Methodological features of quantitative studies on medication adherence in older patients with chronic morbidity: A systematic review.
Patient Educ Couns
; 103(10): 2132-2141, 2020 10.
Article
en En
| MEDLINE
| ID: mdl-32402488
ABSTRACT
OBJECTIVES:
The growing number of chronic, multimorbid older adults encourages healthcare systems to cope with polypharmacy and non-adherence. However, methodology on how to provide effective interventions to enhance medication adherence is still object of debate.METHODS:
To describe methodological features of quantitative studies concerning older adults' medication adherence, by means of a PRISMA systematic review (Scopus, PubMed, Medline). A specific focus was devoted to theoretical models and to the ABC Taxonomy model, as stated by the EMERGE guidelines.RESULTS:
55 papers were included. Most of the studies were conducted using randomized control trials (63.6%) and focused on a single disease only (72.7%). Most of the interventions were provided by a single professional figure (70.9%). Medication adherence was mainly evaluated by means of questionnaires (61.8%) and by clinical records (30.9%). Sixteen studies considered a theoretical model in the intervention framework. The Initiation phase (ABC Taxonomy) was the most neglected.CONCLUSIONS:
Future studies upon medication adherence should account real-life challenges such as multimorbidity, polypharmacy and interdisciplinarity, analyzing adherence as a complex, holistic process. PRACTICE IMPLICATIONS Theoretical models may be useful to enhance the soundness of the results, to ease their comparability, to calibrate tailored strategies and to plan patient-centered interventions.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad Crónica
/
Polifarmacia
/
Cumplimiento de la Medicación
Tipo de estudio:
Clinical_trials
/
Guideline
/
Qualitative_research
/
Systematic_reviews
Límite:
Aged
/
Humans
Idioma:
En
Revista:
Patient Educ Couns
Año:
2020
Tipo del documento:
Article
País de afiliación:
Italia