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Medication adherence part two: predictors of nonadherence and adherence
Kathy J Wheeler1, Mary Ellen Roberts, Mary B Neiheisel
1University of Kentucky College of Nursing, Lexington, Kentucky, Seton Hall University, South Orange, New Jersey, University of Louisiana at Lafayette, Lafayette, Louisiana.
Journal of the American Association of Nurse Practitioners
|February 28, 2014
Summary
Understanding medication adherence is crucial for patient outcomes. This study explores the complex reasons behind medication nonadherence, including patient beliefs, healthcare system factors, and lifestyle characteristics.
Area of Science:
- Pharmacology
- Health Services Research
- Patient Care
Background:
- Medication adherence is a critical component of effective treatment.
- Nonadherence poses a significant challenge in managing both physical and mental health disorders.
- This article is the second in a series examining medication adherence.
Purpose of the Study:
- To describe the continuum of medication adherence to nonadherence.
- To explore the multifaceted reasons contributing to medication nonadherence.
- To provide a foundation for improving patient adherence rates.
Main Methods:
- Literature review of research articles.
- Searches conducted through MEDLINE and PubMed databases.
- Synthesis of findings on factors influencing medication adherence.
Main Results:
- Medication nonadherence is influenced by patient beliefs about medication benefits.
- Complexities within healthcare systems and treatment plans are significant barriers.
- Patient lifestyle and demographic characteristics also play a role in adherence.
Conclusions:
- Recognizing the reasons for nonadherence is essential for improving adherence rates.
- Tailoring care plans to address patient-specific and system-specific barriers is key.
- Nurse practitioners should assess adherence at each visit and adjust practices accordingly.
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