A meta-analysis of cognitive-based behaviour change techniques as interventions to improve medication adherence
| Autor: | Debi Bhattacharya, Fujian Song, Claire Easthall |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry Research Behaviour Change Psychological intervention MEDLINE Motivational interviewing General Medicine PsycINFO Publication bias CINAHL Motivational Interviewing Cochrane Library Medical Management Medication Adherence Meta-analysis Physical therapy medicine business Adherence Intervention Meta-Analysis |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Objective To describe and evaluate the use of cognitive-based behaviour change techniques as interventions to improve medication adherence. Design Systematic review and meta-analysis of interventions to improve medication adherence. Data sources Search of the MEDLINE, EMBASE, PsycINFO, CINAHL and The Cochrane Library databases from the earliest year to April 2013 without language restriction. References of included studies were also screened to identify further relevant articles. Review methods We used predefined criteria to select randomised controlled trials describing a medication adherence intervention that used Motivational Interviewing (MI) or other cognitive-based techniques. Data were extracted and risk of bias was assessed by two independent reviewers. We conducted the meta-analysis using a random effects model and Hedges’ g as the measure of effect size. Results We included 26 studies (5216 participants) in the meta-analysis. Interventions most commonly used MI, but many used techniques such as aiming to increase the patient's confidence and sense of self-efficacy, encouraging support-seeking behaviours and challenging negative thoughts, which were not specifically categorised. Interventions were most commonly delivered from community-based settings by routine healthcare providers such as general practitioners and nurses. An effect size (95% CI) of 0.34 (0.23 to 0.46) was calculated and was statistically significant (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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