Interventions to Improve Adherence in Patients with Immune-Mediated Inflammatory Disorders: A Systematic Review
| Autor: | Jérôme Filippi, Carle Paul, Laurent Peyrin-Biroulet, E. Thibout, Fanny Depont, Henri Nataf, Francis Berenbaum, Michel Le Maitre |
|---|---|
| Přispěvatelé: | SC Partners, Centre de Recherche Saint-Antoine (UMRS893), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hépato-Gastroentérologie, Centre Hospitalier Universitaire de Nice (CHU Nice), François Quesnay Hospital, Service Dermatologie [CHU Toulouse], Pôle Clinique des Voies respiratoires [CHU Toulouse], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Nutrition-Génétique et Exposition aux Risques Environnementaux (NGERE), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), AbbVie, HAL-UPMC, Gestionnaire, Service de Dermatologie, CHU Toulouse [Toulouse] |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Multiple Sclerosis Psychological intervention lcsh:Medicine Cochrane Library Medication Adherence law.invention Arthritis Rheumatoid 03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Randomized controlled trial law Internal medicine Humans Psoriasis Medicine 030212 general & internal medicine lcsh:Science 030203 arthritis & rheumatology Multidisciplinary business.industry lcsh:R [SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology Inflammatory Bowel Diseases medicine.disease [SDV.MHEP.HEG] Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology 3. Good health Clinical trial Systematic review Meta-analysis Physical therapy Observational study lcsh:Q business Research Article |
| Zdroj: | PLoS ONE, Vol 10, Iss 12, p e0145076 (2015) PLoS ONE PLoS ONE, 2015, 10 (12), pp.e0145076. ⟨10.1371/journal.pone.0145076⟩ PLoS ONE, Public Library of Science, 2015, 10 (12), pp.e0145076. ⟨10.1371/journal.pone.0145076⟩ |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0145076⟩ |
| Popis: | International audience; Background : In patients with immune-mediated inflammatory disorders, poor adherence to medication is associated with increased healthcare costs, decreased patient satisfaction, reduced quality of life and unfavorable treatment outcomes.Objective : To determine the impact of different interventions on medication adherence in patients with immune-mediated inflammatory disorders.Design : Systematic review.Data sources : MEDLINE, EMBASE and Cochrane Library.Study eligibility criteria for selecting studies : Included studies were clinical trials and observational studies in adult outpatients treated for psoriasis, Crohn’s disease, ulcerative colitis, rheumatoid arthritis, spondyloarthritis, psoriatic arthritis or multiple sclerosis.Study appraisal and synthesis methods : Intervention approaches were classified into four categories: educational, behavioral, cognitive behavioral, and multicomponent interventions. The risk of bias/study limitations of each study was assessed using the GRADE system.Results : Fifteen studies (14 clinical trials and one observational study) met eligibility criteria and enrolled a total of 1958 patients. Forty percent of the studies (6/15) was conducted in patients with inflammatory bowel disease, half (7/15) in rheumatoid arthritis patients, one in psoriasis patients and one in multiple sclerosis patients. Seven out of 15 interventions were classified as multicomponent, four as educational, two as behavioral and two as cognitive behavioral. Nine studies, of which five were multicomponent interventions, had no serious limitations according to GRADE criteria. Nine out of 15 interventions showed an improvement of adherence: three multicomponent interventions in inflammatory bowel disease; one intervention of each category in rheumatoid arthritis; one multicomponent in psoriasis and one multicomponent in multiple sclerosis.Conclusion : The assessment of interventions designed for increasing medication adherence in IMID is rare in the literature and their methodological quality may be improved in upcoming studies. Nonetheless, multicomponent interventions showed the strongest evidence for promoting adherence in patients with IMID. |
| Databáze: | OpenAIRE |
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