Patients' perspectives on medication for inflammatory bowel disease: a mixed-method systematic review

Area of Science:

• Gastroenterology
• Pharmacology
• Health Services Research

Background:

• Inflammatory Bowel Disease (IBD) is a chronic condition requiring long-term medication for remission.
• Medication nonadherence is common in IBD patients, highlighting the importance of understanding their perspectives.
• Patient insights into IBD treatments are vital for effective disease management.

Purpose of the Study:

• To synthesize existing evidence on patient perspectives regarding medication for Inflammatory Bowel Disease.
• To identify key factors influencing patient views on IBD treatments.

Main Methods:

• A mixed-method systematic review was conducted.
• Searches were performed across Scopus, EMBASE, Web of Science, and CINAHL databases.
• A convergent integrated approach was used for synthesizing qualitative and quantitative data.

Main Results:

• Twenty-five studies from 20 countries were included.
• Patients reported a lack of knowledge regarding medication efficacy, side effects, and characteristics.
• Negative perceptions, such as concerns about pill burden and side effects, were also noted.

Conclusions:

• Lack of knowledge about IBD medications is a prevalent issue for patients.
• Healthcare services for IBD should incorporate patient perspectives into care delivery.
• Enhanced patient education on medication details can empower patients and improve health outcomes.