Patient Preference and Adherence· 2015Q1· Review
Interventional tools to improve medication adherence: review of literature
- 304citations
- Q1SCImago
- 2015year
Short summary
Most interventions to improve medication adherence fail to achieve their aims or show improvements in other health outcomes, with adherence rates remaining unchanged over decades.
AI-generated from the title and abstract; the full text is not read.
Key points
- Most interventions aimed at improving medication adherence have failed to achieve their intended goals.
- Interventions that show some adherence improvement are rarely associated with better overall health outcomes.
- Medication nonadherence remains a persistent global public health problem, especially for older adults with multiple chronic conditions.
- The effectiveness of current adherence improvement strategies is limited, with nonadherence rates showing little change over recent decades.
AI-generated from the title and abstract; the full text is not read.
Abstract
Medication adherence and persistence is recognized as a worldwide public health problem, particularly important in the management of chronic diseases. Nonadherence to medical plans affects every level of the population, but particularly older adults due to the high number of coexisting diseases they are affected by and the consequent polypharmacy. Chronic disease management requires a continuous psychological adaptation and behavioral reorganization. In literature, many interventions to improve medication adherence have been described for different clinical conditions, however, most interventions seem to fail in their aims. Moreover, most interventions associated with adherence improvements are not associated with improvements in other outcomes. Indeed, in the last decades, the degree of nonadherence remained unchanged. In this work, we review the most frequent interventions employed to increase the degree of medication adherence, the measured outcomes, and the improvements achieved, as well as the main limitations of the available studies on adherence, with a particular focus on older persons.
The authors' abstract, as published at the source. Patient Preference and Adherence, 2015 · DOI ↗
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Field: Family Practice
Family PracticeMedicine