Mindfulness-based interventions for medication adherence: A systematic review and narrative synthesis
William R Nardi1, Eric B Loucks2, Stacey Springs3
1Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States.
Journal of Psychosomatic Research
|July 31, 2021
Summary
Mindfulness-based interventions show potential for improving medication adherence in chronic conditions. However, more rigorous research is needed to confirm their effectiveness due to current study limitations.
Area of Science:
- Health Psychology
- Behavioral Medicine
- Clinical Research
Background:
- Inadequate medication adherence hinders chronic disease management.
- Mindfulness-based interventions (MBIs) show promise in addressing patient-level barriers like stress and depression.
- MBIs may improve adherence to medical regimens.
Purpose of the Study:
- To review existing research on MBIs for medication adherence in chronic illnesses.
- To identify gaps in the current evidence base.
- To guide future research directions.
Main Methods:
- A systematic search of five major databases was conducted.
- Studies quantitatively evaluating MBIs' effect on medication adherence were included.
- A narrative synthesis approach was used to summarize findings.
Main Results:
- Nine studies met the inclusion criteria (seven RCTs, two pre-post designs).
- Studies included populations with HIV, cardiovascular disease, and psychological disorders.
- Four studies reported improved medication adherence, but only two had low risk of bias.
Conclusions:
- Evidence for the effectiveness of MBIs in improving medication adherence is still developing.
- Methodological limitations in current studies necessitate caution.
- Future research should focus on rigorous designs, mechanistic understanding, and objective adherence measures.
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