An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks
| Autor: | Dan V. Blalock, Lian Leng Low, Truls Østbye, Sungwon Yoon, Yu Heng Kwan, Jie Kie Phang, Kai Qi Elizabeth Peh, Hasna Ramchandani, Zhui Ying Lim, Hayden B. Bosworth, Hendra Goh, Dionne Hui Fang Loh, Julian Thumboo |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Psychological intervention Medication adherence Disease Medication Adherence 03 medical and health sciences 0302 clinical medicine Health care Internal Medicine medicine Humans 030212 general & internal medicine Socioeconomic status media_common Review Paper business.industry 030503 health policy & services Models Theoretical Identified patient Conceptual framework Socioeconomic Factors Family medicine Conceptual model 0305 other medical science business |
| Zdroj: | Journal of General Internal Medicine |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | Objective To summarize the available conceptual models for factors contributing to medication adherence based on the World Health Organization (WHO)’s five dimensions of medication adherence via a systematic review, identify the patient groups described in available conceptual models, and present an adaptable conceptual model that describes the factors contributing to medication adherence in the identified patient groups. Methods We searched PubMed®, Embase®, CINAHL®, and PsycINFO® for English language articles published from inception until 31 March 2020. Full-text original publications in English that presented theoretical or conceptual models for factors contributing to medication adherence were included. Studies that presented statistical models were excluded. Two authors independently extracted the data. Results We identified 102 conceptual models, and classified the factors contributing to medication adherence using the WHO’s five dimensions of medication adherence, namely patient-related, medication-related, condition-related, healthcare system/healthcare provider-related, and socioeconomic factors. Eight patient groups were identified based on age and disease condition. The most universally addressed factors were patient-related factors. Medication-related, condition-related, healthcare system-related, and socioeconomic factors were represented to various extents depending on the patient group. By systematically examining how the WHO’s five dimensions of medication adherence were applied differently across the eight different patient groups, we present a conceptual model that can be adapted to summarize the common factors contributing to medication adherence in different patient groups. Conclusion Our conceptual models can be utilized as a guide for clinicians and researchers in identifying the facilitators and barriers to medication adherence and developing future interventions to improve medication adherence. Protocol Registration PROSPERO Identifier: CRD42020181316 |
| Databáze: | OpenAIRE |
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