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Adherence to medication and self-management in stroke patients

Beatrice Chapman1, Vanessa Bogle2

  • 1Research and Project Manager at Visions4health Ltd.

British Journal of Nursing (Mark Allen Publishing)
|February 15, 2014
PubMed

Insights

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.
Abstract

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