Methodological features of quantitative studies on medication adherence in older patients with chronic morbidity: A systematic review

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2020

Autores

Granata, N (Autor) Outra; Traversoni, S (Autor) Outra; Kardas, P (Autor) Outra; Kurczewska Michalak, M (Autor) Outra; Costa, E (Autor) FFUP; Midao, L (Autor) Outra; Giardini, A (Autor) Outra

Revista

Título: Patient Education and Counseling

Vol. 103

Páginas: 2132-2141

ISSN: 0738-3991

Editora: Elsevier

Indexação

ISI Web of Knowledge - 7 Citações

Scopus - 8 Citações

Outras Informações

ID Authenticus: P-00S-3MX

DOI: 10.1016/j.pec.2020.04.006

Abstract (EN): Objectives: The growing number of chronic, multimorbid older adults encourages healthcare systems to cope with polypharmacy and non-adherence. However, methodology on how to provide effective interventions to enhance medication adherence is still object of debate. Methods: To describe methodological features of quantitative studies concerning older adults' medication adherence, by means of a PRISMA systematic review (Scopus, PubMed, Medline). A specific focus was devoted to theoretical models and to the ABC Taxonomy model, as stated by the EMERGE guidelines. Results: 55 papers were included. Most of the studies were conducted using randomized control trials (63.6%) and focused on a single disease only (72.7%). Most of the interventions were provided by a single professional figure (70.9%). Medication adherence was mainly evaluated by means of questionnaires (61.8%) and by clinical records (30.9%). Sixteen studies considered a theoretical model in the intervention framework. The Initiation phase (ABC Taxonomy) was the most neglected. Conclusions: Future studies upon medication adherence should account real-life challenges such as multimorbidity, polypharmacy and interdisciplinarity, analyzing adherence as a complex, holistic process. Practice implications: Theoretical models may be useful to enhance the soundness of the results, to ease their comparability, to calibrate tailored strategies and to plan patient-centered interventions. (C) 2020 Published by Elsevier B.V.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 10