽  
Medication Adherence ◽  
Communication Systems ◽  
Intervention Strategies ◽  
Medication Nonadherence ◽  
Symptom Monitoring ◽  
Technological Advances ◽  
Therapeutic Outcomes ◽  
Impact Of Technology ◽  
The Impact

Medication nonadherence is a large contributor to inadequate therapeutic outcomes, especially among patients with mental illness and carries a high cost. Intervention strategies to increase adherence have incorporated technological advances, including electronic symptom monitoring and communication systems for patients and providers. This article presents a review of several studies demonstrating how technology may affect medication adherence.

scholarly journals Mediators of the association of limited English health literacy with medication non-adherence among Singaporean elderly

2020 ◽  
Vol 29 (1) ◽  
pp. 25-32
Author(s):  
Sumithra Suppiah ◽  
Yi Wen Tan ◽  
Grand H-L Cheng ◽  
Wern Ee Tang ◽  
Rahul Malhotra
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Medication Use ◽  
Prescription Medication ◽  
The Elderly ◽  
P Value ◽  
Improve Medication Adherence ◽  
Written Information ◽  
Bilingual Text ◽  
Significant Mediator

Background: In Singapore, English is predominantly used on prescription medication labels (PMLs). However, many older Singaporeans cannot read English, and among those who read English, their English health literacy (EHL) proficiency varies. It is thus pertinent to examine the link between EHL and medication use outcomes in this population. The present research aims to address this question. Methods: Data from a national survey, on 1167 home-dwelling elderly on ⩾1 prescribed medication was analysed. The validated Health Literacy Test for Singapore was used to determine EHL. Medication non-adherence was self-reported. Path analysis examined the association between limited EHL and medication non-adherence and tested possible mediators. Results: Limited EHL was associated with medication non-adherence (total effect=0.35; p-value: 0.032), and ‘uncertainty in taking medications correctly due to difficulty in understanding written information on PMLs’ was a significant mediator (indirect effect=0.23, 95% confidence interval (0.12–0.39)). Conclusions: Elderly people with limited EHL were significantly more likely than those with adequate EHL to report that they were uncertain about taking medications correctly because they had difficulty understanding the information on PMLs and this misunderstanding contributed to medication non-adherence. Interventions focused on incorporating bilingual text and/or pictograms on PMLs may reduce uncertainty in taking medication correctly and improve medication adherence among the elderly.

scholarly journals Communication Strategies to Improve Medication Adherence: A Systematic Review of Literature

2021 ◽  
Vol 9 ◽  
pp. 1-42
Author(s):  
Kristin G. Maki ◽  
Katy A. Harris ◽  
◽  
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Health Outcomes ◽  
Quantitative Research ◽  
Communication Strategies ◽  
Cost Effective ◽  
Review Of Literature ◽  
Improve Medication Adherence ◽  
Final Sample ◽  
Cost Effective Method

Less than optimal medication adherence is a persisting issue among many patient groups, resulting in poorer health outcomes along with increased strain on financial and time resources. However, communication strategies employed by clinicians may offer a simple, cost-effective method for improving medication adherence and health outcomes. We conducted a review of literature that rendered search results from seven databases, resulting in 1,513 abstracts. A final sample of 44 studies was included to compare the effectiveness of communication-based adherence strategies among various health conditions. After reviewing the full text of included studies, we organized communication strategies into four categories: patient reminders, collaborative communication, patient education, and counseling strategies. Although all of the strategies indicated some level of success, studies examining patient education components showed the most promise both in generalizability and results. This review’s results indicate that a need remains for quantitative research examining the effectiveness of these strategies to increase medical adherence.

Pharmacist’s Role in Improving Medication Adherence in Transplant Recipients With Comorbid Psychiatric Disorders

2018 ◽  
Vol 32 (5) ◽  
pp. 568-578 ◽  
Author(s):  
Farah Khorassani ◽  
Shannon Tellier ◽  
Demetra Tsapepas
Keyword(s):  
Medication Adherence ◽  
Patient Education ◽  
Motivational Interviewing ◽  
Psychiatric Disorders ◽  
Medication Management ◽  
Patient Specific ◽  
Transplant Recipients ◽  
Medication Nonadherence ◽  
Comorbid Psychiatric Disorders ◽  
Adherence To Medication

Medication nonadherence rates are high in both the transplant and psychiatric populations. The consequence of medication nonadherence posttransplant is graft rejection and psychiatric decompensation, highlighting the importance of optimizing adherence to medication regimens. Pharmacists may work with transplant patients with psychiatric comorbidity to improve medication adherence through identifying patient-specific barriers and recommending an appropriate intervention. Multiple evidence-based practices for improving nonadherence have been detailed in the transplant and psychiatric population. Medication adherence aids, medication management, patient education, and motivational interviewing are all strategies that may be used to improve adherence. Selecting which interventions to make will be based on the reasons for a patient’s nonadherence. Most patients benefit from medication management, patient education, and medication adherence aids. Selection of medication adherence aids may be based on patient demographics, technology literacy, and preference. Motivational interviewing may be considered in patients with intentional nonadherence relating to a lack of insight into their illness or the importance of taking medication. Pharmacists may promote adherence and potentially improve patient outcomes in transplant recipients with comorbid psychiatric disorders through assisting patients with designing a tailored medication adherence plan.

