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Published on: January 15, 2017
Adherence to medication and self-management in stroke patients
Beatrice Chapman1, Vanessa Bogle2
1Research and Project Manager at Visions4health Ltd.
Self-management interventions show short-term success in improving stroke medication adherence. However, these benefits diminish over time, necessitating further research and intervention development for sustained adherence in stroke patients.
Area of Science:
- Neurology
- Public Health
- Pharmacology
Background:
- Stroke is a leading cause of death and disability in England, necessitating effective medical management and adherence.
- Suboptimal medication adherence is a significant challenge in stroke patient care.
- Self-management interventions are known to improve adherence in chronic conditions, but their impact on stroke medication is unclear.
Purpose of the Study:
- To systematically review the impact of self-management interventions on medication adherence in stroke patients.
Main Methods:
- A systematic search of multiple online databases (PsychINFO, MEDLINE, EMBASE, Scopus, Cochrane, CINAHL, Web of Science) was conducted.
- Reference lists of retrieved studies were also hand-searched to identify relevant literature.
Main Results:
- Six studies met the inclusion criteria for the systematic review.
- Self-management interventions demonstrated effectiveness in enhancing stroke medication adherence in the short term.
- The positive effects on adherence were not sustained in the long term.
Conclusions:
- Self-management interventions hold promise for improving stroke medication adherence within integrated care settings.
- Further development of these interventions and more rigorous research with extended follow-up periods are recommended.
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