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Medication adherence interventions and outcomes: an overview of systematic reviews
Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV). Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID iD: 0000-0001-9437-4334
2019 (English)In: European journal of hospital pharmacy. Science and practice, ISSN 2047-9956, E-ISSN 2047-9964, Vol. 26, p. 187-192Article, review/survey (Refereed) Published
Abstract [en]

Objective To present evidence for healthcare-provided medication adherence interventions on clinical, economic and humanistic outcomes among patients. Methods Literature search of systematic reviews in Medline, Embase and CINAHL (2007–2017), validation of quality using A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2 and Preferred Reporting Items for Systematic Reviews and Meta-Analyses questionnaires and, finally, extraction, combination and tabulation of results for included studies. Results From eight systematic reviews with medium to high AMSTAR 2 score, 37 randomised controlled studies involving 28 600 participants were extracted. Patient education and counselling showed some positive effects on medication adherence. Patient education also showed some positive effects on morbidity, healthcare utilities and patient satisfaction. Counselling had some benefit on mortality and healthcare utilisation. Simplifying doses was shown to have some benefit on morbidity and patient satisfaction. Interventions delivered by pharmacists and nurses showed a better result in improving adherence and outcomes than interventions delivered by general practitioners. Conclusions Some interventions were found to have positive effect on adherence and outcomes, but no single strategy showed improvement in all settings. For future research patients should be screened for non-adherence to reveal both if they are non-adherent and type of nonadherence, as well as bigger sample sizes and longer duration of follow-up.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 26, p. 187-192
National Category
Medical and Health Sciences
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URN: urn:nbn:se:mau:diva-873DOI: 10.1136/ejhpharm-2018-001725ISI: 000475807400002PubMedID: 31338165Scopus ID: 2-s2.0-85056757972Local ID: 27075OAI: oai:DiVA.org:mau-873DiVA, id: diva2:1397549
Available from: 2020-02-27 Created: 2020-02-27 Last updated: 2024-06-17Bibliographically approved

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Eriksson, Tommy

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