scholarly journals Medication nonadherence in elderly patients in a Thai geriatric clinic

2014 ◽  
Vol 8 (4) ◽  
pp. 541-545
Author(s):  
Weerasak Muangpaisan ◽  
Dujpratana Pisalsalakij ◽  
Somboon Intalapaporn ◽  
Wichai Chatthanawaree
Keyword(s):  
Medication Adherence ◽  
Elderly Patients ◽  
Adverse Drug Events ◽  
Demographic Data ◽  
University Teaching ◽  
Medication Nonadherence ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Over The Counter ◽  
Geriatric Clinic

AbstractBackground: Medication nonadherence is common in elderly patients and is a major cause of morbidity. However, it is not well-described in the literature and to our knowledge has never been studied in Thais.Objective: To investigate the extent, causes, and contributing factors of medication nonadherence in older patients in a geriatric clinic.Material and Methods: We conducted a cross-sectional study at Siriraj Hospital, a university teaching hospital in Bangkok. We assessed baseline demographic data, comorbid diseases, Thai Mental State Examination (TMSE), functional status (basic and basic activities of daily living), type and number of medications used, and medication adherence.Results: There were 153 participants in this study. Medication nonadherence, in the administration of prescribed drugs only, was found in 34% of the participants. Nonadherence to administration of prescribed drugs and to the advice regarding over-the-counter drugs was 42.5%. Nonadherence to the administration of prescribed drugs and to the advice regarding over-the-counter drugs, and herbal and dietary supplements was 54.9%. Three most common causes of medication nonadherence were misunderstanding or lack of the knowledge (25.6%), the development of adverse drug events (18.9%), and because of a suggestion by a friend or family member (16.2%).Conclusion: Medication nonadherence is common in elderly Thais attending geriatric clinics. We recommend clinicians be aware of this problem and develop a system to improve medication adherence. The clarification of reasons for prescribing is crucial. We recommend emphasis on educating patients, family members, and the public about the risk of nonadherence and of using nonprescribed medications.

scholarly journals Medication Belief and Adherence among Patients with Epilepsy

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Yirga Legesse Niriayo ◽  
Abraham Mamo ◽  
Kidu Gidey ◽  
Gebre Teklemariam Demoz
Keyword(s):  
Medication Adherence ◽  
Safety Concern ◽  
Binary Logistic Regression Analysis ◽  
Medication Nonadherence ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Epileptic Patients ◽  
Patients With Epilepsy ◽  
Medication Belief ◽  
Medication Concern

Background. Medication adherence and belief are crucial to achieving the desired goal of therapy in epileptic patients. However, there is a lack of study regarding medication adherence and belief in our setting. Therefore, the purpose of this study was to investigate medication adherence and belief and associated factors among ambulatory patients with epilepsy. Method. A cross-sectional study was conducted on randomly selected epileptic patients at the neurologic clinic of Ayder Comprehensive Specialized Hospital, Ethiopia. Medication adherence and belief were assessed using self-reported questionnaires which were developed based on the review of different literatures. Data were analyzed using binary logistic regression analysis. Result. We included a total of 292 patients. Almost two-thirds (65.4%) of the patients were nonadherent to their medications. The most common cause of nonadherence was forgetfulness (48.7%) followed by inability to get medicine (28.8) and safety concern (23.5%). The majority (78.4%) of the patients had high medication necessity belief while 44.1% had high concern belief about the potential adverse effect of their medications. Overall, 39.4% of the patients had a negative belief toward their medications. Comorbidity (AOR: 3.51, 95% CI: 1.20-10.31), seizure encounter within the last 3 months (AOR: 5.45, 95% CI: 2.48-12.00), low medication necessity belief (AOR: 3.38, 95% CI: 1.14-10.00), high medication concern belief (AOR: 4.23, 95% CI: 2.07-8.63), and negative medication belief (AOR: 4.17, 95% CI: 1.74-10.02) were predictors of medication nonadherence. Conclusion. Majority of the epileptic patients were nonadherent to their medications, and more than one-third of the patients had a negative medication belief. Low medication necessity belief, high medication concern belief, negative medication belief, comorbidity, and seizure encounter were predictors of medication nonadherence. Therefore, healthcare providers should design educational programs to enhance the patients’ believe about their medication in order to improve medication adherence and overall treatment outcome.

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