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Improving adherence in chronic airways disease: are we doing it wrongly?
Gráinne d'Ancona1, John Weinman2
1Pharmacy Dept/Thoracic Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Breathe (Sheffield, England)
|July 23, 2021
Summary
Improving patient adherence to medicines requires understanding patient behavior and addressing barriers. Evidence-based frameworks can personalize interventions, overcoming challenges for better health outcomes.
Area of Science:
- Pharmacology and Patient Behavior Science
- Health Services Research
Background:
- Medicines non-adherence presents a substantial clinical and financial challenge.
- Healthcare professionals often lack awareness and skills to manage non-adherence effectively.
- Patients may be unaware of their non-adherence, unable to disclose it, or underestimate its health impact.
Purpose of the Study:
- To elucidate the core reasons behind patient adherence or non-adherence to prescribed medications.
- To identify and select targeted interventions that promote improved medication adherence.
Main Methods:
- Review of evidence-based frameworks identifying causal factors in medication-taking behaviors.
- Analysis of patient-reported barriers and healthcare professional perspectives on adherence.
Main Results:
- Non-adherence stems from multifaceted barriers, including patient awareness, disclosure issues, and perceived health impacts.
- Healthcare professional education and skill development are crucial for addressing non-adherence.
- Personalized interventions based on understanding individual causal factors are key.
Conclusions:
- Understanding the principles of medication-taking behavior is essential for effective adherence strategies.
- Personalized, evidence-based interventions can overcome barriers and improve patient adherence.
- Addressing non-adherence can lead to significant improvements in clinical outcomes and reduce healthcare costs.
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