Todd M Ruppar1, Fabienne Dobbels2, Pawel Lewek3, Michal Matyjaszczyk3, Kaat Siebens4, Sabina M De Geest2,5. 1. University of Missouri, Columbia, MO, USA. RupparT@missouri.edu. 2. University of Leuven (KU Leuven), Leuven, Belgium. 3. Medical University of Lodz, Lodz, Poland. 4. Antwerp University Hospital, Antwerp, Belgium. 5. University of Basel, Basel, Switzerland.
Abstract
BACKGROUND: Poor adherence to medications is a significant problem that leads to increased morbidity, mortality, and health care costs. Recommended approaches to address medication adherence vary, and existing practice guidelines are unclear. PURPOSE: This review evaluated clinical practice guidelines designed to help health care providers address patients' medication adherence. METHOD: Multiple search methods were used to identify national or international guidelines addressing medication adherence. We included guidelines published in English, as well as guidelines with an English-language summary or translation. RESULTS: We identified 23 guidelines of varying detail and quality. Recommendations were categorized as assessment strategies (n = 20 guidelines); educational strategies (n = 18); behavioral strategies (n = 17); therapeutic relationship, communication, and provider factors (n = 19); and addressing outside influences/co-morbidities (n = 10). CONCLUSION: Future guidelines should be more clearly guided by research findings and comparative effectiveness methods. When implemented, guidelines will facilitate health care providers and health systems in supporting optimal adherence and improved health outcomes.
BACKGROUND: Poor adherence to medications is a significant problem that leads to increased morbidity, mortality, and health care costs. Recommended approaches to address medication adherence vary, and existing practice guidelines are unclear. PURPOSE: This review evaluated clinical practice guidelines designed to help health care providers address patients' medication adherence. METHOD: Multiple search methods were used to identify national or international guidelines addressing medication adherence. We included guidelines published in English, as well as guidelines with an English-language summary or translation. RESULTS: We identified 23 guidelines of varying detail and quality. Recommendations were categorized as assessment strategies (n = 20 guidelines); educational strategies (n = 18); behavioral strategies (n = 17); therapeutic relationship, communication, and provider factors (n = 19); and addressing outside influences/co-morbidities (n = 10). CONCLUSION: Future guidelines should be more clearly guided by research findings and comparative effectiveness methods. When implemented, guidelines will facilitate health care providers and health systems in supporting optimal adherence and improved health outcomes.
Authors: Norman R C Campbell; Janusz Kaczorowski; Richard Z Lewanczuk; Ross Feldman; Luc Poirier; Margaret Moy Kwong; Marcel Lebel; Finlay A McAlister; Sheldon W Tobe Journal: Can J Cardiol Date: 2010-05 Impact factor: 5.223
Authors: Daniel G Hackam; Nadia A Khan; Brenda R Hemmelgarn; Simon W Rabkin; Rhian M Touyz; Norman R C Campbell; Raj Padwal; Tavis S Campbell; M Patrice Lindsay; Michael D Hill; Robert R Quinn; Jeff L Mahon; Robert J Herman; Ernesto L Schiffrin; Marcel Ruzicka; Pierre Larochelle; Ross D Feldman; Marcel Lebel; Luc Poirier; J Malcolm O Arnold; Gordon W Moe; Jonathan G Howlett; Luc Trudeau; Simon L Bacon; Robert J Petrella; Alain Milot; James A Stone; Denis Drouin; Jean-Martin Boulanger; Mukul Sharma; Pavel Hamet; George Fodor; George K Dresser; S George Carruthers; George Pylypchuk; Ellen D Burgess; Kevin D Burns; Michel Vallée; G V Ramesh Prasad; Richard E Gilbert; Lawrence A Leiter; Charlotte Jones; Richard I Ogilvie; Vincent Woo; Philip A McFarlane; Robert A Hegele; Sheldon W Tobe Journal: Can J Cardiol Date: 2010-05 Impact factor: 5.223
Authors: John E Zeber; Elizabeth Manias; Allison F Williams; David Hutchins; Waka A Udezi; Craig S Roberts; Andrew M Peterson Journal: Value Health Date: 2013-07-10 Impact factor: 5.725
Authors: Garrett Greene; Richard W Costello; Breda Cushen; Imran Sulaiman; Elaine Mac Hale; Ronan M Conroy; Frank Doyle Journal: PLoS One Date: 2018-04-20 Impact factor: 3.240