Effectiveness of Adherence Therapy in Adults with Type 2 Diabetes: A Systematic Review

Adherence therapy has been shown to be an effective adjunct treatment in long-term conditions including hypertension. The purpose of this study is to review and critically appraise evidence on the effectiveness of adherence therapy as an intervention in adults with type 2 diabetes. A systematic search of clinical trials published between 2005 and January 2020 in databases was undertaken in October 2018 and updated in August 2020. Inclusion criteria were any clinical trials where the population under investigation was adults with type 2 diabetes and the experimental intervention was adherence therapy. Version 2 of the Cochrane risk of bias was used to determine the quality of the included studies. No studies met our inclusion criteria. However, four studies that we excluded at full text screening tested some of the components (e.g., problem solving) of adherence therapy. As is recommended when reporting empty reviews, those studies were synthesized to determine if useful information can be extracted. That no trials of adherence therapy have been reported in type 2 diabetes establishes a potentially important gap in knowledge. This review was registered in PROSPERO (registration number: CRD42019115216) after the initial searches were completed.

PENILAIAN DATA AWAL PENERAPAN BRIEF CONSELING FARMASIS DALAM PENINGKATAN PERILAKU, KEPATUHAN MINUM OBAT, HASIL TERAPI DAN KUALITAS HIDUP PASIEN HIPERTENSI DI RSUD ULIN BANJARMASIN

Hypertension is one of the deadliest diseases in the world. As many as 1 billion people in the world or 1 in 4 adults suffer from this disease.In fact, it is estimated that the number of hypertension sufferers will increase to 1.6 billion by 2025. Based on data from Basic Health Research (Riskesdas) in 2018, the prevalence of hypertension is based on measurement results for people aged ≥ 18 years in South Kalimantan, ranking number 1 in Indonesia. This result increased from the data in 2013 the prevalence of hypertension was 30.4% to 44.1%. Patient behavior by controlling the patient's blood pressure will improve the patient's quality of life. The purpose of this study was to assess the initial data on the application of the effect of pharmacist brief counseling in improving behavior, medication adherence, therapy outcomes and quality of life for hypertensive patients at Ulin Banjarmasin Hospital. The study was a quasi-experimental study using two groups with prospective patient data collection with inclusion and exclusion criteria. The exclusion criteria were pregnant, deaf and absent patients at the second visit. Data collection comes from medical records and is carried out by interviewing then filling out a questionnaire. Data were analyzed using SPSS Version 16. The results of the study were on cognitive (0.408), affective (0.000), psychomotor (0.240) patient behavior; compliance (0.096); quality of life (0,000); Systolic BP (0.588) and Diastolic BP (0.626).

Motivational Interviewing–Based Compliance/Adherence Therapy Interventions to Improve Psychiatric Symptoms of People With Severe Mental Illness: Meta-Analysis

BACKGROUND: Nonadherence is the leading cause of relapse in mental illness. No quantitative synthesis of multiple studies has been conducted to determine the effect of motivational interviewing (MI)–based compliance/adherence therapy (CAT) interventions on people with severe mental illness. OBJECTIVE: To synthesize the studies that examined the effectiveness of MI-based CAT interventions to improve psychiatric symptoms. DESIGN: Quantitative meta-analysis. RESULTS: Sixteen primary studies were retrieved ( N =1267 participants). MI-based CAT interventions significantly improved psychiatric symptoms with a moderate effect size (ES) of .45. Longer sessions and higher intervention doses showed significantly greater ESs than shorter sessions and lower doses. ESs were significantly lower when participants were older and when there was a longer period between the intervention and outcome measurement. CONCLUSIONS: These findings support the effectiveness of MI-based CAT interventions. Session length and dose effect should be considered when tailoring MI to clients.