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Nurse-Led Interventions for Improving Medication Adherence in Chronic Diseases: A Systematic Review
Daniela Berardinelli1, Alessio Conti2, Anis Hasnaoui3,4
1Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy.
Healthcare (Basel, Switzerland)
|December 17, 2024
Summary
Nurse-led interventions, particularly face-to-face visits, show promise for improving medication adherence in chronic disease patients. Further research is needed to refine adherence measurement methods for better accuracy.
Area of Science:
- Nursing
- Pharmacology
- Public Health
Background:
- Poor medication adherence leads to adverse health outcomes and increased healthcare costs.
- The efficacy of nurse-led interventions for chronic disease patients requires further clarification.
Purpose of the Study:
- To evaluate the effectiveness of nurse-led interventions in enhancing medication adherence among adults with chronic conditions.
Main Methods:
- A comprehensive literature search was conducted across five major databases (MEDLINE, CINAHL, EMBASE, Cochrane Library, SCOPUS).
- Included studies focused on nurse-led interventions for medication adherence in adults with chronic diseases, excluding single acute disease interventions.
- Twenty-two studies involving 5975 participants were analyzed.
Main Results:
- Face-to-face nurse interventions demonstrated statistically significant improvements in medication adherence in 5 out of 7 studies.
- Mixed-method interventions (face-to-face and telephone) showed significant adherence improvements in 4 out of 9 studies.
- Remote interventions were effective in only 1 out of 6 studies; no significant difference was found between tablet-based and nurse-led education.
Conclusions:
- Nurse-led face-to-face interventions appear effective for improving medication adherence in individuals with chronic diseases.
- The motivational approach is a frequently utilized strategy in these interventions.
- Further research is recommended due to potential inaccuracies in current medication adherence measurement techniques.
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