Prevention, screening, assessing and managing of non-adherent behaviour in people with rheumatic and musculoskeletal diseases:systematic reviews informing the 2020 EULAR points to consider
| Autor: | Fernando Estévez-López, Peter Böhm, Andréa Marques, Emma Dures, J. Bijlsma, Tanja Stamm, Marieke Voshaar, Bart J F van den Bemt, Laure Gossec, Kirsten K. Viktil, E. Moholt, Michal Nudel, Annamaria Iagnocco, Loreto Carmona, Daniel Aletaha, José B Negrón, Razvan Dragoi, Valentin Ritschl, Annette de Thurah, Conni Skrubbeltrang |
|---|---|
| Přispěvatelé: | Child and Adolescent Psychiatry / Psychology, Psychology, Health & Technology, Medizinische Universität Wien = Medical University of Vienna, Utrecht University [Utrecht], Deutsches Rheuma-ForschungsZentrum (DRFZ), Deutsches Rheuma-ForschungsZentrum, West University of Timișoara [Roumanie] (WUT), University of the West of England [Bristol] (UWE Bristol), Erasmus University Rotterdam, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Service de rhumatologie [CHU Pitié Salpêtrière] (GRC-08 EEMOIS), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Università degli studi di Torino (UNITO), Universidad de Puerto Rico - UPR (PUERTO RICO), University of Puerto Rico (UPR), University of Haifa [Haifa], Centro Hospitalar e Universitário [Coimbra], Dpt of Rheumatology [Oslo], Department of Psychiatric Research and Development, Diakonhjemmet Hospital, Oslo 0319, Norway, Aalborg University [Denmark] (AAU), Nijmegen Medical Centre [Nijmegen], Oslo University Hospital [Oslo], University of Twente [Netherlands], Instituto de Salud Musculoesqueletica (InMusc), Aarhus University Hospital, Gestionnaire, HAL Sorbonne Université 5, Service de Rhumatologie [CHU Pitié Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Università degli studi di Torino = University of Turin (UNITO), University of Twente |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Immunology Psychological intervention lcsh:Medicine Health services research Patient Care Team Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Rheumatology medicine Immunology and Allergy Humans Quality (business) 030212 general & internal medicine Musculoskeletal Diseases Exercise media_common 030203 arthritis & rheumatology [SDV.MHEP.RSOA] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system business.industry Gold standard lcsh:R Evidence-based medicine 3. Good health Systematic review [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system Family medicine Patient Compliance business Delivery of Health Care Patient education Systematic Reviews as Topic |
| Zdroj: | Ritschl, V, Stamm, T A, Aletaha, D, Bijlsma, J W J, Böhm, P, Dragoi, R, Dures, E, Estévez-López, F, Gossec, L, Iagnocco, A, Negrón, J B, Nudel, M, Marques, A, Moholt, E, Skrubbeltrang, C, Van den Bemt, B, Viktil, K, Voshaar, M, Carmona, L & de Thurah, A 2020, ' Prevention, screening, assessing and managing of non-adherent behaviour in people with rheumatic and musculoskeletal diseases : systematic reviews informing the 2020 EULAR points to consider ', RMD Open, vol. 6, no. 3, e001432 . https://doi.org/10.1136/rmdopen-2020-001432 RMD Open, Vol 6, Iss 3 (2020) RMD Open, 6(3):e001432. BMJ Publishing Group RMD Open Rheumatic & Musculoskeletal Diseases Open, 6 RMD Open, 6(3):e001432. BMJ BMJ-British Medical Journal BMJ-British Medical Journal, BMJ, 2020, ⟨10.1136/rmdopen-2020-001432on⟩ Rheumatic & Musculoskeletal Diseases Open, 6, 3 BMJ-British Medical Journal, 2020, ⟨10.1136/rmdopen-2020-001432on⟩ |
| ISSN: | 2056-5933 1756-1833 |
| Popis: | ObjectiveTo analyse how non-adherence to prescribed treatments might be prevented, screened, assessed and managed in people with rheumatic and musculoskeletal diseases (RMDs).MethodsAn overview of systematic reviews (SR) was performed in four bibliographic databases. Research questions focused on: (1) effective interventions or strategies, (2) associated factors, (3) impact of shared decision making and effective communication, (4) practical things to prevent non-adherence, (5) effect of non-adherence on outcome, (6) screening and assessment tools and (7) responsible healthcare providers. The methodological quality of the reviews was assessed using AMSTAR-2. The qualitative synthesis focused on results and on the level of evidence attained from the studies included in the reviews.ResultsAfter reviewing 9908 titles, the overview included 38 SR on medication, 29 on non-pharmacological interventions and 28 on assessment. Content and quality of the included SR was very heterogeneous. The number of factors that may influence adherence exceed 700. Among 53 intervention studies, 54.7% showed a small statistically significant effect on adherence, and all three multicomponent interventions, including different modes of patient education and delivered by a variety of healthcare providers, showed a positive result in adherence to medication. No single assessment provided a comprehensive measure of adherence to either medication or exercise.ConclusionsThe results underscore the complexity of non-adherence, its changing pattern and dependence on multi-level factors, the need to involve all stakeholders in all steps, the absence of a gold standard for screening and the requirement of multi-component interventions to manage it. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|