The presence of accountability in digital interventions targeting non-adherence: A review.

Autor: Christensen RE; Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. Electronic address: rec154@rwjms.rutgers.edu., Ranpariya V; Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA., Kammrath LK; Department of Psychology, Wake Forest University, Winston-Salem, North Carolina, USA., Masicampo EJ; Department of Psychology, Wake Forest University, Winston-Salem, North Carolina, USA., Roberson KB; Division of Nursing, School of Health Sciences, Winston-Salem State University, Winston-Salem, North Carolina, USA., Feldman SR; Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA; Department of Pathology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA; Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA; Department of Dermatology, University of Southern Denmark, Odense, Denmark.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2022 Aug; Vol. 105 (8), pp. 2637-2644. Date of Electronic Publication: 2022 Jan 24.
DOI: 10.1016/j.pec.2022.01.010
Abstrakt: Objectives: Provider-centered accountability, defined as the anticipation of a social interaction between a patient and their provider, increases patients' adherence to prescribed treatment. Digital adherence interventions based on accountability may be especially effective at promoting adherence. The current study aimed to assess whether publications on digital adherence interventions discuss accountability, include intervention components related to accountability, and measure feelings of patient accountability as an outcome.
Methods: PubMed was queried between January 2010 and March 2021 to identify randomized controlled trials incorporating digital adherence interventions. Full-text articles were assessed for participant demographics, interventions utilized, outcomes, and intervention effectiveness.
Results: A total of 131 publications met inclusion criteria. Only four publications discussed accountability as a potential factor influencing patient adherence. Although 11% of publications included an intervention with direct accountability, only one did so by design. None of the included studies assessed feelings of accountability as an outcome.
Conclusions: While provider-centered accountability has the potential to boost the efficacy of digital adherence interventions, accountability is rarely incorporated in studies of such interventions.
Practice Implications: Additional investigation into the influence of accountability on adherence interventions will allow for the development of these interventions as effective tools applicable to the full range of patients.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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